Redmond P, Barton D, McQuillan R, O'Higgins N
St. Vincents Hospital, Dublin.
Ir Med J. 1990 Dec;83(4):133-6.
In this retrospective study, the case notes of all road traffic accident (RTA) victims admitted to one hospital during a 12 month period (1986-1987) were analysed. One hundred and twenty five patients were identified. The male/female ratio was 2:1 and the mean age was 34 years. The peak time of hospital arrival was midnight-1 am (18 cases, 15.6%) followed by the period 21.00-22.00 (10 cases, 18.6%. A total of 84 cases (73%) arrived between 17.00-8.00. The mean time spent in the accident and emergency department was 180 minutes. The severity of the victims' injuries was evaluated, using the Injury Severity Score (ISS). The mean ISS score was 9, with a range 1-75. There was a 33% mortality for patients with an ISS of 12 or more. Initial assessment of the RTA victims was performed by the SHO in 77% and by the registrar in 23% of cases. It is paramount that RTA victims with multiple injuries are rapidly transferred to an appropriate centre with the necessary expertise and facilities.
在这项回顾性研究中，对1986年至1987年期间一家医院收治的所有道路交通事故（RTA）受害者的病历进行了分析。共识别出125名患者。男女比例为2:1，平均年龄为34岁。到达医院的高峰时间是午夜至凌晨1点（18例，15.6%），其次是21:00至22:00（10例，8.6%）。共有84例（73%）在17:00至8:00之间到达。在事故和急诊科的平均停留时间为180分钟。使用损伤严重度评分（ISS）评估受害者的损伤严重程度。平均ISS评分为9分，范围为1至75分。ISS为12分或更高的患者死亡率为33%。77%的RTA受害者由住院医师进行初始评估，23%的病例由注册医师进行评估。对于多处受伤的RTA受害者，迅速转至具备必要专业知识和设施的合适中心至关重要。
