印度北部一家二级创伤中心收治的创伤患者的流行病学情况。
Epidemiology of trauma victims admitted to a level 2 trauma center of North India.
作者信息
Verma Vikas, Singh Ajay, Singh Girish Kumar, Kumar Santosh, Sharma Vineet, Kumar Ashish, Kumar Vineet
机构信息
Department of Orthopaedics, King George's Medical University, Lucknow, Uttar Pradesh, India.
出版信息
Int J Crit Illn Inj Sci. 2017 Apr-Jun;7(2):107-112. doi: 10.4103/IJCIIS.IJCIIS_27_16.
BACKGROUND
Good quality information on characteristics of victims, types, and frequency of injuries, causes of accidents, vehicles involved in injury and outcome is essential for understanding and planning required for managing the trauma epidemic. The objective of this study was to describe the characteristics of trauma victims admitted to King George's Medical University trauma center.
METHODS
This observational study enrolled trauma victims over a 1-year period. Characteristics recorded were age, sex, systolic blood pressure at admission, respiratory rate at admission, Glasgow Coma Scale (GCS) score at the time of admission, time since injury to admission, referral, specific injury, Injury Severity Score (ISS), chronic medical condition, mechanism of injury, and the regions involved. Outcome at the end of hospital stay was recorded.
RESULTS
A total of 3280 injuries were recorded in 2288 patients. Mean age 40.81 ± 16.3 years, predominantly male (83.57%), mean ISS 12.56 ± 7.3, mean GCS 12.20 ± 4.1. Mean time to admission (hospitalization) to trauma center was 54.22 ± 185.2 h. Head was the most commonly involved region (32.44%). Patients referred from peripheral hospitals had significantly lower GCS, higher time to admission to trauma center, and longer duration of hospital stay. Road traffic accidents were responsible for 1514 (66.40%) injuries. Five hundred and ten (22.37%) patients sustained injury due to a fall. Three hundred and ninety (68.59%) patients were discharged, 67 (11.69%) left the hospital against medical advice, 8 absconded from the trauma center, and 104 expired within the hospital.
CONCLUSION
Traumatic brain injuries and orthopedic injuries constitute a majority of injured admitted to the trauma center. Motorcycle collision with other vehicles and pedestrian hits by other vehicles are the most common causes of traumatic brain injuries. In contrast to west, the most common cause of spinal cord injury was falls. Pedestrians, bicyclists, and motorcyclists are the vulnerable road users. Long time to admission is an alarming finding.
背景
关于受害者特征、损伤类型及频率、事故原因、涉事车辆和损伤后果的高质量信息，对于理解和规划创伤流行的应对措施至关重要。本研究的目的是描述入住乔治国王医科大学创伤中心的创伤受害者的特征。
方法
这项观察性研究纳入了为期1年的创伤受害者。记录的特征包括年龄、性别、入院时的收缩压、入院时的呼吸频率、入院时的格拉斯哥昏迷量表（GCS）评分、受伤至入院的时间、转诊情况、具体损伤、损伤严重程度评分（ISS）、慢性疾病状况、损伤机制以及受累部位。记录住院期末的结局。
结果
2288例患者共记录到3280处损伤。平均年龄40.81±16.3岁，男性居多（83.57%），平均ISS为12.56±7.3，平均GCS为12.20±4.1。创伤中心的平均入院（住院）时间为54.22±185.2小时。头部是最常受累的部位（32.44%）。从周边医院转诊的患者GCS显著较低，入院至创伤中心的时间较长，住院时间也较长。道路交通事故导致1514处（66.40%）损伤。510例（22.37%）患者因跌倒受伤。390例（68.59%）患者出院，67例（11.69%）患者自行出院，8例从创伤中心逃走，104例在医院内死亡。
结论
创伤性脑损伤和骨科损伤占创伤中心收治伤者的大多数。摩托车与其他车辆碰撞以及行人被其他车辆撞击是创伤性脑损伤的最常见原因。与西方不同，脊髓损伤的最常见原因是跌倒。行人、骑自行车的人和骑摩托车的人是易受伤害的道路使用者。入院时间长是一个令人担忧的发现。
Zotero 插件