Moodley N B, Aldous C, Clarke D L
Department of Surgery, Nelson R Mandela School of Medicine, College of Health Sciences, Durban, South Africa.
S Afr J Surg. 2014 Nov;52(4):101-104. doi: 10.7196/sajs.1995.
It has been shown repeatedly that hospital-based mortality data do not capture the actual mortality rate in South Africa, as many corpses are taken directly to the state mortuary.
A retrospective audit was conducted by reviewing all mortuary reports for the period 1 January 2010 - 31 December 2011. The data recorded included demographics, mechanism of trauma, and cause and site of death.
A total of 1 105 trauma victims died. There were 930 males (84.2%) and 175 females (15.8%), of whom 615 were victims of blunt trauma (55.7%) and 490 victims of penetrating trauma (44.3%). The scenes of death were: on scene 584 (52.9%), Edendale Hospital 259 (23.4%), Grey's Hospital 144 (13.0%), Northdale Hospital 68 (6.2%), and 'other' 50 (4.5%). The 'other' group comprised nine deaths at primary healthcare clinics and 41 at private hospitals in Pietermaritzburg. Of deaths related to blunt trauma, 153 (24.9%) were secondary to assault and 462 (75.1%) to a road traffic collision. Of the victims of penetrating trauma, 81 (36.9%) had sustained gunshot wounds and 309 (63.1%) stab wounds. The three leading causes of trauma-related deaths were head injuries (32.6%), polytrauma (29.7%) and chest injuries (27.4%).
Pietermaritzburg has both a high rate of trauma-related mortality and an immature trauma system, resulting in a significant number of preventable deaths.
多次研究表明，南非基于医院的死亡率数据无法反映实际死亡率，因为许多尸体直接被送往政府太平间。
通过审查2010年1月1日至2011年12月31日期间的所有太平间报告进行回顾性审计。记录的数据包括人口统计学信息、创伤机制、死亡原因和死亡地点。
共有1105名创伤受害者死亡。其中男性930名（84.2%），女性175名（15.8%），其中钝器伤受害者615名（55.7%），穿透性创伤受害者490名（44.3%）。死亡地点为：现场584例（52.9%），伊登代尔医院259例（23.4%），格雷医院144例（13.0%），北戴尔医院68例（6.2%），“其他”50例（4.5%）。“其他”组包括在皮特尔马里茨堡的初级保健诊所死亡9例和私立医院死亡41例。在与钝器伤相关的死亡中，153例（24.9%）继发于袭击，462例（75.1%）继发于道路交通事故。在穿透性创伤受害者中，81例（36.9%）遭受枪伤，309例（63.1%）遭受刺伤。创伤相关死亡的三大主要原因是头部受伤（32.6%）、多发伤（29.7%）和胸部受伤（27.4%）。
皮特尔马里茨堡创伤相关死亡率高且创伤系统不成熟，导致大量可预防的死亡。
