Department of Surgery, The University of Oklahoma, College of Medicine, Tulsa, OK, USA.
Department of Surgery, University of Hawaii, Honolulu, HI, USA.
Am J Surg. 2018 Apr;215(4):727-734. doi: 10.1016/j.amjsurg.2018.01.008. Epub 2018 Jan 31.
The Oklahoma Trauma Registry (OTR) collects data from all state-licensed acute care hospitals. This study investigates trends and outcomes of trauma in Oklahoma using OTR.
107,549 patients (2005-2014) with major severity and one of the following criteria were included: length of hospital stay ≥48 h, dead on arrival or death in the hospital, hospital transfer, ICU admission, or surgery on the head, chest, abdomen, or vascular system. Patient characteristics, mechanisms of injury, and outcomes of trauma were analyzed.
Hospital admissions due to falls increased with an annual percent change of 4.0% (95%CI: 3.1%-4.9%) while hospital admissions due to motor vehicle crashes decreased. The number of overall deaths per year remained stable except for the fall-related deaths, which increased proportionate to the increase in the incidence of fall. Fall-related mortality was 4.2% and intracranial bleeding was present in 60% in these patients.
Falls are significantly increasing as a mechanism of trauma admissions and trauma-related deaths in Oklahoma. Analysis of state-based trauma registries can identify trends in etiologies of injuries and may indicate a reference point to prioritize preventive plans.
俄克拉荷马创伤登记处（OTR）从所有获得州许可的急症护理医院收集数据。本研究使用 OTR 调查俄克拉荷马州创伤的趋势和结果。
纳入了 107549 名主要严重程度符合以下标准之一的患者：住院时间≥48 小时、到院即死亡或住院期间死亡、医院转院、入住 ICU 或接受头部、胸部、腹部或血管系统手术。分析了创伤患者的特征、损伤机制和结局。
因跌倒导致的住院人数以每年 4.0%（95%CI：3.1%-4.9%）的速度增长，而因机动车事故导致的住院人数则下降。每年的总死亡人数保持稳定，除了与跌倒相关的死亡人数，其与跌倒发生率的增加成正比。这些患者的跌倒相关死亡率为 4.2%，颅内出血占 60%。
在俄克拉荷马州，跌倒已成为创伤住院和创伤相关死亡的主要原因。对基于州的创伤登记处的分析可以确定损伤病因的趋势，并可能表明优先制定预防计划的参考点。
