2005-2006 年至 2012-2013 年期间潜在可预防创伤死亡趋势。
Trends in potentially preventable trauma deaths between 2005-2006 and 2012-2013.
机构信息
Center for Translational Injury Research, Department of Surgery, McGovern Medical School, University of Texas Health Science Center Houston, Houston, TX, USA.
Center for Translational Injury Research, Department of Surgery, McGovern Medical School, University of Texas Health Science Center Houston, Houston, TX, USA.
出版信息
Am J Surg. 2019 Sep;218(3):501-506. doi: 10.1016/j.amjsurg.2018.12.022. Epub 2018 Dec 15.
BACKGROUND
Most studies of trauma deaths include non-preventable deaths, potentially limiting successful intervention efforts. In this study we aimed to compare the potentially preventable trauma deaths between 2 time periods at our institution.
METHODS
Trauma patients who died in our hospital in 2005-2006 or 2012-2013 were included, non-preventable deaths were excluded from analysis. The Mann-Whitney and chi square test were used to compare variables between both time periods.
RESULTS
80% of deaths were non-preventable. Between the study time periods there was a decrease in potentially preventable deaths, from 29% to 12%, p < 0.001. Head injury deaths significantly decreased (40.6%-24.6%, p = 0.03), while hemorrhage deaths were stable during both time periods (47.6%-43.1%, p = 0.55).
CONCLUSION
Potentially preventable trauma deaths decreased during the study period. Hemorrhage remains constant as the leading cause of potentially preventable deaths. Continued research to improve survival from hemorrhage is warranted.
背景
大多数创伤死亡研究都包括不可避免的死亡，这可能限制了成功的干预措施。在本研究中，我们旨在比较我院两个时期的潜在可预防创伤死亡。
方法
纳入 2005-2006 年或 2012-2013 年在我院死亡的创伤患者，排除不可避免的死亡。使用曼-惠特尼和卡方检验比较两个时期的变量。
结果
80%的死亡是不可避免的。在研究期间，潜在可预防的死亡人数从 29%降至 12%，差异有统计学意义（p < 0.001）。头部损伤导致的死亡显著减少（40.6%-24.6%，p = 0.03），而出血性死亡在两个时期都保持稳定（47.6%-43.1%，p = 0.55）。
结论
在研究期间，潜在可预防的创伤死亡人数减少。出血仍然是潜在可预防死亡的主要原因。需要进一步研究以提高对出血的生存率。
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