Streat S J, Donaldson M L, Judson J A
Department of Critical Care Medicine, Auckland Hospital.
N Z Med J. 1987 Jul 22;100(828):441-4.
Data are presented on all 569 subjects who, as a result of trauma, either died or were admitted to hospital in Auckland over a four week period. Median age was 23 with an overall 3:2 male:female ratio. Median injury severity score (ISS) was five with 9% of subjects having an ISS of 16 or more (major trauma). Blunt trauma accounted for 84% of all injuries. Life threatening injuries were most commonly to the head, thorax and abdomen while the largest number of less severe injuries were to the extremities. Eight subjects died before admission to hospital and a further six in hospital. Definitive care was given to 98% of patients at Middlemore and Auckland hospitals (including the onsite Princess Mary paediatric facility) but 26% had presented first to other hospitals and 43% of all patients were transferred from one hospital to another. The 561 patients used 6380 hospital days (including 314 intensive care days) and the following services--operating room 63%, orthopaedic ward 45%, plastic surgical ward 17%, paediatric ward 15%, neurosurgical ward 10%, general surgical ward 5%, intensive care 5% and CT scanner 4%. Only one hospital death was judged potentially preventable. This study reveals areas where trauma care could be improved, demonstrates the large amount of hospital resources required to treat trauma and particularly highlights the urgent need for studies into strategies for trauma prevention in New Zealand.
本文呈现了569名受试者的数据，这些受试者在四周内因创伤在奥克兰死亡或被送往医院。中位年龄为23岁，男女比例总体为3:2。中位损伤严重度评分（ISS）为5分，9%的受试者ISS为16分或更高（重伤）。钝器伤占所有损伤的84%。危及生命的损伤最常见于头部、胸部和腹部，而轻伤数量最多的是四肢。8名受试者在入院前死亡，另有6名在医院死亡。米德尔莫尔医院和奥克兰医院（包括现场的玛丽公主儿科设施）为98%的患者提供了确定性治疗，但26%的患者首先前往了其他医院，所有患者中有43%从一家医院转到另一家医院。561名患者使用了6380个住院日（包括314个重症监护日）以及以下服务——手术室63%、骨科病房45%、整形外科病房17%、儿科病房15%、神经外科病房10%、普通外科病房5%、重症监护5%和CT扫描仪4%。仅1例医院死亡被判定可能可预防。本研究揭示了创伤护理可改进的领域，表明治疗创伤需要大量医院资源，尤其凸显了在新西兰开展创伤预防策略研究的迫切需求。
