Rutledge R
Department of Surgery, University of North Carolina at Chapel Hill, School of Medicine.
Surg Clin North Am. 1995 Apr;75(2):305-26. doi: 10.1016/s0039-6109(16)46590-4.
Trauma is the leading killer of Americans under the age of 40 years and the fourth most common cause of death for all Americans. Its impact has not been studied adequately or understood completely. Rational decisions in the care and treatment of trauma patients, the prevention of injury, and the reduction of trauma's annual $177 billion costs can only be made with adequate information on the effectiveness of prevention and treatment measures. This information includes current and accurate data on who is at risk, what types of injuries are sustained, how they are treated, the severity of their consequences, and their outcomes. The availability of this information enables local and national agencies and hospitals to establish priorities, characterize high-risk groups, target prevention and treatment measures within each community, and evaluate the effectiveness of injury-control interventions. The value of hospital trauma registries as a major research tool is recognized increasingly because of their role in improving the care of the trauma patient and bringing about better resource utilization.
创伤是40岁以下美国人的首要死因，也是所有美国人中第四大常见死因。其影响尚未得到充分研究或完全理解。只有在掌握预防和治疗措施有效性的充分信息后，才能在创伤患者的护理和治疗、伤害预防以及降低创伤每年1770亿美元成本方面做出合理决策。这些信息包括关于哪些人处于风险中、遭受何种类型的伤害、如何进行治疗、后果的严重程度以及治疗结果的当前准确数据。这些信息的可得性使地方和国家机构以及医院能够确定优先事项、确定高危群体、针对每个社区制定预防和治疗措施，并评估伤害控制干预措施的有效性。医院创伤登记作为一种主要研究工具的价值越来越受到认可，因为它们在改善创伤患者护理和提高资源利用效率方面发挥着作用。
