Shackford S R, Mackersie R C, Holbrook T L, Davis J W, Hollingsworth-Fridlund P, Hoyt D B, Wolf P L
Department of Surgery, College of Medicine, University of Vermont, Burlington.
Arch Surg. 1993 May;128(5):571-5. doi: 10.1001/archsurg.1993.01420170107016.
Despite the proliferation of trauma systems, there are no population-based data describing the epidemiology of traumatic death. To provide these data, we reviewed all trauma deaths occurring in San Diego (California) County during 1 year. There were 625 traumatic deaths during the study (27.3 deaths per 100,000 population per year). Motor vehicle trauma was the most common cause of injury leading to death (N = 344 [55.2%]; 15.0 annual deaths per 100,000 population). Central nervous system injuries were the most common cause of death (48.5%, or 13.2 deaths per 100,000 population per year). Sepsis was responsible for only 2.5% of the overall mortality. Based on life-table data, traumatic death resulted in an annual loss of 1091 years of life per 100,000 and an annual loss of 492 years of productivity per 100,000. Injury continues to account for an enormous loss of life despite improvements in survival wrought by trauma systems.
尽管创伤系统不断增多，但尚无基于人群的数据描述创伤性死亡的流行病学情况。为了提供这些数据，我们回顾了圣地亚哥（加利福尼亚州）县在1年内发生的所有创伤性死亡病例。研究期间共有625例创伤性死亡（每年每10万人中有27.3人死亡）。机动车创伤是导致死亡的最常见伤害原因（N = 344 [55.2%]；每年每10万人中有15.0人死亡）。中枢神经系统损伤是最常见的死亡原因（48.5%，即每年每10万人中有13.2人死亡）。脓毒症仅占总死亡率的2.5%。根据生命表数据，创伤性死亡导致每年每10万人损失1091个生命年，每年每10万人损失492个生产年。尽管创伤系统使生存率有所提高，但伤害仍然导致巨大的生命损失。
