Madsen F Q, Hartmann-Andersen J F
Sønderborg Sygehus, anaestesiologisk og intensiv afdeling.
Ugeskr Laeger. 1996 Sep 23;158(39):5428-31.
The aim of the study was to investigate the level of consciousness during the prehospital period of 299 persons killed in traffic accidents, and to determine the amount of lost years of life, during the period from January 1st 1986 to December 31st 1991. The study was a retrospective investigation based on police reports, medical records, death certificates and autopsy reports. The investigation was done in an area of Denmark without medically staffed prehospital care. The study demonstrates that the patients' cerebral condition worsened dramatically during the prehospital period. For these 299 killed persons a total of 10,368 years of life were lost, an average of 34.7 years per victim. One hundred and eighty-five persons between 18 and 65 years of age had a loss of 5,390 years of productivity. Medically staffed prehospital care at a high level ought to be built up in the whole country.
本研究的目的是调查1986年1月1日至1991年12月31日期间299名死于交通事故者在院前阶段的意识水平,并确定生命损失年数。该研究是一项基于警方报告、医疗记录、死亡证明和尸检报告的回顾性调查。调查在丹麦一个没有配备医务人员进行院前护理的地区进行。研究表明,患者的脑部状况在院前阶段急剧恶化。这299名死者总共损失了10368年的生命,平均每名受害者损失34.7年。18至65岁的185人损失了5390年的生产能力。应该在全国建立高水平的配备医务人员的院前护理。