Oskam J, Kingma J, Klasen H J
Department of Surgery, University Hospital Groningen, The Netherlands.
Eur J Emerg Med. 1994 Dec;1(4):167-72.
During the period 1970-1993, 245,251 visits were recorded in the trauma registry of the University Hospital Groningen, The Netherlands. An analysis of injury antecedents revealed five principal causes (ICD-CM): accidental falls (28%), sports and unspecified accident (26%), traffic (19%), cutting and piercing instruments (10%) and violence (4%). The trend analysis across the 24 year period showed that the incidence of injuries due to traffic and accidental falls decreased, while the rate of injuries due to assault increased 2-fold. Within the subgroup of traffic accidents, injuries caused by cars and motorcycles declined, while bicycle accidents increased dramatically. With respect to sex and age, the highest incidence rate occurred in men of 20-29 years. The overall male to female ration was 1.8. A predominance of male patients was observed in all cause categories, except in accidental falls. In this category, a relatively higher incidence of women was observed. The overall mortality rate was 0.5%, with the highest mortality rate being in women over 70 years. The main three causes of fatal injury concerned traffic (66%), falls (16%) and violence (3%). The injury patterns in the present study are in close agreement with patterns of other large trauma populations. Some discrepancies could be discerned. For example, in traffic injury, most of the victims (66%) concerned were pedestrians and bicyclists and firearms comprised only 1.2% of injuries due to assault. The usefulness of the registry in current community trauma care programmes and the broader perspective of trauma registration in The Netherlands is discussed.
1970年至1993年期间，荷兰格罗宁根大学医院的创伤登记处记录了245,251次就诊情况。对受伤前因的分析揭示了五个主要原因（国际疾病分类临床修订本）：意外跌倒（28%）、运动及未明确的意外事故（26%）、交通（19%）、切割和穿刺器械致伤（10%）以及暴力（4%）。对这24年期间的趋势分析表明，交通和意外跌倒导致的受伤发生率下降，而袭击导致的受伤率增加了两倍。在交通事故亚组中，汽车和摩托车造成的伤害有所下降，而自行车事故则大幅增加。就性别和年龄而言，发病率最高的是20至29岁的男性。总体男女比例为1.8。除意外跌倒外，在所有病因类别中均观察到男性患者占主导地位。在这一类别中，观察到女性的发病率相对较高。总体死亡率为0.5%，死亡率最高的是70岁以上的女性。致命伤害的主要三个原因是交通（66%）、跌倒（16%）和暴力（3%）。本研究中的损伤模式与其他大型创伤人群的模式密切一致。也可以看出一些差异。例如，在交通伤中，大多数受害者（66%）是行人和骑自行车的人，而火器仅占袭击致伤的1.2%。讨论了该登记处在当前社区创伤护理计划中的作用以及荷兰创伤登记的更广泛前景。
