A C Marson1, J C Thomson. 1. Department of Surgery, State University of Londrina, Rua Paes Leme, 1264, sala 401, Bairro Ipiranga, Londrina, PR 86010-520, Brazil.
Abstract
BACKGROUND: This study evaluated the impact of the prehospital trauma care system on the mortality from motor vehicle crashes and on the temporal distribution between the crash and related death. METHODS: Autopsies performed by the Forensic Medical Institute on all deaths caused by motor vehicle crashes 1 year before and 1 year after the beginning of the prehospital trauma care system were evaluated. RESULTS: In the first period, 128 deaths occurred, 53.9% of them in the first hour after the crash, 36.7% between the first hour and the seventh day, and 9.4% after 1 week. In the second period, 115 deaths occurred, 40.8% of them in the first hour, 52.2% between the first hour and the seventh day, and 7% after 1 week. Central nervous system injury was the most frequent cause of death in both periods. Mortality was greatest among young people as well as male victims in both periods. CONCLUSION: After starting the prehospital trauma care system in our city, there was a decrease in the deaths occurring before hospital admission, a change in temporal distribution of deaths, and a reduction in the motor vehicle crash mortality rate.
BACKGROUND: This study evaluated the impact of the prehospital trauma care system on the mortality from motor vehicle crashes and on the temporal distribution between the crash and related death. METHODS: Autopsies performed by the Forensic Medical Institute on all deaths caused by motor vehicle crashes 1 year before and 1 year after the beginning of the prehospital trauma care system were evaluated. RESULTS: In the first period, 128 deaths occurred, 53.9% of them in the first hour after the crash, 36.7% between the first hour and the seventh day, and 9.4% after 1 week. In the second period, 115 deaths occurred, 40.8% of them in the first hour, 52.2% between the first hour and the seventh day, and 7% after 1 week. Central nervous system injury was the most frequent cause of death in both periods. Mortality was greatest among young people as well as male victims in both periods. CONCLUSION: After starting the prehospital trauma care system in our city, there was a decrease in the deaths occurring before hospital admission, a change in temporal distribution of deaths, and a reduction in the motor vehicle crash mortality rate.
Authors: Michel B Aboutanos; Francisco Mora; Edgar Rodas; Juan Salamea; Marcelo Ochoa Parra; Estuardo Salgado; Charlie Mock; Rao Ivatury Journal: World J Surg Date: 2010-11 Impact factor: 3.352
Authors: Mark A Brouillette; Scott P Kaiser; Peter Konadu; Raphael A Kumah-Ametepey; Alfred J Aidoo; Richard C Coughlin Journal: World J Surg Date: 2014-04 Impact factor: 3.352
Authors: Roman Pfeifer; Michel Teuben; Hagen Andruszkow; Bilal M Barkatali; Hans-Christoph Pape Journal: PLoS One Date: 2016-02-12 Impact factor: 3.240
Authors: Kristin Kuzma; Andrew George Lim; Bernard Kepha; Neema Evelyne Nalitolela; Teri A Reynolds Journal: BMJ Open Date: 2015-04-27 Impact factor: 2.692
Authors: Martin Gerdin; Nobhojit Roy; Satish Dharap; Vineet Kumar; Monty Khajanchi; Göran Tomson; Li Felländer Tsai; Max Petzold; Johan von Schreeb Journal: PLoS One Date: 2014-03-03 Impact factor: 3.240