Hemorrhage is More Prevalent than Brain Injury in Early Trauma Deaths: The Golden Six Hours

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Vishal BansalRaul Coimbra

Abstract

Under the trimodal distribution, most trauma deaths occur within the first hour. Determination of cause of death without autopsy review is inaccurate. The goal of this study is to determine cause of death, in hourly intervals, in trauma patients who died in the first 24 h, as determined by autopsy. Trauma deaths that occurred within 24 h at a Level I trauma center were reviewed over a six-year period ending December 2005. Timing of death was separated into 0-1, 1-3, 3-6, 6-12 and 12-24 h intervals. Cause of death was determined by clinical course and AIS scores, and was confirmed by autopsy results. Overall, 9,388 trauma patients were admitted, of which 185 deaths occurred within 24 h, with 167 available autopsies. Blunt and penetrating were the injury mechanisms in 122 (73%) and 45 (27%) patients, respectively. Of 167 deaths, 73 (43.7%) occurred within the first hour. Brain injury, when compared to other body areas, was the most likely cause of death in all hourly intervals, but hemorrhage was as or more important than brain injury as the cause of death during the first 3 h and up to 6 h. No deaths were attributable to hemorrhage after 12 h. The temporal distribution of the cause of death varies in the first 24 h after admissi...Continue Reading

References

Feb 1, 1995·The Journal of Trauma·A SauaiaP T Pons
May 1, 1993·Archives of Surgery·S R ShackfordP L Wolf
May 16, 1998·Journal of the American College of Surgeons·J A AcostaD B Hoyt
Dec 31, 2003·Journal of the American College of Surgeons·Demetrios DemetriadesLinda Chan
Aug 30, 2005·Journal of the American College of Surgeons·Demetrios DemetriadesLinda Chan
Jun 27, 2006·Journal of the American College of Surgeons·Iordanis N PapadopoulosChristos Leukidis
Jan 24, 2007·American Journal of Surgery·Jana B A MacLeodMark G McKenney
Jan 24, 2007·AJR. American Journal of Roentgenology·Brett C LeeJohn R Richards
May 22, 2007·Journal of Neurotrauma·Nancy A CarneyJamshid Ghajar

❮ Previous
Next ❯

Citations

Nov 2, 2014·BMC Emergency Medicine·Adriano D TrajanoGustavo P Fraga
Aug 10, 2010·Der Anaesthesist·V MannM Bernhard
Feb 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·R LeferingF Lecky
Apr 22, 2011·The British Journal of Surgery·K ThorsenK Søreide
Jun 4, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·E D ArslanE Karakilic
Jul 25, 2017·Traffic Injury Prevention·David C Viano, Chantal S Parenteau
Sep 25, 2015·The Journal of Trauma and Acute Care Surgery·Sundeep GulianiMark Levy
Jun 10, 2017·International Anesthesiology Clinics·Craig S Jabaley, Roman Dudaryk
Feb 14, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Ilkka PulkkinenPäivi Laukkanen-Nevala
Sep 1, 2017·World Journal of Emergency Surgery : WJES·Emiliano GamberiniVanni Agnoletti
Mar 29, 2020·The Journal of Trauma and Acute Care Surgery·Amelia JohnsonMatthew J Martin
Jun 25, 2020·Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi·Dan BielerUNKNOWN Sektion NIS of the German Trauma Society

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

© 2021 Meta ULC. All rights reserved