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
Oct 6, 1997·The Journal of Trauma·H MeislinT D Valenzuela
May 16, 1998·Journal of the American College of Surgeons·J A AcostaD B Hoyt
Jan 25, 2003·The Journal of Trauma·Ronald M StewartBasil A Pruitt
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
Nov 3, 2007·The Journal of Emergency Medicine·Mark MoylanRachelle Douglass
Jan 24, 2008·The Journal of Trauma·Mark FaulRichard W Sattin
Citations
Jan 8, 2014·Archives of Trauma Research·Peter HilbertRalph Stuttmann
Aug 1, 2012·Der Anaesthesist·P HilbertR Stuttmann
Nov 2, 2014·BMC Emergency Medicine·Adriano D TrajanoGustavo P Fraga
Aug 10, 2010·Der Anaesthesist·V MannM Bernhard
Dec 17, 2010·Der Unfallchirurg·S Peiniger, M Maegele
Feb 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·R LeferingF Lecky
Dec 2, 2010·Langenbeck's Archives of Surgery·Jen-Feng FangYu-Pao Hsu
Jan 22, 2013·Injury·Björn LoewenhardtMichael Bernhard
Nov 8, 2011·Injury·Björn LoewenhardtMichael Bernhard
Apr 22, 2011·The British Journal of Surgery·K ThorsenK Søreide
Oct 11, 2015·Der Anaesthesist·P Hilbert-CariusR Stuttmann
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 1, 2017·Anesthesia and Analgesia·John C FosterSean P Kiley
Sep 16, 2016·Medicine·Zhi-Jie HongSheng-Der Hsu
Oct 12, 2018·Surgery Today·Zhi-Jie HongSheng-Der Hsu
Jan 25, 2012·Anesthesiology·Anthony M-H HoTimothy H Rainer
Aug 5, 2020·World Journal of Emergency Surgery : WJES·Philip-C NolteUNKNOWN TraumaRegister DGU
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
Jul 28, 2019·World Journal of Emergency Surgery : WJES·Kento NakajimaNaoto Morimura
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 7, 2018·Der Unfallchirurg·Janosch DahmenEva Steinhausen
Sep 3, 2020·Critical Care : the Official Journal of the Critical Care Forum·Akira EndoRaul Coimbra
Aug 9, 2017·Der Anaesthesist·H LierB Hossfeld
Jan 11, 2020·Annals of Vascular Surgery·Jens BirklLeonie Goelz
Feb 24, 2021·Military Medicine·Gregory J BoothScott Hughey
Jun 25, 2020·Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi·Dan BielerUNKNOWN Sektion NIS of the German Trauma Society
May 11, 2021·Carbohydrate Polymers·Elmira MohamedTakuya Tsuzuki