The epidemiology of Scottish trauma: A comparison of pre-hospital and in-hospital deaths, 2000 to 2011

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Jonathan J MorrisonJan O Jansen

Abstract

To characterise the temporal trends and urban-rural distribution of fatal injuries in Scotland through the analysis of mortality data collected by the National Records of Scotland. The prospectively collected NRS database was queried using ICD-10 codes for all Scottish trauma deaths during the period 2000 to 2011. Patients were divided into pre-hospital and in-hospital groups depending on the location of death. Incidence was plotted against time and linear regression was used to identify temporal trends. A total of 13,100 deaths were analysed. There were 4755 (36.3%) patients in the pre-hospital group with a median age (IQR) of 42 (28-58) years. The predominant cause of pre-hospital death related to vehicular injury (27.8%), which had a decreasing trend over the study period (p = 0.004). In-hospital, patients had a median age of 80 (58-88) years and the majority (67.0%) of deaths occurred following a fall on the level. This trend was shown to increase over the decade of study (p = 0.020). In addition, the incidence of urban incidents remained static, but the rate of rural fatal trauma decreased (p < 0.001). Around a third of Scottish trauma patients die prior to hospital admission and the predominant mechanism of injury is due ...Continue Reading

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Citations

Nov 12, 2016·Military Medical Research·Xiao-Yuan MaHua-Ping Liang
May 10, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Sakib M AdnanJonathan J Morrison
May 2, 2020·The Journal of Trauma and Acute Care Surgery·Avishai M TsurJacob Chen
Mar 14, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Elisabeth JeppesenTorben Wisborg
Jun 30, 2021·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Alastair FaulknerUNKNOWN SCORE research group
Aug 13, 2021·Annals of Medicine and Surgery·Abdoulhosein DavoodabadiAbbas Hajian

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