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[Multiple injuries and quality control].

J Pillgram-Larsen1, K Solheim, S Birkeland

  • 1Kirurgisk klinikk, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|February 10, 1992
PubMed
Summary
This summary is machine-generated.

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This study analyzed 441 multiple trauma patients, finding traffic accidents were the main cause of injury. While survival rates were comparable to US data, improvements in trauma care are still possible.

Area of Science:

  • Traumatology
  • Emergency Medicine
  • Public Health

Context:

  • Prospective registration of 441 multiple injury patients admitted in 1990.
  • Analysis included 47 patients with penetrating injuries.
  • Injuries assessed using Trauma Score and Injury Severity Score (ISS).

Purpose:

  • To evaluate the characteristics and outcomes of multiple trauma patients.
  • To compare survival probability using the TRISS method.
  • To identify factors influencing mortality and morbidity.

Summary:

  • Traffic accidents were the leading cause of injury (over 50%).
  • Alcohol and drug abuse were noted, with higher alcohol influence in violence-related injuries.
  • Median ISS was 26, significantly higher (41) in non-survivors.

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  • Mortality increased with age (>54 years).
  • Hemorrhage and airway obstruction were primary causes of death.
  • 13% of survivors experienced considerable disability.

    • Impact:

    • Survival rates align with larger American trauma series.
    • Highlights the need for continued improvements in trauma care protocols.
    • Identifies specific causes of death and patient subgroups at higher risk.