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A Coupled Experiment-finite Element Modeling Methodology for Assessing High Strain Rate Mechanical Response of Soft Biomaterials
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Trauma: the burden of a preventable problem.

J M Plummer1, H Brown, K Jones

  • 1Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica, West Indies. joseph_plummer@yahoo.com

The West Indian Medical Journal
|October 12, 2010
PubMed
Summary

Trauma care in Jamaica disproportionately affects young males, with penetrating injuries and motor vehicle accidents being common causes. The majority of trauma care costs are state-funded, highlighting a significant public health burden.

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Published on: February 16, 2011

Area of Science:

  • Public Health
  • Trauma Surgery
  • Health Economics

Background:

  • Trauma represents a significant cause of morbidity and mortality, particularly in developing nations.
  • Understanding the demographics and economic impact of trauma is crucial for resource allocation and healthcare planning.

Purpose of the Study:

  • To analyze the demographics, injury patterns, and costs associated with trauma patients aged 25 to 29 years at the University Hospital of the West Indies (UHWI).
  • To identify the primary causes of trauma and the financial burden on patients and the state.

Main Methods:

  • A retrospective, descriptive analytical study of trauma patients aged 25-29 years presenting to UHWI between January 2001 and December 2005.
  • Data were extracted from the Trauma Registry and analyzed for demographic information, injury types, interventions, severity scores, imaging, mortality, and costs.

Main Results:

  • Seven hundred and fifteen patients were included. The median age was 27 years, with a 4:1 male to female ratio.
  • Penetrating wounds accounted for 49.7% of injuries, followed by motor vehicle accidents (22.4%). Head injuries (13.6%) and long bone fractures (16.5%) were common.
  • In-hospital mortality was 4.2%, with a median hospital bill of US$320.00, of which patients paid a median of US$50.00. State funding covered the majority of costs.

Conclusions:

  • Penetrating trauma and motor vehicle accidents are major contributors to trauma in young adults in Jamaica.
  • The economic impact of trauma care is substantial, with significant state funding required, emphasizing the need for preventative strategies.