PMID- 27313809
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160617
LR  - 20240325
IS  - 1920-8642 (Print)
IS  - 1920-8642 (Linking)
VI  - 7
IP  - 2
DP  - 2016
TI  - Evaluation of preventable trauma death in emergency department of Imam Reza 
      hospital.
PG  - 135-7
LID - 10.5847/wjem.j.1920-8642.2016.02.009 [doi]
AB  - BACKGROUND: Trauma is considered as a worldwide problem despite socio-economic 
      development. Motor vehicle accidents (MVAs) are the most important cause of 
      trauma. Trauma related deaths are mostly preventable. This study aimed to 
      investigate the causes and prevention of death in trauma patients. METHODS: This 
      retrospective, descriptive-analytic study assessed 100 trauma patients referred 
      to our emergency department (ED) from January 2013 to Januanry 2015. The included 
      patients were those with trauma died after arrival at our ED. Age, sex, cause of 
      trauma, clinical causes of death, causes of death defined by autopsy, way of 
      transfer to the ED, time of ambulance arrival at the scene of trauma, and time 
      elapsed to enter the ED from the scene of trauma were studied. RESULTS: In the 
      100 patients, 21 (21%) patients were female and 79 (79%) male. Forty-three 
      patients were older than 60 years. Trauma was largely due to pedestrian accidents 
      in 31% of the patients, and 33% had a hypo-volemic shock. About 80% of deaths 
      were due to intra-cranial hemorrhage (ICH) or intra-ventricular hemorrhage (IVH), 
      and spinal injuries were not preventable. Autopsy revealed that 28% of the 
      patients suffered from internal injuries. Autopsy revealed that 19% of the deaths 
      were not preventable and 81% were considered preventable. In our patients, 76 
      were transferred to the hospital by emergency medicine services (EMS). Analysis 
      of time for ambulance arrival to the scene and frequency of death revealed that 
      52.2% of the deaths occurred between 11 and 15 minutes. Analysis of time for 
      admission to the ED from the scene of trauma showed that 74.6% deaths occurred 
      between 6 and 10 minutes. CONCLUSIONS: The rate of hospital preventable deaths is 
      about 80%, a high mortality rate, which denotes a lack of proper diagnosis and 
      treatment. The time for arrival of EMS at the scene of trauma is longer than that 
      in other countries.
FAU - Gholipour, Changiz
AU  - Gholipour C
AD  - Road Traffic Injury Research Center, Tabriz University of Medical Science, 
      Tabriz, Iran.
FAU - Rad, Bahram Samadi
AU  - Rad BS
AD  - Legal Medicine Research Center, Legal Medicine Organization. Tehran, Iran.
FAU - Vahdati, Samad Shams
AU  - Vahdati SS
AD  - Road Traffic Injury Research Center, Tabriz University of Medical Science, 
      Tabriz, Iran.
FAU - Ghaffarzad, Amir
AU  - Ghaffarzad A
AD  - Emergency Department, Tabriz University of Medical Science, Tabriz, Iran.
FAU - Masoud, Armita
AU  - Masoud A
AD  - Emergency Department, Tabriz University of Medical Science, Tabriz, Iran.
LA  - eng
PT  - Journal Article
PL  - China
TA  - World J Emerg Med
JT  - World journal of emergency medicine
JID - 101549691
PMC - PMC4905870
OTO - NOTNLM
OT  - Preventable death
OT  - Trauma
COIS- Conflicts of interest: The authors declare that there is no conflict of interest.
EDAT- 2016/06/18 06:00
MHDA- 2016/06/18 06:01
PMCR- 2016/02/01
CRDT- 2016/06/18 06:00
PHST- 2016/06/18 06:00 [entrez]
PHST- 2016/06/18 06:00 [pubmed]
PHST- 2016/06/18 06:01 [medline]
PHST- 2016/02/01 00:00 [pmc-release]
AID - WJEM-7-135 [pii]
AID - 10.5847/wjem.j.1920-8642.2016.02.009 [doi]
PST - ppublish
SO  - World J Emerg Med. 2016;7(2):135-7. doi: 10.5847/wjem.j.1920-8642.2016.02.009.