Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1992-7-24
|
| pubmed:abstractText |
The demographics, etiology, and outcome of 1148 vascular injuries suffered by 978 patients reported from eight trauma centers in a largely rural state to a trauma registry (NCTR) data base containing 26,617 patients entered over a 39-month time interval were analyzed. Vascular injury patients were more frequently transferred by helicopter (18%), referred from other hospitals (45%), transfused more blood (8 units mean/24 hours), had higher mean ISS values (14 vs. 9), had lower systolic blood pressures on admission (113 vs. 128 mm Hg), had higher emergency department mortality (3.3%), and required immediate surgery more often (79%) when compared with nonvascular injury NCTR patients (p = 0.0001). Vascular injury patients had significantly longer hospital stays (13 vs. 10 days), longer ICU stays (5 vs. 4 days), and greater hospital costs ($22,500 vs. $12,300) while incurring more serious AIS values for the regions of the chest, abdomen, and extremities. One hundred twenty-nine (13.1%) died, 97 after admission compared with a 6.2% mortality for NCTR nonvascular injury victims. Forty-seven percent of vascular injuries were extremity lesions; the amputation rate was 1.3%; and management was most often by simple repair (41.9%) or patching (22.2%). Rural vascular injury patients had a high incidence of blunt trauma (43.4%) and were older (average, 51 years); they were transported by helicopter more often (30.3%) and were frequently referred from another hospital (77.8%); they had longer ICU, ventilator, and hospital stays and greater hospital charges; and they had higher mortality (14.2%) compared with urban vascular trauma victims. The data suggest a need for the trauma care system to focus on earlier recognition, stabilization, and rapid transportation of this most seriously injured group of patients.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jun
|
| pubmed:issn |
0022-5282
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
32
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
740-5; discussion 745-6
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:1613833-Age Factors,
pubmed-meshheading:1613833-Aircraft,
pubmed-meshheading:1613833-Amputation,
pubmed-meshheading:1613833-Blood Transfusion,
pubmed-meshheading:1613833-Blood Vessels,
pubmed-meshheading:1613833-Emergencies,
pubmed-meshheading:1613833-Female,
pubmed-meshheading:1613833-Health Care Costs,
pubmed-meshheading:1613833-Hospital Mortality,
pubmed-meshheading:1613833-Humans,
pubmed-meshheading:1613833-Incidence,
pubmed-meshheading:1613833-Injury Severity Score,
pubmed-meshheading:1613833-Length of Stay,
pubmed-meshheading:1613833-Male,
pubmed-meshheading:1613833-North Carolina,
pubmed-meshheading:1613833-Outcome Assessment (Health Care),
pubmed-meshheading:1613833-Patient Transfer,
pubmed-meshheading:1613833-Referral and Consultation,
pubmed-meshheading:1613833-Registries,
pubmed-meshheading:1613833-Respiration, Artificial,
pubmed-meshheading:1613833-Rural Population,
pubmed-meshheading:1613833-Survival Rate,
pubmed-meshheading:1613833-Trauma Centers,
pubmed-meshheading:1613833-Urban Population,
pubmed-meshheading:1613833-Wounds and Injuries
|
| pubmed:year |
1992
|
| pubmed:articleTitle |
Vascular injuries in a rural state: a review of 978 patients from a state trauma registry.
|
| pubmed:affiliation |
University of North Carolina, Raleigh.
|
| pubmed:publicationType |
Journal Article,
Comparative Study
|