Investigation of injury causes,ages and injury spectrum of traumatic inpatient / 中华急诊医学杂志

ABSTRACT

Objective To discuss the change of injury causes,ages and injury spectrum of traumatic inpatient recent years.Methods Clinical data of traumatic inpatient from 2000 to 2004 were analyzed.A total of 2 319 cases with trauma were divided into four groupsadolescent group (＜13 years old),youth group (13～44 years old),middle age group (45～64 years old) and elderly group (≥65 years old).Traumatic condition was evaluated by abridged injury score-injury severity score (AIS-ISS) Results From 2000 to 2004,the number of traumatic inpatient increased every year.In all cases,youth and middle age accounted for 87%.Traffic accident was the leading cause of injury,and injury by fall from height acted as the secondary injury cause in youth group and middle age group,as well as slip fall injury in adolescent group and elderly group.Of all cases,there were slight trauma (AIS＜3 or ISS＜16) in 1 335 cases,severe trauma (AIS≥3 or ISS≥16) in 984 case.Operation was performed in 1 249 cases and nonoperation was performed in 1070 cases.In all groups,73 patients were died.The overall mortality rate was 3.14%.Conclusion With the development of society,the occurrence rate of trauma increases accordingly.The youth and middle age were high risk groups.It was necessary and urgent to strengthen the traffic administration and carry out education on safety so as to decreas the incidence of trauma caused by all kinds of factors.