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Epidemiology of Polytrauma

  • Fiona E. Lecky
  • Omar Bouamra
  • Maralyn Woodford
  • Roxana Alexandrescu
  • Sarah Jane O’Brien

Epidemiology is the study of health and disease in populations, the scientific approach typifying public health medicine. The paradigms are somewhat different from the reductionist approach of much clinical science, which seeks to understand disease processes at an “omic” level. The rationale that underpins epidemiology suggests that effective disease control must begin and end by understanding the impact of a disease (and its prevention/management strategies) at a population level – globally, nationally, and locally – including the identification of vulnerable groups, etiological factors, and societal costs.

Keywords

Injury Severity Score Abbreviate Injury Scale Trauma Registry Thoracic Trauma Limb Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Krug EG, Sharma GK, Lozano R. The Global Burden of Injuries. Am J Public Health 2000; 90: 523–526.CrossRefPubMedGoogle Scholar
  2. 2.
    Murray CL, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020. Lancet 1997; 349: 1498–1504.CrossRefPubMedGoogle Scholar
  3. 3.
    Cryer PC, Davidson L, Styles CP, Langley JD. Descriptive epidemiology of injury in the South East: identifying priorities for action. Publ Health 1996; 110: 331–338.CrossRefGoogle Scholar
  4. 4.
    Lyons RA, Jones SJ, Deacon T, Heaven M. Socioeconomic variation in injury in children and older people: a population based study. Inj Prev 2003; 9: 33–37.CrossRefPubMedGoogle Scholar
  5. 5.
    Committee on injury scaling, Association for the Advancement of Automotive Medicine. The Abbreviated Injury Scale. 1990 Revision. Update 98. Des Plaines, Illinois: 1990.Google Scholar
  6. 6.
    Baker SP, O’Neill B, Haddon W, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974; 14: 187–196.CrossRefPubMedGoogle Scholar
  7. 7.
    Liener UC, Rapp U, Lampl L, Helm M, Richter G, Gaus M, Wildner M , Kinzl L, Gebbhard F. Incidence of severe injuries. Results of a population – based analysis. Unfallchirurg 2004; 107: 483–490.Google Scholar
  8. 8.
    Di Bartolomeo S, Sanson G, Michelutto V, Nardi G, Burba I, Francescutti C, Lattuada L, Scian F. The regional study-group on major injury. Epidemiology of major injury in the population of Friuli Venezia Giulia – Italy. Injury, Int J Care Injured 2004; 35: 391–400.Google Scholar
  9. 9.
    Karmali S, Laupland K, Harrop AR, Findlay C, Kirkpatrick AW, Winston B, Kortbeek J, Crowshoe L, Hameed M. Epidemiology of severe trauma among status aboriginal Canadians: a population-based study. CMAJ 2005; 172: 1007–1011.PubMedGoogle Scholar
  10. 10.
    Van Beeck EF, Van Roijen L, Mackenbach JP. Medical costs and economic production losses due to injuries in the Netherlands. J Trauma 1997; 42: 1116–1123.CrossRefPubMedGoogle Scholar
  11. 11.
    Bastida JL, Aguilar PS, González BD. The economic costs of traffic accidents in Spain. J Trauma 2004; 56: 883–889.CrossRefPubMedGoogle Scholar
  12. 12.
    Demetriades D, Murray J, Sinz B, Myles D, Chan L, Sathyaragiswaran L, Noguchi T, Bongard FS, Cryer GH, Gaspard DJ. Epidemiology of major trauma and trauma deaths in Los Angeles County. J Am Coll Surg 1998; 187: 373–383.CrossRefPubMedGoogle Scholar
  13. 13.
    Brookes M, MacMillan R, Cully S, Anderson E, Murray S, Mendelow AD, Jennett B. Head injuries in accident and emergency departments. How different are children from adults? Journal of Epidemiology and Community Health 1990;44(2):147–151.CrossRefPubMedGoogle Scholar
  14. 14.
    Driscoll P, Lecky F. Primary prevention is better than cure. Emergency Medicine Australasia 2004;16:265–266.CrossRefPubMedGoogle Scholar
  15. 15.
    Wyatt JP, Beard D, Gray A, Busuttil A, Robertson CE. Rate, causes and prevention of deaths from injuries in south-east Scotland. Injury 1996;27(5):337–340CrossRefPubMedGoogle Scholar
  16. 16.
  17. 17.
    Champion HC, Copes WS, Sacco WJ, Lawnick MM, Keast SC, Frey CF. The major trauma outcome study: establishing national norms for trauma care. Journal of Trauma 1990;30:1356–1365CrossRefPubMedGoogle Scholar
  18. 18.
    Bouamra O, Wrotchford AS, Hollis S, Vail A, Woodford M, Lecky FE. A new approach to outcome prediction in trauma: a comparison with the TRISS model. Journal of Trauma 2006;61:701–710CrossRefPubMedGoogle Scholar
  19. 19.
    Pape H-C, Zelle B, Lohse R, Hildebrand F, Krettek C, Panzica M, Duhme V, Sittaro NA. Evaluation and outcome of patients after polytrauma – Can patients be recruited for long-term follow up? Injury 2006;37(12):1197–1203CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Fiona E. Lecky
    • 1
  • Omar Bouamra
  • Maralyn Woodford
  • Roxana Alexandrescu
  • Sarah Jane O’Brien
  1. 1.Trauma Audit and Research Network, Salford Royal HospitalUniversity of ManchesterManchesterUK

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