ArticleAnnals of surgery2010
Severe traumatic injury: regional variation in incidence and outcome.
Article in Annals of surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Relationships between trauma death, disability, and geographic factors: a systematic review.Clinical and experimental emergency medicine · 2023Pooled it
- Deconstructing resuscitation training for healthcare providers: a protocol for a component network meta-analysis.BMJ open · 2025Article
- Effects of Transport to Trauma Centers on Survival Outcomes Among Severe Trauma Patients in Korea: Nationwide Age-Stratified Analysis.Journal of Korean medical science · 2024Article
- Predictive Dispatch of Volunteer First Responders: Algorithm Development and Validation.JMIR mHealth and uHealth · 2023Article
- Traumatic cardiac arrest - a nationwide Danish study.BMC emergency medicine · 2023Article
- The Connection Between Selected Caspases Levels in Bronchoalveolar Lavage Fluid and Severity After Brain Injury.Frontiers in neurology · 2022Article
- Article
- How Does Mission Ground Time Impact on Population Coverage of Aeromedical Retrieval Systems?The Journal of surgical research · 2021Article
- Collecting data on organizational structures of trauma centers: the CAFE web service.Trauma surgery & acute care open · 2020Article
- Defining geographic emergency medical services coverage in trauma systems.The journal of trauma and acute care surgery · 2019Article
- Association between age and acute respiratory distress syndrome development and mortality following trauma.The journal of trauma and acute care surgery · 2019Article
- Clinical Outcome and Management for Geriatric Traumatic Injury: Analysis of 2688 Cases in the Emergency Department of a Teaching Hospital in Taiwan.Journal of clinical medicine · 2018Article
- Epidemiologic Characteristics of Injured School-age Patients Transported via Emergency Medical Services in Korea.Journal of Korean medical science · 2018Article
- Distance matters: Effect of geographic trauma system resource organization on fatal motor vehicle collisions.The journal of trauma and acute care surgery · 2017Article
- Prehospital traumatic cardiac arrest: Management and outcomes from the resuscitation outcomes consortium epistry-trauma and PROPHET registries.The journal of trauma and acute care surgery · 2016Observational
- Using social media for community consultation and public disclosure in exception from informed consent trials.The journal of trauma and acute care surgery · 2016Article
- Geographic Variation in Outcome Benefits of Helicopter Transport for Trauma in the United States: A Retrospective Cohort Study.Annals of surgery · 2016Article
- Geographic distribution of trauma centers and injury-related mortality in the United States.The journal of trauma and acute care surgery · 2016Article
- Detailed description of all deaths in both the shock and traumatic brain injury hypertonic saline trials of the Resuscitation Outcomes Consortium.Annals of surgery · 2015Review
- Evaluation of clotting factor activities early after severe multiple trauma and their correlation with coagulation tests and clinical data.World journal of emergency surgery : WJES · 2015Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesThe public health implications of regional variation in incidence and outcome of severe traumatic injury remain to be analyzed. The objective of this study was to determine whether the incidence and outcome associated with severe traumatic injury differs across geographic regions of North America.
methodsA prospective, observational study was conducted of the Resuscitation Outcomes Consortium of all patients in 9 North American sites (6 US and 3 Canadian) sustaining severe traumatic injury from April 1, 2006 to March 31, 2007 followed to hospital discharge. Eligible patients were assessed by organized emergency medical services, and had field-based physiologic criteria including systolic blood pressure <or=90 mm Hg, Glasgow Coma Scale score <or=12, respiratory rate <10 or >29 per minute, advanced airway procedure, or traumatic death in the field. Census data were used to determine rates adjusted for age and sex. The main outcome measures were incidence rate, mortality rate, case fatality rate, and survival to discharge for patients sustaining severe traumatic injury assessed by EMS.
resultsThe total catchment population of 20.5 million yielded 7080 cases of severe traumatic injury. Median age was 36 years and 67% were male. The median incidence of EMS-assessed severe traumatic injury per 100,000 population across sites was 37.4 (interquartile range [IQR] = 24.6-69.6); survival ranged from 39.8% to 80.8%, with a median of 64.5% (IQR = 55.5-78.4). About 942 cases were pronounced dead at the scene and 5857 patients were transported to hospital; 4477 (63.2%) were discharged alive. The median incidence of severe trauma due to a blunt mechanism, transported to hospital, was 25.8 (IQR = 13.1-44.3); survival ranged from 52.6% to 87.3%, with a median of 78.0% (IQR = 68.4-83.5). The median incidence of severe penetrating trauma, transported to hospital, was 2.6 (IQR = 1.5-10.4); survival ranged from 37.5% to 84.7%, with a median of 67.5% (IQR = 54.1-75.9). All P values for differences across sites for incidence and survival were <0.001.
conclusionsIn this study involving 9 geographic regions in North America, there were significant and important regional differences in severe traumatic injury, incidence, and outcome. These differences were sustained for patients with either isolated blunt or penetrating injury mechanisms.
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