Caracterización de la admisión de traumatismos de adultos…(Inglés)

Caracterización de la admisión de traumatismos de adultos en los centros de trauma de nivel 1.

D.M. Urquharta, , , E.R. Edwardsb, d, S.E. Gravesc, O.D. Williamsona, J.J. McNeila, T. Kossmannb, d, M.D. Richardsonc, D.J. Harrisonb, d, M.J. Hartc, F.M. Cicuttinia and on behalf of the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR) Project Group

aDepartment of Epidemiology & Preventive Medicine, Monash University, Melbourne, Australia bDepartment of Trauma Surgery, Alfred Hospital, Melbourne, Australia cDepartment of Orthopaedics, Royal Melbourne Hospital, Melbourne, Australia dNational Trauma Research Institute, Alfred Hospital, Melbourne, Australia

Summary

Background Despite the vast number of traumatic injuries that are orthopaedic in nature, comprehensive epidemiological data that characterise orthopaedic trauma are limited. The aim of this study was to investigate the nature of orthopaedic trauma admitted to adult Level 1 Trauma Centres.

Methods Data were obtained from the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR), which includes all patients with orthopaedic trauma admitted to the two adult Level 1 Trauma Centres in Victoria (Australia). Information was collected from the medical record and hospital databases on patients’ demographics and injury event, diagnoses and management.

Results Data were analysed on 784 patients recruited between August 2003 and March 2004. Patients were mainly young (<65 years) (70.7%), male (59.1%) and injured in a transport collision (51.3%). Fractures of the femur (23.7%) and spine (23.5%) were the most common injuries and were predominately managed with operative (87.6%) and conservative (78.8%) methods, respectively. Differences in most parameters were evident between younger (<65 years) and older (≥65 years) patients.

Conclusions This study presents epidemiological data on patients with orthopaedic trauma who were admitted to adult Level 1 Trauma Centres. This information is critical for the future monitoring and evaluation of the outcomes of orthopaedic trauma.

Injury. Volume 37, Issue 2 , February 2006, Pages 120-127.