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Mortality and return to work in patients transported by emergency ambulance after involvement in a traffic accident

机译:在参与交通事故后,应急救护车运输的患者的死亡率和回归

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Traffic accidents constitute a common reason for injury. Little is known about long-term outcomes for patients following a traffic accident. Therefore, in this present paper, we examine 1-day, 30-day and 1-year mortality, and return to work (RTW) during a 1-year period. Patients (between 18 and 65?years of age) who had an ambulance dispatched to them following a traffic accident and who were employed prior to the accident were identified from the Electronic Prehospital Emergency Patient (amPHI?) database in the North Denmark Region (catchment population ≈600,000) during 2006–2014. Outcomes of 1- and 30- and 365-day mortality and 1-year return to work (RTW), with mortality as competing risk. We stratified by intensive care unit (ICU) admission; and the anatomical region of injury (head/neck, thorax, abdomen, extremities and multiple injuries) is reported. Of 6072 patients in our study population, 59 (1%) died within 1?day and 76 (1.3%) within 30?days; 88 (1.5%) were dead within a year. Thirty-day mortality was 1.7% for the 290 patients admitted to the ICU, and 1.2% for the remaining 5782 patients. Within the study population, RTW rate was 92.7% (N?=?5984). RTW was 84.8% among 290 ICU-admitted patients versus 93.1% for the remaining 5782 patients. RTW rate was 94.6% for the 1793 patients discharged with a diagnosis of head/neck injury. Of 671 patients with a discharge diagnosis for the thoracic region, 92.6% returned to work. Of 402 patients with abdominal injury diagnoses, 90.8% returned to work. Of 1603 patients discharged with a diagnosis of extremity injury, the RTW rate was 93.6%. Of 192 patients with a discharge diagnosis of injury in multiple regions, 91.7% returned to work. Overall, mortality rates were low and RTW rates high in patients who had an ambulance dispatched due to a traffic accident. Those admitted to the ICU had the lowest RTW rate, yet still around 80% returned to work.
机译:交通事故构成了受伤的常见原因。对交通事故患者的长期结果很少。因此,在本文中,我们在1年期间检查1天,30天和1年死亡率,并在1年期间返回工作(RTW)。患者(在18至65岁之间)担任救护车在交通事故之后派往他们,并且在事故发生之前被雇用的北方丹麦地区(集水区)人口≈600,000)在2006 - 2014年期间。成果1-和30-365天死亡率和1年回报工作(RTW),死亡率为竞争风险。我们被重症监护室(ICU)入场;报道了损伤的解剖区域(头/颈部,胸部,腹部,四肢和多重损伤)。在我们的研究人群中,6072名患者,59(1%)在30岁以下的1?日和76(1.3%)内死亡;天数; 88(1.5%)在一年内死亡。对于ICU的290名患者,第30天的死亡率为1.7%,剩余的5782名患者为1.2%。在研究人群中,RTW率为92.7%(n?=?5984)。在剩余的5782名患者中,rTW在290名ICU录取的患者中为84.8%。 1793名患者诊断头部/颈部损伤的患者,RTW率为94.6%。 671例胸部排放诊断患者,92.6%返回工作。 402例腹部损伤诊断患者,90.8%返回工作。 1603例患者诊断肢体损伤,RTW率为93.6%。 192例患者在多个地区造成损伤的诊断,91.7%返回工作。总体而言,由于交通事故导致救护车派遣救护车的患者中,死亡率低,RTW率高。那些录取ICU的rTW率最低,但仍有80%左右返回工作。

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