TY  - JOUR
PY  - 2008//
TI  - Is the trimodal pattern of death after trauma a dated concept in the 21st century? Trauma deaths in Auckland 2004
JO  - Injury
A1  - Pang, Jia-Min
A1  - Civil, I.
A1  - Ng, Alex
A1  - Adams, D.
A1  - Koelmeyer, Timothy
SP  - 102
EP  - 106
VL  - 39
IS  - 1
N2  - OBJECTIVE: To determine whether the classical trimodal distribution of trauma deaths is still applicable in a contemporary urban New Zealand trauma system. METHODS: All trauma deaths in the greater Auckland region between 1 January 2004 and 31 December 2004 were identified and reviewed. Data was obtained from hospital trauma registries, coroner autopsy reports and police reports. RESULTS: There were 186 trauma deaths. The median age was 28.5 years and the median Injury Severity Score was 25. The predominant mechanisms of injury were hanging (36%), motor vehicle crashes (31.7%), falls (9.7%), pedestrian-vehicle injury (5.4%), stabbing (4.3%), motorcycle crashes (3.2%), and pedestrian-train injury (2.2%). Most deaths were from central nervous system injury (71.5%), haemorrhage (15.6%), and airway/ventilation compromise (3.8%). Multi-organ failure accounted for 1.6% of deaths. Most deaths occurred in the pre-hospital setting (80.6%) with a gradual decrease thereafter. CONCLUSION: There was a skew towards early deaths. The trimodal distribution of trauma deaths was not demonstrated in this group of patients.<p />  <p>Language: en</p>
LA  - en
SN  - 0020-1383
UR  - http://dx.doi.org/10.1016/j.injury.2007.05.022
ID  - ref1
ER  -