[Epidemiological data on severely injured patients; a retrospective study of the period 1985-1989].

OBJECTIVE

To describe the epidemiological data of a group of multiple injured patients.

SETTING

University Hospital, Groningen.

DESIGN

Retrospective, descriptive.

PATIENTS AND

METHODS

All multiple injured patients (HTI/ISS > 18), treated from 1985 to 1989 were analysed (932 cases). Age, sex, residence, type of accident, mortality, cause of death, ISS, length of hospital stay and destination after discharge are described.

RESULTS

Generally speaking the multiple injured patients investigated were young and male. 75% of the injuries were caused by traffic accidents; occupants of cars run the highest risk of dying. Mortality (22%) is mainly determined by severe head injuries and increases with a higher ISS. The length of hospital stay averaged 22.5 days and compared with situations abroad is short. Half the patients could be discharged to their homes. Those who were transferred to a rehabilitation centre or a nursing home have a high ISS and mainly have severe injuries of the extremities.

CONCLUSION

In view of the number of patients who could be discharged to their homes, the ultimate functional results look fair.