Evolution of severe trauma in Estonia comparing early versus established independence of the state
Purpose Trauma mechanisms and patterns of severe injuries during the Estonian independence have not been evaluated. The aim of the study was to compare the incidence and outcomes of severe injuries between time periods of early independence from the Soviet Union and the present time. Methods After t...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Saar, S. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2016 |
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| Schlagwörter: |
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| Anmerkung: |
© Springer-Verlag Berlin Heidelberg 2016 |
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| Übergeordnetes Werk: |
Enthalten in: European journal of trauma and emergency surgery - Heidelberg : Springer Medizin, 2007, 43(2016), 6 vom: 13. Okt., Seite 791-796 |
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| Übergeordnetes Werk: |
volume:43 ; year:2016 ; number:6 ; day:13 ; month:10 ; pages:791-796 |
| Links: |
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| DOI / URN: |
10.1007/s00068-016-0731-0 |
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SPR000535613 |
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| 520 | |a Purpose Trauma mechanisms and patterns of severe injuries during the Estonian independence have not been evaluated. The aim of the study was to compare the incidence and outcomes of severe injuries between time periods of early independence from the Soviet Union and the present time. Methods After the ethics review board approval, all adult trauma admissions to major trauma facilities in 1993–1994 and 2013–2014 with Injury Severity Score >15 were identified. Data collection included demographics, injury severity variables, interventions, and in-hospital outcomes. Primary outcome was in-hospital mortality. Secondary outcomes included incidence of penetrating trauma, hospital length of stay (HLOS), and in-hospital complications. Primary outcome difference comparing the two time segments was determined using logistic regression analysis. Results A total of 1064 patients were included, 593 and 471 from 1993–1994 to 2013–2014, respectively. Incidence of penetrating trauma during 1993–1994 was 11.1 % and in 2013–2014 at 6.4 % (p = 0.007). Gunshot injuries constituted 62.1 and 23.3 % of all penetrating trauma in 1993–1994 and 2013–2014, respectively (p < 0.001). The overall mean HLOS was 15.5 ± 19.8 days and did not differ between the periods. The rate of adjusted complications showed a trend for a decreased incidence (adj. p = 0.064). Adjusted mortality rate was 50.3 and 16.4 % during 1993–1994 and 2013–2014, respectively (adj. OR 7.01; 95 % CI 4.69–10.47; p < 0.001). Conclusions Effective law enforcement, gun control, evolution of trauma system, and reduction of interpersonal violence have all contributed to a significant decrease in penetrating trauma incidence and all-cause adjusted mortality during the 20 years of Estonian independence. | ||
| 650 | 4 | |a Severe trauma |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Independence |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Mortality |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Sokirjanski, M. |4 aut | |
| 700 | 1 | |a Junkin, L. K. |4 aut | |
| 700 | 1 | |a Laos, J. |4 aut | |
| 700 | 1 | |a Laar, A. L. |4 aut | |
| 700 | 1 | |a Merioja, I. |4 aut | |
| 700 | 1 | |a Lepner, U. |4 aut | |
| 700 | 1 | |a Kukk, L. |4 aut | |
| 700 | 1 | |a Remmelgas, A. |4 aut | |
| 700 | 1 | |a Asser, T. |4 aut | |
| 700 | 1 | |a Innos, K. |4 aut | |
| 700 | 1 | |a Starkopf, J. |4 aut | |
| 700 | 1 | |a Talving, P. |4 aut | |
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10.1007/s00068-016-0731-0 doi (DE-627)SPR000535613 (SPR)s00068-016-0731-0-e DE-627 ger DE-627 rakwb eng Saar, S. verfasserin aut Evolution of severe trauma in Estonia comparing early versus established independence of the state 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Berlin Heidelberg 2016 Purpose Trauma mechanisms and patterns of severe injuries during the Estonian independence have not been evaluated. The aim of the study was to compare the incidence and outcomes of severe injuries between time periods of early independence from the Soviet Union and the present time. Methods After the ethics review board approval, all adult trauma admissions to major trauma facilities in 1993–1994 and 2013–2014 with Injury Severity Score >15 were identified. Data collection included demographics, injury severity variables, interventions, and in-hospital outcomes. Primary outcome was in-hospital mortality. Secondary outcomes included incidence of penetrating trauma, hospital length of stay (HLOS), and in-hospital complications. Primary outcome difference comparing the two time segments was determined using logistic regression analysis. Results A total of 1064 patients were included, 593 and 471 from 1993–1994 to 2013–2014, respectively. Incidence of penetrating trauma during 1993–1994 was 11.1 % and in 2013–2014 at 6.4 % (p = 0.007). Gunshot injuries constituted 62.1 and 23.3 % of all penetrating trauma in 1993–1994 and 2013–2014, respectively (p < 0.001). The overall mean HLOS was 15.5 ± 19.8 days and did not differ between the periods. The rate of adjusted complications showed a trend for a decreased incidence (adj. p = 0.064). Adjusted mortality rate was 50.3 and 16.4 % during 1993–1994 and 2013–2014, respectively (adj. OR 7.01; 95 % CI 4.69–10.47; p < 0.001). Conclusions Effective law enforcement, gun control, evolution of trauma system, and reduction of interpersonal violence have all contributed to a significant decrease in penetrating trauma incidence and all-cause adjusted mortality during the 20 years of Estonian independence. Severe trauma (dpeaa)DE-He213 Independence (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Sokirjanski, M. aut Junkin, L. K. aut Laos, J. aut Laar, A. L. aut Merioja, I. aut Lepner, U. aut Kukk, L. aut Remmelgas, A. aut Asser, T. aut Innos, K. aut Starkopf, J. aut Talving, P. aut Enthalten in European journal of trauma and emergency surgery Heidelberg : Springer Medizin, 2007 43(2016), 6 vom: 13. Okt., Seite 791-796 (DE-627)527573574 (DE-600)2276432-X 1863-9941 nnns volume:43 year:2016 number:6 day:13 month:10 pages:791-796 https://dx.doi.org/10.1007/s00068-016-0731-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 43 2016 6 13 10 791-796 |
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10.1007/s00068-016-0731-0 doi (DE-627)SPR000535613 (SPR)s00068-016-0731-0-e DE-627 ger DE-627 rakwb eng Saar, S. verfasserin aut Evolution of severe trauma in Estonia comparing early versus established independence of the state 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Berlin Heidelberg 2016 Purpose Trauma mechanisms and patterns of severe injuries during the Estonian independence have not been evaluated. The aim of the study was to compare the incidence and outcomes of severe injuries between time periods of early independence from the Soviet Union and the present time. Methods After the ethics review board approval, all adult trauma admissions to major trauma facilities in 1993–1994 and 2013–2014 with Injury Severity Score >15 were identified. Data collection included demographics, injury severity variables, interventions, and in-hospital outcomes. Primary outcome was in-hospital mortality. Secondary outcomes included incidence of penetrating trauma, hospital length of stay (HLOS), and in-hospital complications. Primary outcome difference comparing the two time segments was determined using logistic regression analysis. Results A total of 1064 patients were included, 593 and 471 from 1993–1994 to 2013–2014, respectively. Incidence of penetrating trauma during 1993–1994 was 11.1 % and in 2013–2014 at 6.4 % (p = 0.007). Gunshot injuries constituted 62.1 and 23.3 % of all penetrating trauma in 1993–1994 and 2013–2014, respectively (p < 0.001). The overall mean HLOS was 15.5 ± 19.8 days and did not differ between the periods. The rate of adjusted complications showed a trend for a decreased incidence (adj. p = 0.064). Adjusted mortality rate was 50.3 and 16.4 % during 1993–1994 and 2013–2014, respectively (adj. OR 7.01; 95 % CI 4.69–10.47; p < 0.001). Conclusions Effective law enforcement, gun control, evolution of trauma system, and reduction of interpersonal violence have all contributed to a significant decrease in penetrating trauma incidence and all-cause adjusted mortality during the 20 years of Estonian independence. Severe trauma (dpeaa)DE-He213 Independence (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Sokirjanski, M. aut Junkin, L. K. aut Laos, J. aut Laar, A. L. aut Merioja, I. aut Lepner, U. aut Kukk, L. aut Remmelgas, A. aut Asser, T. aut Innos, K. aut Starkopf, J. aut Talving, P. aut Enthalten in European journal of trauma and emergency surgery Heidelberg : Springer Medizin, 2007 43(2016), 6 vom: 13. Okt., Seite 791-796 (DE-627)527573574 (DE-600)2276432-X 1863-9941 nnns volume:43 year:2016 number:6 day:13 month:10 pages:791-796 https://dx.doi.org/10.1007/s00068-016-0731-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 43 2016 6 13 10 791-796 |
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10.1007/s00068-016-0731-0 doi (DE-627)SPR000535613 (SPR)s00068-016-0731-0-e DE-627 ger DE-627 rakwb eng Saar, S. verfasserin aut Evolution of severe trauma in Estonia comparing early versus established independence of the state 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Berlin Heidelberg 2016 Purpose Trauma mechanisms and patterns of severe injuries during the Estonian independence have not been evaluated. The aim of the study was to compare the incidence and outcomes of severe injuries between time periods of early independence from the Soviet Union and the present time. Methods After the ethics review board approval, all adult trauma admissions to major trauma facilities in 1993–1994 and 2013–2014 with Injury Severity Score >15 were identified. Data collection included demographics, injury severity variables, interventions, and in-hospital outcomes. Primary outcome was in-hospital mortality. Secondary outcomes included incidence of penetrating trauma, hospital length of stay (HLOS), and in-hospital complications. Primary outcome difference comparing the two time segments was determined using logistic regression analysis. Results A total of 1064 patients were included, 593 and 471 from 1993–1994 to 2013–2014, respectively. Incidence of penetrating trauma during 1993–1994 was 11.1 % and in 2013–2014 at 6.4 % (p = 0.007). Gunshot injuries constituted 62.1 and 23.3 % of all penetrating trauma in 1993–1994 and 2013–2014, respectively (p < 0.001). The overall mean HLOS was 15.5 ± 19.8 days and did not differ between the periods. The rate of adjusted complications showed a trend for a decreased incidence (adj. p = 0.064). Adjusted mortality rate was 50.3 and 16.4 % during 1993–1994 and 2013–2014, respectively (adj. OR 7.01; 95 % CI 4.69–10.47; p < 0.001). Conclusions Effective law enforcement, gun control, evolution of trauma system, and reduction of interpersonal violence have all contributed to a significant decrease in penetrating trauma incidence and all-cause adjusted mortality during the 20 years of Estonian independence. Severe trauma (dpeaa)DE-He213 Independence (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Sokirjanski, M. aut Junkin, L. K. aut Laos, J. aut Laar, A. L. aut Merioja, I. aut Lepner, U. aut Kukk, L. aut Remmelgas, A. aut Asser, T. aut Innos, K. aut Starkopf, J. aut Talving, P. aut Enthalten in European journal of trauma and emergency surgery Heidelberg : Springer Medizin, 2007 43(2016), 6 vom: 13. Okt., Seite 791-796 (DE-627)527573574 (DE-600)2276432-X 1863-9941 nnns volume:43 year:2016 number:6 day:13 month:10 pages:791-796 https://dx.doi.org/10.1007/s00068-016-0731-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 43 2016 6 13 10 791-796 |
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10.1007/s00068-016-0731-0 doi (DE-627)SPR000535613 (SPR)s00068-016-0731-0-e DE-627 ger DE-627 rakwb eng Saar, S. verfasserin aut Evolution of severe trauma in Estonia comparing early versus established independence of the state 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Berlin Heidelberg 2016 Purpose Trauma mechanisms and patterns of severe injuries during the Estonian independence have not been evaluated. The aim of the study was to compare the incidence and outcomes of severe injuries between time periods of early independence from the Soviet Union and the present time. Methods After the ethics review board approval, all adult trauma admissions to major trauma facilities in 1993–1994 and 2013–2014 with Injury Severity Score >15 were identified. Data collection included demographics, injury severity variables, interventions, and in-hospital outcomes. Primary outcome was in-hospital mortality. Secondary outcomes included incidence of penetrating trauma, hospital length of stay (HLOS), and in-hospital complications. Primary outcome difference comparing the two time segments was determined using logistic regression analysis. Results A total of 1064 patients were included, 593 and 471 from 1993–1994 to 2013–2014, respectively. Incidence of penetrating trauma during 1993–1994 was 11.1 % and in 2013–2014 at 6.4 % (p = 0.007). Gunshot injuries constituted 62.1 and 23.3 % of all penetrating trauma in 1993–1994 and 2013–2014, respectively (p < 0.001). The overall mean HLOS was 15.5 ± 19.8 days and did not differ between the periods. The rate of adjusted complications showed a trend for a decreased incidence (adj. p = 0.064). Adjusted mortality rate was 50.3 and 16.4 % during 1993–1994 and 2013–2014, respectively (adj. OR 7.01; 95 % CI 4.69–10.47; p < 0.001). Conclusions Effective law enforcement, gun control, evolution of trauma system, and reduction of interpersonal violence have all contributed to a significant decrease in penetrating trauma incidence and all-cause adjusted mortality during the 20 years of Estonian independence. Severe trauma (dpeaa)DE-He213 Independence (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Sokirjanski, M. aut Junkin, L. K. aut Laos, J. aut Laar, A. L. aut Merioja, I. aut Lepner, U. aut Kukk, L. aut Remmelgas, A. aut Asser, T. aut Innos, K. aut Starkopf, J. aut Talving, P. aut Enthalten in European journal of trauma and emergency surgery Heidelberg : Springer Medizin, 2007 43(2016), 6 vom: 13. Okt., Seite 791-796 (DE-627)527573574 (DE-600)2276432-X 1863-9941 nnns volume:43 year:2016 number:6 day:13 month:10 pages:791-796 https://dx.doi.org/10.1007/s00068-016-0731-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 43 2016 6 13 10 791-796 |
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10.1007/s00068-016-0731-0 doi (DE-627)SPR000535613 (SPR)s00068-016-0731-0-e DE-627 ger DE-627 rakwb eng Saar, S. verfasserin aut Evolution of severe trauma in Estonia comparing early versus established independence of the state 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Berlin Heidelberg 2016 Purpose Trauma mechanisms and patterns of severe injuries during the Estonian independence have not been evaluated. The aim of the study was to compare the incidence and outcomes of severe injuries between time periods of early independence from the Soviet Union and the present time. Methods After the ethics review board approval, all adult trauma admissions to major trauma facilities in 1993–1994 and 2013–2014 with Injury Severity Score >15 were identified. Data collection included demographics, injury severity variables, interventions, and in-hospital outcomes. Primary outcome was in-hospital mortality. Secondary outcomes included incidence of penetrating trauma, hospital length of stay (HLOS), and in-hospital complications. Primary outcome difference comparing the two time segments was determined using logistic regression analysis. Results A total of 1064 patients were included, 593 and 471 from 1993–1994 to 2013–2014, respectively. Incidence of penetrating trauma during 1993–1994 was 11.1 % and in 2013–2014 at 6.4 % (p = 0.007). Gunshot injuries constituted 62.1 and 23.3 % of all penetrating trauma in 1993–1994 and 2013–2014, respectively (p < 0.001). The overall mean HLOS was 15.5 ± 19.8 days and did not differ between the periods. The rate of adjusted complications showed a trend for a decreased incidence (adj. p = 0.064). Adjusted mortality rate was 50.3 and 16.4 % during 1993–1994 and 2013–2014, respectively (adj. OR 7.01; 95 % CI 4.69–10.47; p < 0.001). Conclusions Effective law enforcement, gun control, evolution of trauma system, and reduction of interpersonal violence have all contributed to a significant decrease in penetrating trauma incidence and all-cause adjusted mortality during the 20 years of Estonian independence. Severe trauma (dpeaa)DE-He213 Independence (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Sokirjanski, M. aut Junkin, L. K. aut Laos, J. aut Laar, A. L. aut Merioja, I. aut Lepner, U. aut Kukk, L. aut Remmelgas, A. aut Asser, T. aut Innos, K. aut Starkopf, J. aut Talving, P. aut Enthalten in European journal of trauma and emergency surgery Heidelberg : Springer Medizin, 2007 43(2016), 6 vom: 13. Okt., Seite 791-796 (DE-627)527573574 (DE-600)2276432-X 1863-9941 nnns volume:43 year:2016 number:6 day:13 month:10 pages:791-796 https://dx.doi.org/10.1007/s00068-016-0731-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 43 2016 6 13 10 791-796 |
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Saar, S. @@aut@@ Sokirjanski, M. @@aut@@ Junkin, L. K. @@aut@@ Laos, J. @@aut@@ Laar, A. L. @@aut@@ Merioja, I. @@aut@@ Lepner, U. @@aut@@ Kukk, L. @@aut@@ Remmelgas, A. @@aut@@ Asser, T. @@aut@@ Innos, K. @@aut@@ Starkopf, J. @@aut@@ Talving, P. @@aut@@ |
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The aim of the study was to compare the incidence and outcomes of severe injuries between time periods of early independence from the Soviet Union and the present time. Methods After the ethics review board approval, all adult trauma admissions to major trauma facilities in 1993–1994 and 2013–2014 with Injury Severity Score >15 were identified. Data collection included demographics, injury severity variables, interventions, and in-hospital outcomes. Primary outcome was in-hospital mortality. Secondary outcomes included incidence of penetrating trauma, hospital length of stay (HLOS), and in-hospital complications. Primary outcome difference comparing the two time segments was determined using logistic regression analysis. Results A total of 1064 patients were included, 593 and 471 from 1993–1994 to 2013–2014, respectively. Incidence of penetrating trauma during 1993–1994 was 11.1 % and in 2013–2014 at 6.4 % (p = 0.007). Gunshot injuries constituted 62.1 and 23.3 % of all penetrating trauma in 1993–1994 and 2013–2014, respectively (p < 0.001). The overall mean HLOS was 15.5 ± 19.8 days and did not differ between the periods. The rate of adjusted complications showed a trend for a decreased incidence (adj. p = 0.064). Adjusted mortality rate was 50.3 and 16.4 % during 1993–1994 and 2013–2014, respectively (adj. OR 7.01; 95 % CI 4.69–10.47; p < 0.001). Conclusions Effective law enforcement, gun control, evolution of trauma system, and reduction of interpersonal violence have all contributed to a significant decrease in penetrating trauma incidence and all-cause adjusted mortality during the 20 years of Estonian independence.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Severe trauma</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Independence</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Mortality</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Sokirjanski, M.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Junkin, L. 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|
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Saar, S. |
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Saar, S. misc Severe trauma misc Independence misc Mortality Evolution of severe trauma in Estonia comparing early versus established independence of the state |
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Evolution of severe trauma in Estonia comparing early versus established independence of the state Severe trauma (dpeaa)DE-He213 Independence (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 |
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misc Severe trauma misc Independence misc Mortality |
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misc Severe trauma misc Independence misc Mortality |
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Evolution of severe trauma in Estonia comparing early versus established independence of the state |
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Evolution of severe trauma in Estonia comparing early versus established independence of the state |
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Saar, S. |
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European journal of trauma and emergency surgery |
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European journal of trauma and emergency surgery |
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Saar, S. Sokirjanski, M. Junkin, L. K. Laos, J. Laar, A. L. Merioja, I. Lepner, U. Kukk, L. Remmelgas, A. Asser, T. Innos, K. Starkopf, J. Talving, P. |
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Saar, S. |
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10.1007/s00068-016-0731-0 |
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evolution of severe trauma in estonia comparing early versus established independence of the state |
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Evolution of severe trauma in Estonia comparing early versus established independence of the state |
| abstract |
Purpose Trauma mechanisms and patterns of severe injuries during the Estonian independence have not been evaluated. The aim of the study was to compare the incidence and outcomes of severe injuries between time periods of early independence from the Soviet Union and the present time. Methods After the ethics review board approval, all adult trauma admissions to major trauma facilities in 1993–1994 and 2013–2014 with Injury Severity Score >15 were identified. Data collection included demographics, injury severity variables, interventions, and in-hospital outcomes. Primary outcome was in-hospital mortality. Secondary outcomes included incidence of penetrating trauma, hospital length of stay (HLOS), and in-hospital complications. Primary outcome difference comparing the two time segments was determined using logistic regression analysis. Results A total of 1064 patients were included, 593 and 471 from 1993–1994 to 2013–2014, respectively. Incidence of penetrating trauma during 1993–1994 was 11.1 % and in 2013–2014 at 6.4 % (p = 0.007). Gunshot injuries constituted 62.1 and 23.3 % of all penetrating trauma in 1993–1994 and 2013–2014, respectively (p < 0.001). The overall mean HLOS was 15.5 ± 19.8 days and did not differ between the periods. The rate of adjusted complications showed a trend for a decreased incidence (adj. p = 0.064). Adjusted mortality rate was 50.3 and 16.4 % during 1993–1994 and 2013–2014, respectively (adj. OR 7.01; 95 % CI 4.69–10.47; p < 0.001). Conclusions Effective law enforcement, gun control, evolution of trauma system, and reduction of interpersonal violence have all contributed to a significant decrease in penetrating trauma incidence and all-cause adjusted mortality during the 20 years of Estonian independence. © Springer-Verlag Berlin Heidelberg 2016 |
| abstractGer |
Purpose Trauma mechanisms and patterns of severe injuries during the Estonian independence have not been evaluated. The aim of the study was to compare the incidence and outcomes of severe injuries between time periods of early independence from the Soviet Union and the present time. Methods After the ethics review board approval, all adult trauma admissions to major trauma facilities in 1993–1994 and 2013–2014 with Injury Severity Score >15 were identified. Data collection included demographics, injury severity variables, interventions, and in-hospital outcomes. Primary outcome was in-hospital mortality. Secondary outcomes included incidence of penetrating trauma, hospital length of stay (HLOS), and in-hospital complications. Primary outcome difference comparing the two time segments was determined using logistic regression analysis. Results A total of 1064 patients were included, 593 and 471 from 1993–1994 to 2013–2014, respectively. Incidence of penetrating trauma during 1993–1994 was 11.1 % and in 2013–2014 at 6.4 % (p = 0.007). Gunshot injuries constituted 62.1 and 23.3 % of all penetrating trauma in 1993–1994 and 2013–2014, respectively (p < 0.001). The overall mean HLOS was 15.5 ± 19.8 days and did not differ between the periods. The rate of adjusted complications showed a trend for a decreased incidence (adj. p = 0.064). Adjusted mortality rate was 50.3 and 16.4 % during 1993–1994 and 2013–2014, respectively (adj. OR 7.01; 95 % CI 4.69–10.47; p < 0.001). Conclusions Effective law enforcement, gun control, evolution of trauma system, and reduction of interpersonal violence have all contributed to a significant decrease in penetrating trauma incidence and all-cause adjusted mortality during the 20 years of Estonian independence. © Springer-Verlag Berlin Heidelberg 2016 |
| abstract_unstemmed |
Purpose Trauma mechanisms and patterns of severe injuries during the Estonian independence have not been evaluated. The aim of the study was to compare the incidence and outcomes of severe injuries between time periods of early independence from the Soviet Union and the present time. Methods After the ethics review board approval, all adult trauma admissions to major trauma facilities in 1993–1994 and 2013–2014 with Injury Severity Score >15 were identified. Data collection included demographics, injury severity variables, interventions, and in-hospital outcomes. Primary outcome was in-hospital mortality. Secondary outcomes included incidence of penetrating trauma, hospital length of stay (HLOS), and in-hospital complications. Primary outcome difference comparing the two time segments was determined using logistic regression analysis. Results A total of 1064 patients were included, 593 and 471 from 1993–1994 to 2013–2014, respectively. Incidence of penetrating trauma during 1993–1994 was 11.1 % and in 2013–2014 at 6.4 % (p = 0.007). Gunshot injuries constituted 62.1 and 23.3 % of all penetrating trauma in 1993–1994 and 2013–2014, respectively (p < 0.001). The overall mean HLOS was 15.5 ± 19.8 days and did not differ between the periods. The rate of adjusted complications showed a trend for a decreased incidence (adj. p = 0.064). Adjusted mortality rate was 50.3 and 16.4 % during 1993–1994 and 2013–2014, respectively (adj. OR 7.01; 95 % CI 4.69–10.47; p < 0.001). Conclusions Effective law enforcement, gun control, evolution of trauma system, and reduction of interpersonal violence have all contributed to a significant decrease in penetrating trauma incidence and all-cause adjusted mortality during the 20 years of Estonian independence. © Springer-Verlag Berlin Heidelberg 2016 |
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Evolution of severe trauma in Estonia comparing early versus established independence of the state |
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https://dx.doi.org/10.1007/s00068-016-0731-0 |
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Sokirjanski, M. Junkin, L. K. Laos, J. Laar, A. L. Merioja, I. Lepner, U. Kukk, L. Remmelgas, A. Asser, T. Innos, K. Starkopf, J. Talving, P. |
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Sokirjanski, M. Junkin, L. K. Laos, J. Laar, A. L. Merioja, I. Lepner, U. Kukk, L. Remmelgas, A. Asser, T. Innos, K. Starkopf, J. Talving, P. |
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10.1007/s00068-016-0731-0 |
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2024-07-03T16:44:41.157Z |
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| score |
7.399617 |