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Receiving care facility and outcome differences for victims of severe violent injuries.

机译：严重暴力伤害受害者的照料设施和结果差异。

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Objective. Each year millions of people die resulting from violence. Our objective was to evaluate and describe the demographic characteristics, access to trauma center care, mortality and morbidity outcomes of victims of severe violence in Pennsylvania. Methods. This was a cross-sectional population-based observational study. ICD-9-CM diagnostic codes were utilized to define acute injuries; severe injury was defined by an Injury Severity Score (ISS) greater than 15. Descriptive statistics and confidence intervals were used to present group characteristics. For categorical variables, chi-square testing and Fisher's exact testing were used to assess associations, and the Odds Ratio was used as the measure of strength of association. For all tests statistical significance was set at the 0.05 level. Results. A total of 8,977 patients with ISS > 15 were included; out of which 663 cases resulted from violence. Three hundred and forty seven (52.3%) were admitted to non-trauma center hospitals (NTC); Three hundred-and-sixteen (47.7%) to trauma center hospitals (TC). Mean length of stay and the rate of complications were significantly greater in the NTC facilities (p = 0.001 and 0.003, respectively) and a higher but statistically nonsignificant mortality increase was found in non-trauma centers (10.4% vs. 15.2%). Conclusion. Despite statewide EMS and trauma care systems, half of severely injured victims of violence were cared for in NTC facilities. TC hospitals showed a small but significant outcomes benefit in terms of complications and lengths of stay.
机译：目的。每年都有数百万人死于暴力。我们的目标是评估和描述宾夕法尼亚州严重暴力受害者的人口统计学特征，获得创伤中心护理的情况，死亡率和发病率。方法。这是一项基于人群的横断面观察研究。 ICD-9-CM诊断代码用于定义急性伤害;严重程度的严重性定义为伤害严重度评分（ISS）大于15。使用描述性统计数据和置信区间来表示组的特征。对于分类变量，使用卡方检验和Fisher精确检验来评估关联，而赔率则用作关联强度的度量。对于所有测试，统计显着性均设置为0.05水平。结果。总共纳入了8,977名ISS> 15的患者。其中663起案件是由暴力引起的。非创伤中心医院（NTC）有347例（52.3％）入院;到创伤中心医院（TC）的316家（47.7％）。在NTC机构中，平均住院时间和并发症发生率显着更高（分别为p = 0.001和0.003），在非创伤中心，死亡率更高，但统计学上无统计学意义（10.4％对15.2％）。结论。尽管有全州范围内的EMS和创伤护理系统，但在NTC设施中仍照顾了一半的暴力受重伤受害者。 TC医院在并发症和住院时间方面显示出较小但显着的疗效。

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