Epidemiology of pregnant patients with major trauma in Victoria.
descriptive study
major trauma
population-based
pregnancy
Journal
Emergency medicine Australasia : EMA
ISSN: 1742-6723
Titre abrégé: Emerg Med Australas
Pays: Australia
ID NLM: 101199824
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
revised:
15
04
2021
received:
12
04
2020
accepted:
04
06
2021
pubmed:
25
6
2021
medline:
23
3
2022
entrez:
24
6
2021
Statut:
ppublish
Résumé
Trauma is one of the most common contributors to maternal and foetal morbidity and mortality. The aim of the present study was to describe the characteristics and outcomes of major trauma in pregnant patients using a population-based registry. Registry-based study using data from the Victorian State Trauma Registry (VSTR), a population-based database of all hospitalised major trauma (death due to injury, Injury Severity Score [ISS] ≥12, admission to an intensive care unit [ICU] for more than 24 h and requiring mechanical ventilation for at least part of their ICU stay or urgent surgery) in Victoria, Australia, from 1 July 2007 to 30 June 2019. Pregnant patients with major trauma were identified on the VSTR. We summarised patient data using descriptive statistics. Over the 12-year study period, there were 63 pregnant major trauma patients. Fifty-two (82.5%) patients sustained injuries resulting from road transport collisions. The maternal survival rate was 98.4% and the foetal survival rate was 88.9%. Thoracic injury was the most common injury (25/63), followed by abdominal injury (23/63). Eighty-six percent of the third trimester patients (19/22) were transported directly to a major trauma service with capacity for definitive care of the pregnancy. The present study demonstrated road transport injury was the most common mechanism of injury and both maternal survival rates and foetal survival rates were high. This information is essential for trauma care system planning and public health initiatives to improve the clinical management and outcomes of pregnant women with major trauma.
Identifiants
pubmed: 34164928
doi: 10.1111/1742-6723.13816
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
24-28Subventions
Organisme : Australian Research Council Discovery Early Career Researcher Award Fellowship
ID : DE180100825
Organisme : Department of Health, State Government of Victoria and Transport Accident Commission funded project
Organisme : Medical Research Futures Fund (MRFF) Practitioner Fellowship
Informations de copyright
© 2021 Australasian College for Emergency Medicine.
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