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Ten-year trends of adult trauma patients in Denmark from 2010 to 2019: A retrospective cohort study

Project: Research

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Description

Background: Trauma significantly induces economic and societal burdens, and the trauma patient population and their prognosis change over time. This study’s aim is to analyze ten-year trends of trauma patients at a major trauma center in Denmark.
Methods: Patients aged ≥ 16 years with Injury Severity Score (ISS) > 0 admitted by trauma team activation at a major trauma center between January 1, 2010 and December 31, 2019 were included. Descriptive statistics, incidence rate calculation, and parametric and non-parametric tests were used. An annual percent change with a 95% confidence interval was used to estimate trends in the mechanism of injuries. Multiple logistic regression with mortality as the outcome was adjusted for age, sex, and ISS.

Conclusions: Ten-year trends of trauma patients in Central Denmark Region show an increasing median age, injury severity, and the number of fall injuries. The 30-day mortality of trauma patients decreased for both minor injuries and severe injuries when adjusting for age, sex, and injury severity.

Key findings

The median age of adult trauma patients increased from 37 to 49 years and the proportion of patients aged ≥ 65 doubled during the ten-year study.
The incidence and proportion of severely injured patients (ISS > 15) increased alongside the median Injury Severity Score.
The survival of trauma patients improved from 2010 to 2019 when adjusting for age, sex and severity of injuries.
Long-term trends in a Danish setting show an increasing burden of fall injuries and elderly trauma patients.
Short titleTen-year trends of trauma
StatusFinished
Effective start/end date01/09/202001/07/2022

    Research areas

  • Trauma, epidemiology, Injury, Aarhus University Hospital

ID: 198335683