Change search
ReferencesLink to record
Permanent link

Direct link
"Avoidable" deaths in two areas of sweden - Analysis of deaths in hospital after injury
Umeå University, Faculty of Medicine, Surgical and Perioperative Sciences.
Umeå University, Faculty of Medicine, Surgical and Perioperative Sciences.
Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Forensic Medicine.
1999 (English)In: The European journal of surgery = Acta chirurgica, ISSN 1102-4151, Vol. 165, no 9, 828-33 p.Article in journal (Other academic) Published
Abstract [en]

OBJECTIVE: To describe causes of death and other characteristics of "avoidable" deaths in patients admitted to hospital after trauma, and estimate and analyse changes in the avoidable death rate during the years studied. DESIGN: Retrospective analysis of medico legal autopsy material. SETTING: One northern and one western area in Sweden 1988-1996. SUBJECTS: 335 cases who died in hospital after trauma. MAIN OUTCOME MEASURES: Avoidable death, defined as an Injury Severity Score (ISS) of 35 or less and Abbreviated Injury Scale (AIS) head of 4 or less and cause of death. RESULTS: We found 70 avoidable deaths (21%). Among these, 15 (21%) died of head injuries, 17 (24%) of thoracic, abdominal, or pelvic injuries, and 38 (54%) of medical complications. The number of deaths after trauma decreased considerably from 1988-90 to 1994-96, but the proportion who died in hospital remained almost constant. The proportion of avoidable deaths decreased from 22% to 17%, mainly because the proportion of deaths from medical complications was halved. CONCLUSION: The standard of Swedish in-hospital trauma care has improved, particularly with a reduction in post-traumatic complications. However, there is still room for improvement in the treatment of complications among elderly people.

Place, publisher, year, edition, pages
1999. Vol. 165, no 9, 828-33 p.
Keyword [en]
Aged, Cause of Death, Female, Hospital Mortality/trends, Humans, Male, Middle Aged, Retrospective Studies, Sweden/epidemiology, Trauma Severity Indices, Wounds and Injuries/*mortality
URN: urn:nbn:se:umu:diva-13577PubMedID: 10533755OAI: diva2:153248
Available from: 2007-05-11 Created: 2007-05-11 Last updated: 2011-01-14Bibliographically approved

Open Access in DiVA

No full text

Other links


Search in DiVA

By author/editor
Björnstig, UlfEriksson, Anders
By organisation
Surgical and Perioperative SciencesForensic Medicine

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 26 hits
ReferencesLink to record
Permanent link

Direct link