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Master Thesis

Épidémiologie des traumatisés sévères admis au Centre Hospitalier Universitaire de Caen de 2016 à 2020

Abstract : Objective: Obtain exhaustive and recent epidemiological data concerning severe trauma patients admitted to the University Hospital (UH) of Caen. Study design: Monocentric retrospective cohort study. Patients and methods: The UH of Caen participates in a prospective multicentre national registry (Traumabase). The study included all severe trauma patients admitted to the UH of Caen. A severe trauma patient is defined by the presence of at least one Vittel criterion. There were no exclusion criteria. Results: The median age is 40 years [23;60], these are men in 74% of the cases. Half comes from Calvados, evacuation times are shorter from Calvados (75 min [50; 106]) than from Manche (113 min [85; 140]) (p <0.05) or Orne (125 min [87; 163]) (p <0.05) and are shorter by ground ambulance (85 min [55; 120]) than by helicopter (120 min [85; 160]) (p <0.05). In 60% of cases it is a road traffic accident (RTA). The highest mortality rate concerns RTA involving pedestrians (48%). Fifty-four percent of trauma victims are intubated during prehospital time and more than 90% are operated within 24 hours with a majority of neurosurgical (37%) and orthopedic (33%) procedures. All cause mortality rate is 24%. Conclusion: This study describes the injury epidemiology of our UH. The establishment of a Trauma system in Basse Normandie could improve the management of severe trauma patients.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03157332
Contributor : Ufr Santé Unicaen <>
Submitted on : Wednesday, March 3, 2021 - 9:57:55 AM
Last modification on : Thursday, April 8, 2021 - 3:33:06 AM

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  • HAL Id : dumas-03157332, version 1

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Rémi Hestin. Épidémiologie des traumatisés sévères admis au Centre Hospitalier Universitaire de Caen de 2016 à 2020. Médecine humaine et pathologie. 2020. ⟨dumas-03157332⟩

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