TY - JOUR
T1 - Epidemiology of high-energy trauma in Chile
T2 - An ecological analysis using public registries
AU - Barahona, Maximiliano
AU - Alegría, Anselmo
AU - Amstein, Camila
AU - Cárcamo, Marcela
AU - Barahona, Macarena
N1 - Publisher Copyright:
This work is licensed under a Creative Commons Attribution 4.0 International License.
PY - 2024/8/21
Y1 - 2024/8/21
N2 - High-energy trauma is defined as severe organic injuries resulting from events that generate a large amount of kinetic, electrical, or thermal energy. It represents a significant public health concern, accounting for 10% of global mortality. This article aims to describe the epidemiology of high-energy trauma in Chile. Specifically, it seeks to compare the mortality rate per 100 000 inhabitants among member countries of the World Health Organization (WHO), provide a descriptive analysis of notifications under the Explicit Health Guarantees (GES) for the health issue of polytraumatized patients, and analyze the trend in the mortality rate due to external causes in Chile. This study employs an ecological design using three open-access databases. First, the WHO database on deaths from traffic accidents in 2019 was used. Then, the GES database was consulted for the "Polytraumatized" issue between 2018 and 2022. Finally, the Chilean Department of Health Statistics database on causes of death between 1997 and 2020 was utilized. In 2019, Chile ranked in the middle regarding the mortality rate per 100 000 inhabitants due to traffic accidents. GES notifications for polytrauma predominantly involved men aged 20 to 40 years and those affiliated with the public health system, highlighting a primary focus for prevention efforts. Mortality from accidents showed a decreasing trend, with significant structural changes identified in 2000 and 2007.
AB - High-energy trauma is defined as severe organic injuries resulting from events that generate a large amount of kinetic, electrical, or thermal energy. It represents a significant public health concern, accounting for 10% of global mortality. This article aims to describe the epidemiology of high-energy trauma in Chile. Specifically, it seeks to compare the mortality rate per 100 000 inhabitants among member countries of the World Health Organization (WHO), provide a descriptive analysis of notifications under the Explicit Health Guarantees (GES) for the health issue of polytraumatized patients, and analyze the trend in the mortality rate due to external causes in Chile. This study employs an ecological design using three open-access databases. First, the WHO database on deaths from traffic accidents in 2019 was used. Then, the GES database was consulted for the "Polytraumatized" issue between 2018 and 2022. Finally, the Chilean Department of Health Statistics database on causes of death between 1997 and 2020 was utilized. In 2019, Chile ranked in the middle regarding the mortality rate per 100 000 inhabitants due to traffic accidents. GES notifications for polytrauma predominantly involved men aged 20 to 40 years and those affiliated with the public health system, highlighting a primary focus for prevention efforts. Mortality from accidents showed a decreasing trend, with significant structural changes identified in 2000 and 2007.
KW - Accident falls/mortality
KW - Accident injury
KW - Accidents
KW - Multiple trauma
KW - Traffic/mortality
KW - Wounds and injuries/epidemiology
KW - wounds and injuries/mortality
UR - http://www.scopus.com/inward/record.url?scp=85202000283&partnerID=8YFLogxK
U2 - 10.5867/medwave.2024.07.2929
DO - 10.5867/medwave.2024.07.2929
M3 - Article
C2 - 39173171
AN - SCOPUS:85202000283
SN - 0717-6384
VL - 24
SP - e2929
JO - Medwave
JF - Medwave
IS - 7
ER -