Factors associated to the time of death of trauma victims: A retrospective cohort study

Abstract

Objective: to identify factors associated to the time of death of trauma victims. Method: a retrospective cohort that analyzed autopsy reports of trauma victims admitted in 2015 at the Central Institute of Forensic Medicine of São Paulo, Brazil. The time of death was identified from the trauma moment to the confirmation of death. The generalized linear model was applied to analyze the data. Results: among the 1,500 fatal victims (75.7% were men; mean age of 49.7 years old), falls prevailed (33.5%), followed by aggressions (27.8%). The factors associated with the time of death were the number of body areas affected (p0.001), type of trauma (p0.001), gender (p=0.009), trauma severity according to the New Injury Severity Score (p0.001), assaults (p0.001), and intentionally self-harm injuries (p0.001). Conclusion: women, victims of traumas with the intention of causing death and with high severity presented a reduced survival time after the injury(ies).

Keywords

• ferimentos e lesões
• índices de gravidade do trauma
• autopsia
• fatores de risco
• mortalidade