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British Medical Bulletin 55:744-756 (1999)
© 1999 The British Council
research-article |
Co-morbid factors in trauma patients
Medical Directorate, Countess of Chester Hospital, Chester UK
Correspondence to Dr T D Wardle, Medical Directorate, Countess of Chester Hospital, Liverpool Road, Chester CH2 1UL, UK
Abstract
A variety of factors influence the survival of trauma patients including the severity and site of injury, and the timing and quality of care. However, host factors including age and gender have also been reported as independent risk factors that adversely influence outcome. In addition, the presence of co-morbid or pre-existing factors have been shown to increase mortality and morbidity after trauma. This chapter reviews the evidence for these associations and considers their impact on assessment and management of the trauma patient