Research Article| Volume 18, ISSUE 5, P315-318, September 1987

Time from injury to death (survival time) among fatally injured pedestrians

  • Daniel Fife
    Requests for reprints should be addressed to: Daniel Fife md, Division of Research, Policy and Planning, CN 360, Trenton, New Jersey 08625 0360, USA.
    New Jersey Department of Health, Trenton, New Jersey USA
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      This study examines the survival time after injury and its relationship to age and Injury Severity Score (ISS) among 322 fatally injured pedestrians. Long survival times were associated with older age and with lower ISS. The association of long survival time with older ages remained present after adjustment for ISS. People with untreatably severe injuries (as defined by the Abbreviated Injury Scale) and people who died of potentially survivable injuries had markedly different survival times. Therefore, in analyses of data relating to survival time, combining the two groups should be avoided.
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        • Ashton S.J.
        • Mackay G.M.
        Some characteristics of the population who suffer trauma as pedestrians when hit by cars and some resulting implications.
        in: Proceedings of the Fourth International Conference on the Biomechanics of Trauma. International Research Committee on the Biomechanics of Impact, Lyon1979: 39
        • Baker S.P.
        Digit preference in reported time of collision.
        Accident Analysis and Prevention. 1971; 3: 77
        • Baker S.P.
        • O'Neill B.
        • Haddon Jr., W.
        • et al.
        The Injury Severity Score: a method for describing patients with multiple injuries and evaluating emergency care.
        J. Trauma. 1974; 14: 187
        • Committee on Medical Aspects of Automotive Safety
        Rating the Severity of Tissue Damage I. The Abbreviated Scale.
        JAMA. 1971; 215: 277
        • Fife D.
        • Davis J.
        • Tate L.
        • et al.
        Fatal injuries to bycyclists: the experience of Dade County, Florida.
        J. Trauma. 1983; 23: 745
        • Fry D.E.
        • Pearlstein L.
        • Fulton R.L.
        • et al.
        Multiple system organ failure.
        Arch. Surg. 1980; 115: 136
        • Goris R.J.A.
        • Draaisma J.
        Causes of death after blunt trauma.
        J. Trauma. 1982; 22: 141
        • Gribben B.
        • Pickering T.G.
        • Sleight P.
        • et al.
        Effect of age and high blood pressure on baroreflex sensitivity in man.
        Circ. Res. 1971; 29: 101
        • Hutchinson T.P.
        Factors affecting the time till death of pedestrians killed in road accidents.
        Injury. 1975; 6: 208
        • Phillips P.A.
        • Rolls B.J.
        • Ledingham J.G.G.
        • et al.
        Reduced thirst after water deprivation in healthy elderly men.
        N. Engl. J. Med. 1984; 311: 753
        • Robertson J.S.
        • Phil D.
        • Tongue M.B.
        Duration of survival in traffic accident fatalities.
        Med. J. Austral. 1968; 2: 571
        • Rowe J.W.
        • Minaker K.L.
        Geriatric medicine.
        in: Handbook of the Biology of Aging. Van Nostrand, Reinhold, New York1987: 943 (in press)
        • Rowe J.W.
        • Minnaker K.L.
        • Sparrow D.
        • et al.
        Age-related failure of volume-pressure-mediated vasopressin release.
        J. Clin. Endocr. Metab. 1982; 54: 339
        • Sevitt S.
        Fatal road accidents in Birmingham: times to death and their causes.
        Injury. 1973; 4: 281
        • Smith H.P.R.
        Time to die from injuries received in road traffic accidents.
        Injury. 1970; 2: 99
        • States J.D.
        • Fenner Jr., H.A.
        • Flamboe E.E.
        • et al.
        Field Application and Research Development of the Abbreviated Injury Scale.
        in: S.A.E. Print 710873. Society of Automotive Engineers, New York1971
        • Tsuchihashi M.
        Epidemiological study of the survival time of persons killed in road traffic accidents.
        Nihon Univ. J. Med. 1983; 25: 85
        • Young J.B.
        • Rowe J.W.
        • Palotta J.A.
        • et al.
        Enhanced plasma norepinephrine response to upright posture and oral glucose administration in elderly human subjects.
        Metabolism. 1980; 29: 532