[Postoperative wound infections in orthopedic surgery. The "incidence of infection" is underestimated].
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Biomedical subjects
Publications and source records attributed to P G Hansson.
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Epidemiological studies of accidents are based on the methods used in studying contagious diseases together with time factors. Essential is the understanding of the interrelations between these factors. Difficulties in obtaining a complete material must be considered as all sources used today have limitations.
The official data on traffic victims are based on police-reported accidents. Many authors have shown that these data are not fully representative. In order to obtain reliable accident statistics, it is suggested that these be based primarily on injured persons with long-term consequences.
AIS and ISS are the scales almost exclusively used today in accident research for estimating severity of injury and mortality. The limitations in these scales are discussed. These limitations are considered in the new Probability of Death Score (PODS).
Injury scaling is an important issue in the traffic safety field. A comparison was made between the severity of injuries as graded according to the Abbreviated Injury Scale (AIS) and the severity 5 years after the accident. It was found that among persons with permanent medical disability greater than or equal to 10%, 20% were given an AIS score of 1, i.e. they were initially judged as having a slight injury. This implies that the AIS scale needs to be re-evaluated to take into account possible long-term consequences.
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425 road traffic casualties, all covered by the National Insurance Scheme, were followed up regarding duration of inability to work. The average for the whole group was 35 days. There was a close relation between seriousness of injury and time off work. Motorcyclists had the longest time off work and cyclists injured in bicycle accidents the shortest. Casualties with orthopaedic injuries were off work for 120 days, on average, and accounted for 67% of the total paid sick-leave, although they constituted only 20% of those injured. The responsibility for the treatment of trauma is discussed.
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