{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T15:51:43Z","timestamp":1792511503895,"version":"4.5.0"},"reference-count":38,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,8,7]],"date-time":"2014-08-07T00:00:00Z","timestamp":1407369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,8,7]],"date-time":"2014-08-07T00:00:00Z","timestamp":1407369600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2014,8,7]],"date-time":"2014-08-07T00:00:00Z","timestamp":1407369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>\nData on time\u2010based trauma mortality (TTM) patterns in developing countries are lacking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Our objective was to analyze the TTM in a newly established trauma center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>\nA retrospective analysis of all trauma\u2010related mortality between 2010 and 2012 was conducted in Qatar. Based on the time of injury, deceased cases were categorized into immediate (pre\u2010hospital), early (first 24 h), and late (&gt;24 h) groups. TTM was analyzed and compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 4,966 trauma patients were admitted to the trauma center over 3 years; of them, 333 trauma\u2010related deaths (6.8 %) were documented and reviewed. The death pattern peaked immediately post\u2010trauma (<jats:italic>n<\/jats:italic> = 142), followed by 96 deaths within the first 24 h, 19 deaths within the time period &gt;24 to 48 h, 50 deaths within the 3rd and 7th day (second peak), and 26 deaths after the 1st week. The majority of the deceased were males, with a mean age of 36 \u00b1 17 years. Motor vehicle crashes (43.5 %) were the commonest mechanism of injury. At presentation, median injury severity score (ISS) was 32 (range 9\u201375). Bleeding, abdominal, and pelvic injuries were higher in the early group, whereas head injuries were observed more in the late mortality group. Co\u2010morbidities and in\u2010hospital complications were predominantly encountered in the late group. Head injury (odds ratio [OR] 3.760; 95 % confidence interval [CI] 1.311\u201310.797) was an independent predictor for late death, whereas the need for blood transfusion was a predictor for early death (OR 3.233; 95 % CI 1.125\u20139.345).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The distribution of mortality shows a bimodal pattern. The high rate of death at the scene highlights the importance of pre\u2010hospital care and the need for injury prevention programs.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-014-2705-x","type":"journal-article","created":{"date-parts":[[2014,8,6]],"date-time":"2014-08-06T16:24:18Z","timestamp":1407342258000},"page":"2804-2812","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Time\u2010Based Trauma\u2010Related Mortality Patterns in a Newly Created Trauma System"],"prefix":"10.1002","volume":"38","author":[{"given":"Husham","family":"Abdelrahman","sequence":"first","affiliation":[{"name":"Section of Trauma Surgery, Department of Surgery Hamad General Hospital Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayman","family":"El\u2010Menyar","sequence":"additional","affiliation":[{"name":"Section of Trauma Surgery, Clinical Research Hamad General Hospital PO box 3050 Doha Qatar"},{"name":"Clinical Medicine Weill Cornell Medical College Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Al\u2010Thani","sequence":"additional","affiliation":[{"name":"Section of Trauma Surgery, Department of Surgery Hamad General Hospital Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Consunji","sequence":"additional","affiliation":[{"name":"Section of Trauma Surgery, Department of Surgery Hamad General Hospital Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Zarour","sequence":"additional","affiliation":[{"name":"Section of Trauma Surgery, Department of Surgery Hamad General Hospital Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruben","family":"Peralta","sequence":"additional","affiliation":[{"name":"Section of Trauma Surgery, Department of Surgery Hamad General Hospital Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok","family":"Parchani","sequence":"additional","affiliation":[{"name":"Section of Trauma Surgery, Department of Surgery Hamad General Hospital Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rifat","family":"Latifi","sequence":"additional","affiliation":[{"name":"Section of Trauma Surgery, Department of Surgery Hamad General Hospital Doha Qatar"},{"name":"Department of Surgery University of Arizona Tucson AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,7]]},"reference":[{"key":"e_1_2_7_2_2","volume-title":"The world health report 2001: mental health: new understanding, new hope","author":"World Health Organization","year":"2001"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010007\u20106097\u20106"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u2010227X\u201012\u20103"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/scientificamerican0883\u201028"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000199961.02677.19"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010200111000\u201000003"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313480206801002"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000145586.23276.0F"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1873\u20109598(08)70003\u20106"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010199502000\u201000006"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2013.11928934"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010009\u20100266\u20101"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010199709000\u201000008"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev\u20102011\u2010040147"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010199712000\u201000009"},{"key":"e_1_2_7_17_2","unstructured":"Association for the advancement of automotive medicine(2011)About AIS.http:\/\/www.aaam.org\/about\u2010ais.html. Accessed 2 June 2014"},{"key":"e_1_2_7_18_2","unstructured":"NanceML(2012) National Trauma Data Bank 2012. Annual report.American College of Surgeons.http:\/\/www.facs.org\/trauma\/ntdb\/pdf\/ntdb\u2010annual\u2010report\u20102012.pdfAccessed 31 Dec 2013"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2010.11928649"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020\u20101383(03)00246\u20108"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072\u20107515(98)00082\u20109"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2009.085613"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010013\u20100278\u20102"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.05.022"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.4103\/1947\u20102714.125855"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.10.004"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399\u20106576.2010.02266.x"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.140.5.432"},{"key":"e_1_2_7_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc6111"},{"key":"e_1_2_7_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181623321"},{"key":"e_1_2_7_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000234655.83517.56"},{"key":"e_1_2_7_32_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445\u20102197.2005.03484.x"},{"key":"e_1_2_7_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000060261.10597.5C"},{"key":"e_1_2_7_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313480407000418"},{"key":"e_1_2_7_35_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000153935.18997.14"},{"key":"e_1_2_7_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(80)90431\u20106"},{"key":"e_1_2_7_37_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1993.01420170107016"},{"key":"e_1_2_7_38_2","first-page":"16","article-title":"The resuscitation and stabilization of major multiple trauma patients in a trauma center environment","volume":"83","author":"Cowley RA","year":"1976","journal-title":"Clin Med"},{"key":"e_1_2_7_39_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010199209000\u201000018"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-014-2705-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-014-2705-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-014-2705-x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-014-2705-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T23:20:11Z","timestamp":1703632811000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-014-2705-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,7]]},"references-count":38,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["10.1007\/s00268-014-2705-x"],"URL":"https:\/\/doi.org\/10.1007\/s00268-014-2705-x","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8,7]]},"assertion":[{"value":"7 August 2014","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}