Or transferred (Figure 1). Ultimately, the functioning database of in-hospital severe trauma counted 11,704 circumstances, 892 (7.62 ) non-residents in Lombardia. Table 1 describes basic final results of data extraction. The severely injured sufferers hospitalised in Lombardia throughout a three years period have been the 0.80 of all hospital admissions, on average, 391 situations per million inhabitantsRegional HDR 2008-2010: all hospital admissions n = four,058,diagnoses 800-939.9 or 950-959.9 n = 307,Excluded: Males constituted 65.13 of those cases and showed a substantially longer hospital LOS, ICU-LOS and price of admission in ICU. Males showed also a larger value of reimbursement. All round mortality was 24.17 , with an incidence rate of 9.68100,000 per year. Surprisingly, mortality of males was decrease than in females. Substantial differences of these variables throughout the 3 years of your survey were not appreciated. The calculated incidence rate of hospital admissions for severe trauma was 40.06100,000 inhabitants per year (27.33 for females and 53.38 for males). The highest price was observed within the over 74 years age group (129.21100,000), whilst the lowest for young children in between 7 and 12 years (11.73100,000). In Table 2 individuals have been analysed as outlined by age groups. Overall, severe trauma affected adults: 4206 cases in age 05, 7495 circumstances immediately after 45 years. Mortality enhanced with age, reaching almost 50 in trauma victims older than 75 years. Similarly, hospital and ICU-LOS, price of admission to ICU and reimbursed DRG, all improved with age, with the higher levels in ages between 13 and 74 years. Around the contrary, pediatric instances (age group 02) have been only 482 in 3 years, with shorter ICU LOS, decreased mortality and reduce levels of reimbursement. All of those variations had been statistically important (p .0001, ANOVA). The cause of accident has been indicated in 72.98 of instances (Tables 3 and four) and “other mechanism”, roadrelated PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21261437 trauma, injured in domestic pertinences and atworkplace were the principal circumstances. As anticipated, accidents on the road and at the workplace had been the principal causes of trauma for males aging from 18 to 64 years. On the contrary, accidents in domestic pertinences elevated with age, being the principal reason for trauma just after 64 years, and old AG 879 chemical information ladies have been affected by far the most. Violence inflicted by other people (assault) or self-inflicted violence was rare in Lombardia and affected people 18 to 64 years old. In pediatric age most of instances had been domestic or road-related. Statistic evaluation demonstrated a important association at chi-square test in between gender and modality of trauma: males had a lot more occupational injuries, trauma on the road and injuries brought on by violence by others, though females had been far more subjected to domestic injuries and self inflicted violence. Furthermore, the age of exposure to injuries changed with gender. The mean age of females involved in domestic, road-related trauma and within the category of other modalities was drastically greater (Table 5). Age between gender was not different in accidents during working activities and injuries derived from violence. Similar differences of age between gender had been evident also in deceased patients (Table 6). Ladies who died after trauma were significantly older when the cause of death was an accident at work, around the road, violence by other individuals or selfinflicted, other mechanisms. Time distribution of deaths changed with cause of trauma (Table 7). On the contrary, deaths at function, on the road.