Abstract
Medical records of 822 inpatients and outpatients cared for by the Department of the Federal District medical services during the 1985 Mexico City earthquakes were reviewed. Record incompleteness varied between 92.8 percent and 14.0 percent for the various study variables. No gender differences were detected among the groups; more than 70.0 percent of the patients were ages 15 to 64 years. Multiple traumatic injuries were frequent for inpatients across age groups, while simple contusions were more frequent among outpatients. Multiple head traumas, thorax-abdomen multiple traumas, and simple fractures of an arm or leg were more frequently recorded for inpatients than for outpatients. Head wounds with contusions; simple contusion of the thorax-abdomen, arms, and legs; and psychological trauma were more frequently recorded for outpatients. Although a great many records were incomplete, the data may reflect what actually happened to these patients, given the similarity of the findings with other reports of disasters. Improved record keeping during emergencies is needed to standardize the quantity and the reliability of the data so that statistical and medical care requirements are soundly based. The use of standard questionnaires for data collection is stressed to facilitate the management of clinical and epidemiologic activities. Longitudinal studies are needed to determine patterns of physical injuries, psychological trauma, and survival.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Alexander D. Disease epidemiology and earthquake disaster. The example of Southern Italy after the 23 November 1980 earthquake. Soc Sci Med. 1982;16(22):1959–1969. doi: 10.1016/0277-9536(82)90399-9. [DOI] [PubMed] [Google Scholar]
- Bennet G. Bristol floods 1968. Controlled survey of effects on health of local community disaster. Br Med J. 1970 Aug 22;3(5720):454–458. doi: 10.1136/bmj.3.5720.454. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Campos M. A., González Block M. A., De León Torres C. S., Mora M. A., Sánchez Carrillo C., Frenk Mora J., Jiménez Guzmán J., Velázquez Arellano A. Prospectiva de los servicios de salud a partir de los sismos de Septiembre de 1985. Salud Publica Mex. 1986 Jan-Feb;28(1):95–111. [PubMed] [Google Scholar]
- De Bruycker M., Greco D., Lechat M. F., Annino I., De Ruggiero N., Triassi M. The 1980 earthquake in Southern Italy--morbidity and mortality. Int J Epidemiol. 1985 Mar;14(1):113–117. doi: 10.1093/ije/14.1.113. [DOI] [PubMed] [Google Scholar]
- Fitzgerald R. H., Jr Medical consequences of the earthquake of 1886 in Charleston, South Carolina. South Med J. 1985 Apr;78(4):458–462. doi: 10.1097/00007611-198504000-00024. [DOI] [PubMed] [Google Scholar]
- Glass R. I., Craven R. B., Bregman D. J., Stoll B. J., Horowitz N., Kerndt P., Winkle J. Injuries from the wichita falls tornado: implications for prevention. Science. 1980 Feb 15;207(4432):734–738. doi: 10.1126/science.207.4432.734. [DOI] [PubMed] [Google Scholar]
- Glass R. I., Urrutia J. J., Sibony S., Smith H., Garcia B., Rizzo L. Earthquake injuries related to housing in a guatemalan village. Science. 1977 Aug 12;197(4304):638–643. doi: 10.1126/science.197.4304.638. [DOI] [PubMed] [Google Scholar]
- Koegler R. R., Hicks S. M. The destruction of a medical center by earthquake. Initial effects on patients and staff. Calif Med. 1972 Feb;116(2):63–67. [PMC free article] [PubMed] [Google Scholar]
- Lechat M. F. Disaster epidemiology. Ann Soc Belg Med Trop. 1976;56(4-5):193–197. [PubMed] [Google Scholar]
- Logue J. N., Melick M. E., Hansen H. Research issues and directions in the epidemiology of health effects of disasters. Epidemiol Rev. 1981;3:140–162. doi: 10.1093/oxfordjournals.epirev.a036231. [DOI] [PubMed] [Google Scholar]
- Newman C. J. Disaster at Buffalo Creek. Children of disaster: clinical observations at Buffalo Creek. Am J Psychiatry. 1976 Mar;:306–312. doi: 10.1176/ajp.133.3.306. [DOI] [PubMed] [Google Scholar]
- Sánchez-Carrillo C. I., Moreno-Sánchez A. R. La morbimortalidad debida a los sismos de septiembre de 1985 en la ciudad de México. Salud Publica Mex. 1987 Sep-Oct;29(5):389–398. [PubMed] [Google Scholar]
- Tapia Conyer R., Sepúlveda Amor J., Medina Mora M. E., Caraveo J., de la Fuente J. R. Prevalencia del síndrome de estrés postraumático en la población sobreviviente a un desastre natural. Salud Publica Mex. 1987 Sep-Oct;29(5):406–411. [PubMed] [Google Scholar]
- Titchener J. L., Kapp F. T. Disaster at Buffalo Creek. Family and character change at Buffalo Creek. Am J Psychiatry. 1976 Mar;133(3):295–299. doi: 10.1176/ajp.133.3.295. [DOI] [PubMed] [Google Scholar]