| Outcome of patients with neurotrauma: the effect of a regionalized trauma system. | |
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MedLine Citation:
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PMID: 7857235 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A system of regionalized trauma care was introduced to Sydney in early 1992. This study was carried out to assess the effect of regionalization on the outcome of patients suffering major head injury within the central Sydney area. A prospective before and after study extending over 3 years and centred on the time of designation of Royal Prince Alfred Hospital (RPAH) as a trauma centre, was the methodology used. The study group consisted of all patients admitted with head injury (Glasgow Coma Score < 9; admission systolic blood pressure > 90 mmHg; Injury Severity Score > 15) to RPAH from the central Sydney area. Outcome criteria include survival rates, transfer numbers, and time to definitive neurosurgical care. Fifty patients were entered during the first 18 months of the study, and 38 during the second 18 months. Fifteen in the first group required evacuation of intracranial mass lesions, as did nine in the second group. The overall mortality fell from 42 to 26% (P = 0.13). During the study period there were 77 primary retrievals and 20 required evacuation of mass lesions. The median time from injury to commencement of operation in these patients was 2 h 13 min (range 1 h 3 min-5 h 35 min). There were 11 transfers, four requiring craniotomy. The median time from injury to surgery was 7 h 24 min (range 3 h 2 min-10 h 25 min; P < 0.01).(ABSTRACT TRUNCATED AT 250 WORDS) |
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Authors:
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J Hunt; D Hill; M Besser; R West; S Roncal |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Australian and New Zealand journal of surgery Volume: 65 ISSN: 0004-8682 ISO Abbreviation: Aust N Z J Surg Publication Date: 1995 Feb |
Date Detail:
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Created Date: 1995-03-14 Completed Date: 1995-03-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0373115 Medline TA: Aust N Z J Surg Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 83-6 Citation Subset: IM |
Affiliation:
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Division of Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Brain Injuries / mortality*, surgery Cerebral Hemorrhage / surgery Female Glasgow Coma Scale Hematoma / surgery Hematoma, Subdural / surgery Humans Male Middle Aged New South Wales / epidemiology Outcome Assessment (Health Care)* Regional Medical Programs / organization & administration* Transportation of Patients Trauma Centers / organization & administration* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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