| A comparison of major trauma patients transported to trauma centres vs. non-trauma centres in metropolitan Perth. | |
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MedLine Citation:
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PMID: 21334800 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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INTRODUCTION: Some major trauma patients in metropolitan Perth (area 5000km(2)) are initially transported to a secondary hospital (non-trauma centre), rather than directly to a tertiary hospital (trauma centre). They are subsequently transferred to a tertiary hospital. We compared outcomes from these different systems of care. METHODS: Major trauma (Injury Severity Score, ISS>15) data from the Trauma Registries, 1 July 1997-30 June 2006. Two groups were studied: group 1 (metropolitan major trauma transported directly to a tertiary hospital) and group 2 (metropolitan major trauma transported initially to a secondary hospital and then to a tertiary hospital). The primary endpoint was death. RESULTS: Group 1 (n=2005) and group 2 (n=1078) mean age (43.9±24.3 yrs vs. 39.1±24.3 yrs, p<0.0001) both with a median ISS=24 (p=0.084). Group 2 had significantly more head/neck injuries (p<0.0001) and significantly less thoracic, abdominal and pelvis/extremities injuries (p<0.0001). There were also a significantly greater total number of regions injured in group 1 vs. group 2 (p<0.0001). Mean times to definitive care were 59min vs. 4.5h, respectively (p<0.0001). After adjusting for age, ISS, RTS, total regions injured and time, the OR for death in group 2 was 0.99 (95% CI 0.58-1.68). CONCLUSION: There is an equivalent risk of major trauma death in these two systems of care. In our metropolitan area, we were unable to demonstrate a mortality benefit associated with time. |
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Authors:
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Daniel M Fatovich; Michael Phillips; Ian G Jacobs |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-2-18 |
Journal Detail:
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Title: Resuscitation Volume: - ISSN: 1873-1570 ISO Abbreviation: - Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-2-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Emergency Medicine, Royal Perth Hospital, University of Western Australia, Centre for Clinical Research in Emergency Medicine, Western Australian Institute for Medical Research, Australia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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