Influence of a new province-wide trauma system on motor vehicle trauma care and mortality

The Journal of Trauma
John M TallonDavid Petrie

Abstract

Mature trauma systems have evolved to respond to high rates of major injury morbidity and mortality. Characterized by prehospital care, triage, transportation, aggressive resuscitation, surgery, and rehabilitation, trauma systems have been found to improve survival for seriously injured patients. In Nova Scotia, a province-wide trauma system was implemented between 1995 and 1998. This study investigated the influence of the province-wide trauma system on motor vehicle trauma care and mortality in its first 2 years of existence. Subjects over the age of 15 years were identified using E-codes pertaining to motor vehicle traffic crashes from population-based hospital claims and vital statistics data. Individuals who were hospitalized or died because of a motor vehicle crash in 1993 through 1994, before trauma system implementation, were compared with those who were hospitalized or died in 1999 through 2000, after the trauma system was implemented. In the 2-year period after trauma system implementation, there was a 21% increase in the number of seriously injured individuals with a primary admission to tertiary care. This increase was both clinically and statistically significant even after adjustment for age, gender, multiple inju...Continue Reading

References

Apr 11, 1990·JAMA : the Journal of the American Medical Association·J A MorrisS L Edelstein
Jun 1, 1993·Missouri Medicine·B Huffaker
Dec 1, 1998·JAMA : the Journal of the American Medical Association·J Zhang, K F Yu
Apr 27, 1999·The Journal of Trauma·J S SampalisD Mulder
Sep 25, 1999·The Journal of Trauma·N C MannC N Mock
Dec 22, 1999·Pain·R Dubner
May 2, 2000·JAMA : the Journal of the American Medical Association·A B NathensR V Maier
Aug 12, 2000·Epidemiologic Reviews·E J MacKenzie
May 24, 2001·The Journal of Trauma·A C Marson, J C Thomson
Apr 4, 2003·JAMA : the Journal of the American Medical Association·Donald D Trunkey

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Citations

Oct 7, 2008·Traffic Injury Prevention·Selma Maffei de AndradeMaria Luiza Hiromi Iwakura
Mar 7, 2009·Chest·Theodore J IwashynaDavid A Asch
Jan 25, 2012·Canadian Journal of Surgery. Journal Canadien De Chirurgie·John M TallonDavid Petrie
Sep 1, 2015·Injury·Conor DeasyUNKNOWN Major Trauma Audit Governance Committee, National Office of Clinical Audit, Ireland
Nov 23, 2006·Annals of Emergency Medicine·Jennifer M AhmedDavid A Petrie
Dec 2, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jennifer McVeyJohn M Tallon
Feb 2, 2018·The Journal of Trauma and Acute Care Surgery·Austin PorterRobert T Maxson
May 26, 2011·The Journal of Trauma·Ginette Thibault-HalmanDavid B Clarke
Nov 18, 2008·The Medical Journal of Australia·Peter A CameronJohn McNeil

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