Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10421
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dc.contributor.authorMcDermott, Frank Ten
dc.contributor.authorCordner, Stephen Men
dc.contributor.authorCooper, David Jamesen
dc.contributor.authorWinship, Victoria Cen
dc.date.accessioned2015-05-15T23:51:56Z
dc.date.available2015-05-15T23:51:56Z
dc.date.issued2007-08-01en
dc.identifier.citationThe Journal of Trauma; 63(2): 331-8en
dc.identifier.govdoc17693832en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/10421en
dc.description.abstractThe Consultative Committee's findings that preventable or potentially preventable (P/PP) death rates (survival prospects > or =25%) of road crash fatalities who received treatment were unaltered between 1992 and 1998 led to a Ministerial Taskforce on Trauma and the gradual introduction of a new Victorian trauma care system. The present study compares outcomes before (1997-1998) and after (2002-2004) the new system.The emergency and clinical management and death preventability of 245 consecutive fatalities in the 'before' period and 193 in the 'after' period was assessed by the committee's multidisciplinary panels using the complete hospital, ambulance, and autopsy findings.Emergency department admissions to expanded Major Trauma Services (MTS) increased from 34% to 62% (p < 0.05). More patients were attended by Advanced Trauma Life Support paramedics (p < 0.05) and scene times increased (p < 0.05). Patients admitted within 1 hour decreased from 70% to 45% (p < 0.05). The mean number of deficiencies per patient including those contributing to death was decreased (p < 0.05). The combined P/PP death rates decreased from 36% to 28% (22% relative risk reduction). The P/PP death rates for MTS, Metropolitan Trauma Services, Rural Trauma Services, and Urgent Care Centers for 2002 to 2004 were 25%, 33%, 50%, and 83%, respectively, and did not differ significantly from those of 1997 to 1998 (23%, 49%, 36%, 75%, respectively). The P/PP death rates in MTS were less than those of the other hospital groups.The new Victorian trauma care system has resulted in a significant decrease in deficiencies including those contributing to death and a decrease in P/PP deaths rates. The improvement has been largely consequent to a marked increase in admissions to MTS.en
dc.language.isoenen
dc.subject.otherAccidents, Traffic.mortalityen
dc.subject.otherAdolescenten
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherEmergency Medical Services.organization & administrationen
dc.subject.otherEmergency Service, Hospital.organization & administrationen
dc.subject.otherFemaleen
dc.subject.otherGlasgow Coma Scaleen
dc.subject.otherHealth Services Researchen
dc.subject.otherHospital Mortality.trendsen
dc.subject.otherHumansen
dc.subject.otherInjury Severity Scoreen
dc.subject.otherIntensive Care.organization & administrationen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherMultiple Trauma.diagnosis.mortality.therapyen
dc.subject.otherNeeds Assessmenten
dc.subject.otherOutcome Assessment (Health Care)en
dc.subject.otherPatient Care Team.organization & administrationen
dc.subject.otherProbabilityen
dc.subject.otherQuality Assurance, Health Careen
dc.subject.otherRegional Medical Programs.organization & administrationen
dc.subject.otherSurvival Analysisen
dc.subject.otherTrauma Centers.organization & administrationen
dc.subject.otherVictoria.epidemiologyen
dc.titleManagement deficiencies and death preventability of road traffic fatalities before and after a new trauma care system in Victoria, Australia.en
dc.typeJournal Articleen
dc.identifier.journaltitleThe Journal of traumaen
dc.identifier.affiliationDepartment of Surgery, Austin Health/Northern Health, The University of Melbourne, Heidelberg, Australiaen
dc.identifier.doi10.1097/TA.0b013e31806dc5c4en
dc.description.pages331-8en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/17693832en
dc.contributor.corpauthorConsultative Committee on Road Traffic Fatalities in Victoriaen
dc.type.austinJournal Articleen
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
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