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|Title:||Risk of death among cases attending South Australian major trauma services after severe trauma: the first 4 years of operation of a state trauma system|
|Citation:||Journal of Trauma-Injury Infection and Critical Care, 2002; 53(2):333-339|
|Publisher:||Lippincott Williams & Wilkins|
|Brennan, Peter W ; Everest, Evan R ; Griggs, William M ; Slater, Anthony ; Carter, Libby ; Lee, Christine ; Semmens, Julie K ; Wood, Debra J ; Nguyen, Anh-minh T ; Owen, Dorothy L ; Pilkington, Prudence ; Roder, David M ; Somers, Ronald L|
|Abstract:||<h4>Background</h4>Factors predictive of death at South Australian major trauma services were investigated among 8,654 patients who had experienced severe trauma from 1997 to 2000.<h4>Method</h4>Univariate and multivariate analyses of age, sex, injury severity, presence of comorbid conditions, and calendar year of presentation were performed.<h4>Results</h4>Multiple logistic regression indicated that factors predictive of death were older age; higher injury severity as indicated by the New Injury Severity Score and the Revised Trauma Score; and accompanying chronic liver disease, ischemic heart disease, and chronic renal failure. A decrease in risk of death by calendar year was statistically significant (p = 0.001). Using 1997 as the reference, the relative odds of death were 0.86 (95% confidence limits) (0.53, 1.39) for 1998, 0.60 (0.36, 0.99) for 1999, and 0.45 (0.27, 0.76) for 2000.<h4>Conclusion</h4>Results show a decrease in risk of death of patients attending South Australian major trauma services, from injuries of equivalent severity, during the first 4 years of operation of the State Trauma System.|
|Keywords:||Humans; Wounds and Injuries; Trauma Severity Indices; Multivariate Analysis; Logistic Models; Risk; Statistics, Nonparametric; Comorbidity; Adolescent; Adult; Aged; Middle Aged; Emergency Medical Services; Organizational Innovation; Quality of Health Care; South Australia; Female; Male|
|Appears in Collections:||Paediatrics publications|
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