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Abstract
A retrospective trauma audit of 267 consecutive patients presenting to the resuscitation
room of an accident and emergency department identified 107 (M = 0.73) patients with
CNS predominant injuries in a period of 1 year. The mortality rate was 33 per cent.
Application of the TRISS method indicated that 18 (51 per cent) of the 35 deaths (Z
= 5.74, P < 0.001) were mathematically unexpected; no unexpected survivors were identified.
Subsequent peer review agreed that death was preventable in 11 cases. The peer panel
suggested that the lack of an on-site neurosurgical service may have affected the
outcome of this group of patients adversely.
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Article info
Publication history
Accepted:
January 11,
1991
Identification
Copyright
© 1991 Published by Elsevier Inc.