Paper| Volume 23, ISSUE 6, P393-396, 1992

Download started.


Trauma deaths in the South West Thames Region

      This paper is only available as a PDF. To read, Please Download here.


      This is an epidemiological study based on Coroners' records analysing mode of injury and place and cause of death. The aim of the study is to provide data on the incidence and patterns of death from trauma and to assess the need for changes in trauma management. All traumatic deaths occurring in the South West Thames Region during 1988 were studied. We analysed 434 of these deaths (mean age 52 years) in some detail. Of the deaths, 59 per cent occurred before arrival at hospital. Road traffic accidents are the commonest cause of death from trauma, being most prevalent in the areas containing major trunk roads. The majority of deaths due to chest injury (79 per cent) and multiple injuries (70 per cent) occurred before arrival at a hospital, whereas the majority of deaths due to head injury (63 per cent) occurred after admission. The majority of deaths from trauma occur before arrival at a hospital, particularly in the semi-rural areas. Improvements in hospital trauma care could have only a limited effect on the death rate in existing circumstances. If important reductions in deaths from severe injury are to be made then prevention and prehospital care need to be improved.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Anderson I.D.
        • Woodford M.
        • De Dombal F.T.
        • Irving M.
        Retrospective study of 1000 deaths from injury in England and Wales.
        Br. Med. J. 1988; 296: 1305
        • Baker C.C.
        • Oppenheimer L.
        • Stephens B.
        • et al.
        Epidemiology of trauma deaths.
        Am. J. Surg. 1980; 140: 144
        • Bull J.P.
        The injury severity score of road traffic casualties in relation to mortality, time of death, hospital treatment time and disability.
        Accid. Anal. Prev. 1987; 7: 249
        • Commission on the provision of surgical services
        Report of the Working Party on the management of patients with major injuries. Royal College of Surgeons of England, London1988
        • Court-Brown C.M.
        Care of accident victims.
        Br. Med. J. 1989; 298: 115
        • Ingham Clark C.L.
        • Tabone-Vassallo M.
        Major trauma: a district general hospital experience.
        Br. J. Surg. 1991; 78: 230
      1. International Classification of diseases, 1975 revision. World Health Organisation, Geneva1977
        • Kinny S.J.
        • Jones D.H.A.
        Truama services requirements in a district general hospital serving a rural area.
        Br. Med. J. 1990; 300: 504
        • Phair I.C.
        • Barnes M.R.
        • Barton D.J.
        • et al.
        Deaths following trauma: an audit of performance.
        Ann. Coll. Surg. Engl. 1991; 73: 53
      2. South West Thames Regional Major Incident Procedure. Operational Plan. 1988
        • Tiret L.
        • Garros B.
        • Maurette P.
        • et al.
        Incidence, causes and severity of injuries in Acquitaine France: a community based study of hospital admissions and deaths.
        Am. J. Public Health. 1989; 79: 316
        • Trauma Subcommittee of the British Orthopaedic Association
        The management of trauma in Great Britain.
        British Orthopaedic Association, London1988