This paper is only available as a PDF. To read, Please Download here.
Abstract
One hundred and eighty-six cases of major trauma (Injury Severity Score > 15) admitted
to the two Leeds hospitals in 1988/89 were compared with 198 cases admitted in 1992/93
to ascertain if a system of trauma care which had evolved in the hospitals during
this time had affected outcome of these patients. Injury severity score, age, and
sex distribution were similar for the two groups. There were significantly fewer deaths
in 1992/93, particularly in those patients with a score less than 41. It would appear
that the emphasis, since 1988, on timely and definitive management of patients with
major trauma has led to improved survival of the seriously injured in Leeds.
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 accessOne-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:
Subscribe to InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Retrospective study of 1000 trauma deaths from injury in England and Wales.Br Med J. 1988; 296: 1305
- Advanced Trauma Life Support.Injury. 1993; 24: 147
- Organising an efficient trauma team.Injury. 1992; 23: 107
- Preliminary analysis of the care of the injured patients in 33 British hospitals: first report of the United Kingdom major trauma outcome study.Br Med J. 1992; 305: 737
- Major trauma workload within an English Health Region.Injury. 1995; 26: 25
- 2nd Ed. The Abbreviated Injury Scale. AAAM, Des Plaines, Illinois1990 (1990 revision)
- Scoring systems for trauma (ABC of major trauma).Br Med J. 1990; 301: 1090
- Evaluating trauma care: the TRISS method.J Trauma. 1987; 27: 370
- Improving the care of patients with major trauma in the accident and emergency department.Br Med J. 1990; 300: 1560
- Transfer of multiply injured patients for neurosurgical opinion: a study of the adequacy of assessment and resuscitation.Injury. 1993; 24: 333
- Variation in trauma resuscitation and its effect on patient outcome.Injury. 1992; 23: 111
- 2nd Ed. Clinical Epidemiology: A Basic Science for Clinical Medicine. Little, Brown, Boston1991
- Impact of regionalisation. The Orange County Experience.Arch Surg. 1983; 118: 740
- The North Staffordshire Trauma System.JR Coll Surg Edinb. 1993; 38: 248
- Improving trauma care in Trinidad and Tobago.W Indian Med J. 1994; 43: 36
- Prospective evaluation of the CRAMS scale for triaging major trauma.J Trauma. 1985; 25: 188
- The epidemiology of major injuries in Mersey Region and North Wales.Injury. 1995; 26: 51
- An incidence study of trauma in the North Staffordshire Health District from April 1989 to April 1990.(on behalf of the Trauma Research Group) School of Post Graduate Medicine and Biological Sciences. Keele University, 1991
- 2nd Ed. Mortality Statistics; Area, England and Wales. HMSO, London1989
Article info
Publication history
Accepted:
May 4,
1995
Identification
Copyright
© 1995 Published by Elsevier Inc.
