Trauma mortality in Orange County: the effect of implementation of a regional trauma system

Ann Emerg Med. 1984 Jan;13(1):1-10. doi: 10.1016/s0196-0644(84)80375-3.

Abstract

One hundred eighteen deaths from motor vehicle accidents were reviewed retrospectively to evaluate the effect of implementation of a regional trauma system. Fifty-eight deaths occurring prior to implementation and 60 occurring after were reviewed by teams of four physicians. Following implementation the proportion of potentially salvageable deaths dropped from 34% (20/58) to 15% (9/60) (P less than .02). Seven of the nine potentially salvageable deaths occurred in 13 patients treated in non-trauma facilities (54%), while only two potentially salvageable deaths occurred in 47 patients treated in trauma facilities (4%) (P less than .0002). The median age of patients dying of trauma rose from 22 to 27 years (P less than .04); the median Injury Severity Score rose from 42.5 to 52.0 (P less than .03). The 1981 death rate for vehicular trauma dropped to 13.93 per 100,000 population compared to a projected rate of 15.72 (P less than .03); the 1982 rate dropped to 12.37 compared to a projected rate of 15.80 (P less than .02). Implementation of a regional trauma system has resulted in significant improvements in trauma care and a reduction in the death rate from vehicular trauma.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Accidents, Traffic*
  • Adolescent
  • Adult
  • Aged
  • California
  • Child, Preschool
  • Emergency Service, Hospital
  • Female
  • First Aid
  • Humans
  • Male
  • Middle Aged
  • Outcome and Process Assessment, Health Care*
  • Regional Health Planning*
  • Resuscitation
  • Time Factors
  • Transportation of Patients
  • Trauma Centers*
  • Wounds and Injuries / mortality*
  • Wounds and Injuries / therapy