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World Journal of Surgery

, Volume 41, Issue 8, pp 2000–2005 | Cite as

Trends in Procedures at Major Trauma Centres in New South Wales, Australia: An Analysis of State-Wide Trauma Data

  • Matthew OliverEmail author
  • Michael M. Dinh
  • Kate Curtis
  • Royce Paschkewitz
  • Oran Rigby
  • Zsolt J. Balogh
Original Scientific Report

Abstract

Objectives

To describe the trend in major trauma surgical procedures and interventional radiology in major trauma patients in Australia over the past 6 years.

Methods

This was a retrospective review of adult major trauma (Injury Severity Score greater than 15) patients using the New South Wales Statewide Trauma Registry between 2009 and 2014. Major trauma surgical procedures were classified into abdominal, neurosurgery, cardiothoracic and interventional radiology. The proportion of patients undergoing such procedures per year was the outcome of interest.

Results

There were around ten thousand cases analysed. The proportion of cases undergoing interventional radiology procedures increased from 1% in 2009 to around 6% in 2014. Other major trauma surgical procedures remained stable. Only around 100 laparotomies were performed in 2014. The predictors of having an IR procedure performed were increasing from 2009 (OR 1.5 95% CI 1.4, 1.6 p < 0.001), hypotension (OR 1.5 95% CI 1.1, 2.1 n = 0.01), severe abdominal injury (OR 4.2 95% CI 3.2, 5.3 p < 0.001) and lower limb (including pelvic) injury (OR 3.8 95% CI 3.0, 4.7 p < 0.001).

Conclusion

There has been a rapid increase in the use of interventional radiology over the past few years which will need to be addressed in future trauma service planning and models of care.

Keywords

Injury Severity Score Trauma Centre Major Trauma Pelvic Injury Interventional Radiology Procedure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with ethical standards

Conflicts of interest

There are no conflicts of interest or financial disclosures.

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Copyright information

© Société Internationale de Chirurgie 2017

Authors and Affiliations

  • Matthew Oliver
    • 1
    Email author
  • Michael M. Dinh
    • 1
  • Kate Curtis
    • 2
  • Royce Paschkewitz
    • 3
  • Oran Rigby
    • 4
  • Zsolt J. Balogh
    • 5
  1. 1.Department of Trauma Services, Royal Prince Alfred Hospital, Sydney Medical SchoolThe University of SydneySydneyAustralia
  2. 2.St George Hospital, Sydney Nursing SchoolThe University of SydneySydneyAustralia
  3. 3.Radiology Department, Royal Prince Alfred Hospital, Sydney Medical SchoolThe University of SydneySydneyAustralia
  4. 4.Institute of Trauma and Injury ManagementNew South Wales Agency for Clinical InnovationSydneyAustralia
  5. 5.Department of Traumatology, John Hunter HospitalUniversity of NewcastleSydneyAustralia

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