A statewide system of trauma care in Victoria: effect on patient survival
Peter A Cameron, Belinda J Gabbe, D James Cooper, Tony Walker, Rodney Judson, John McNeil
MEDICAL JOURNAL OF AUSTRALIA | AUSTRALASIAN MED PUBL CO LTD | Published : 2008
OBJECTIVE: To determine whether the statewide system of trauma care introduced in 2000 has resulted in improved survival for all major trauma patients in Victoria. DESIGN, SETTING AND PARTICIPANTS: Population-based cohort study using data from the Victorian State Trauma Registry (VSTR), a registry of all hospitalised major trauma patients in Victoria. The study included major trauma patients with an Injury Severity Score > 15 captured by the VSTR between July 2001 and June 2006. MAIN OUTCOME MEASURE: In-hospital mortality. RESULTS: The number of major trauma cases captured by the registry rose from 1153 in 2001-02 to 1737 in 2005-06. Adjusting for key predictors of mortality, there was a sig..View full abstract
The VSTR is funded and approved by the Victorian Department of Human Services and the Transport Accident Commission. Belinda Gabbe was supported by a National Health and Medical Research Council (NHMRC) Career Development Award and James Cooper by an NHMRC Practitioner Fellowship. We would like to acknowledge the considerable help provided by VSTR staff and members of the Steering Committee over the study period: Chris Atkin, Bill Barger, Stephen Bernard, Warwick Butt, Lisa Collins, Greg Cooper, Alex Currell, Peter Danne, David Eddey, Caroline Finch, Andrew Hannaford, Thomas Kossmann, Sue McLellan, Robert Henning, Joan Ozanne-Smith, Karen Smith, Ann Sutherland, David Taylor, Jason Winnett, Mimi Morgan and Owen Williamson. We would also like to thank the data collectors at each hospital site for their contribution.