https://ogma.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:19101 Sat 24 Mar 2018 08:05:15 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:19658 15. Patients were identified from the trauma registry, and data for age, sex, mechanism of injury, ISS, survival to discharge, and length of stay were collected. Mortality was examined for patients with severe injury (ISS > 15) and patients with critical injury (ISS > 24) and compared for the three periods: 2002–2004 (without trauma specialist), 2005–2007 (with trauma specialist), and 2008–2011 (with specialist trauma service). Results: A total of 3,869 severely injured (ISS > 15) trauma patients were identified during the 10-year period. Of these, 2,826 (73%) were male, 1,513 (39%) were critically injured (ISS > 24), and more than 97% (3,754) were the victim of blunt trauma. Overall mortality decreased from 12.4% to 9.3% (relative risk, 0.75) from period one to period three and from 25.4% to 20.3% (relative risk, 0.80) for patients with critical injury. A 0.46% per year decrease (p = 0.018) in mortality was detected (odds ratio, 0.63; p < 0.001). For critically injured (ISS > 24), the trend was (0.61% per year; odds ratio, 0.68; p = 0.039). Conclusion: The introduction of a specialist trauma service decreased the mortality of patients with severe injury, the model of care should be considered to implement state- and nationwide in Australia. Level of Evidence: Epidemiologic study, level III.]]> Sat 24 Mar 2018 08:01:13 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:20061 Sat 24 Mar 2018 08:00:04 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:20294 Sat 24 Mar 2018 07:55:15 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:29522 Sat 24 Mar 2018 07:32:30 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:23582 Sat 24 Mar 2018 07:12:44 AEDT ]]>