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World Journal of Surgery
Published in: World Journal of Surgery 8/2017

01-08-2017 | Original Scientific Report

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

Authors: Matthew Oliver, Michael M. Dinh, Kate Curtis, Royce Paschkewitz, Oran Rigby, Zsolt J. Balogh

Published in: World Journal of Surgery | Issue 8/2017

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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.
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Metadata
Title
Trends in Procedures at Major Trauma Centres in New South Wales, Australia: An Analysis of State-Wide Trauma Data
Authors
Matthew Oliver
Michael M. Dinh
Kate Curtis
Royce Paschkewitz
Oran Rigby
Zsolt J. Balogh
Publication date
01-08-2017
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 8/2017
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-017-3993-8

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