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Int Emerg Nurs. 2015 Jan;23(1):17-21. doi: 10.1016/j.ienj.2014.09.006. Epub 2014 Oct 16.

Ten years of trauma in the 'top end' of the Northern Territory, Australia: a retrospective analysis.

Author information

1
National Critical Care and Trauma Response Centre, Royal Darwin Hospital, PO Box 41326, Casuarina, NT 0811, Australia. Electronic address: christopher.gowing@nt.gov.au.
2
National Critical Care and Trauma Response Centre, Royal Darwin Hospital, PO Box 41326, Casuarina, NT 0811, Australia.
3
Menzies School of Health Research, PO Box 41096, Casuarina, NT 0811, Australia.

Abstract

AIM:

To examine characteristics of traumatic injury in adults and children at the Royal Darwin Hospital (RDH) over a 10 year period.

METHOD:

A retrospective review of the RDH Trauma Registry data from 1 January 2003 to 31 December 2012, with analysis of patient demographics, mechanism of injury, Injury Severity Score (ISS), and outcome.

PARTICIPANTS:

Two thousand seven hundred twenty-five patients with an ISS greater than or equal to 9 and met all other study inclusion criteria.

RESULTS:

Motor vehicle crashes, assaults and falls consistently remained the three most common mechanisms of injury throughout the 10 year period. Indigenous admissions showed a significant downward trend (p = 0.009). Upward trends were noted in presentations from patients aged greater than 44 (p = 0.002), all-terrain vehicle accidents (p <0.001), and hangings (p = 0.003). No other trends were noted to significant at a p <0.05 level. Admitted Indigenous patients were significantly more likely to be present due to assault (p <0.001) and female patients were more likely to present due to assault, falls and motor vehicle crashes (p <0.01) than their counterparts.

CONCLUSION:

Presentations for traumatic injury to Royal Darwin Hospital have remained in the most part, consistently stable for the period of 2003-2012. Though there were some increases/decreases in regard to specific demographics and mechanisms, few were found to be statistically significant at a p < 0.05 level.

KEYWORDS:

Australia; ISS; Indigenous; Mechanism of injury; Northern Territory; Royal Darwin Hospital; Top end; Trauma

PMID:
25455905
DOI:
10.1016/j.ienj.2014.09.006
[Indexed for MEDLINE]

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