Trauma Admissions of all Severities in the Te Manawa Taki Region: A 10-Year Review
Authors List
Christey, G., Te Manawa Taki Trauma System, Te Whatu Ora Waikato & Waikato Clinical School, University of Auckland, Hamilton, New Zealand
Soysa, I., Te Manawa Taki Trauma System, Te Whatu Ora Waikato, Hamilton, New Zealand
Smith, A., Te Manawa Taki Trauma System, Te Whatu Ora Waikato, Hamilton, New Zealand
Introduction
Trauma is significant public health concern, and is recognised as a major cause of death and disability across the globe and in NZ (Vos et al. 2020; Langley and McLoughlin 1989). Despite the high incidence, this is the first long-term regional review of characteristics of trauma patients of all severities admitted to hospital within a health region in NZ.
Aims
To investigate the volume, characteristics, and resource allocation of Te Manawa Taki (TMT) residents hospitalised with an injury over a 10-year period.
Methods
A retrospective review of TMT Trauma Registry data between January 1, 2013 and December 31, 2022 was conducted. Eligible patients were TMT residents hospitalised with an injury.
Results
Of all patients (60,753), 4,781 were high severity trauma (ISS > 12), 6,203 were moderate (ISS 9-12), and 49,769 (81.9%) were low. Trauma related hospitalisations were dominated by males (62.6%) and Europeans (63.2%). The proportion of moderate and severe trauma combined increased noticeably from early teenage years onwards. However, paediatric trauma, with the exception of infants 0-1 year, was dominated by low severity trauma. Older persons (above 64 years) had an increase in the proportion of moderate trauma. The most common cause of injury among all severity cases was falls (n = 23,687) while the road traffic crash (n = 1,441; 37.5%) with severe trauma. There were 756 transfers to out-of-region facilities for acute-care.
Conclusion
There is significant variation in the characteristics of trauma patients admitted to TMT hospitals over the last decade. This has implications for inpatient services, inter-hospital processes, rehabilitation and prevention that will guide future actions and resource allocation to reduce inequities.
References
Vos T, et al. (2020). Global burden of 369 diseases and injuries in_204_countries_and_territories, 1990‑2019: a systematic_analysis. The_Lancet. 396:1204-22.
Langley JD, McLoughlin E.(1989). Injury mortality and morbidity in NZ. Accid Anal Prev, 21(3):243-54.
Christey, G., Te Manawa Taki Trauma System, Te Whatu Ora Waikato & Waikato Clinical School, University of Auckland, Hamilton, New Zealand
Soysa, I., Te Manawa Taki Trauma System, Te Whatu Ora Waikato, Hamilton, New Zealand
Smith, A., Te Manawa Taki Trauma System, Te Whatu Ora Waikato, Hamilton, New Zealand
Introduction
Trauma is significant public health concern, and is recognised as a major cause of death and disability across the globe and in NZ (Vos et al. 2020; Langley and McLoughlin 1989). Despite the high incidence, this is the first long-term regional review of characteristics of trauma patients of all severities admitted to hospital within a health region in NZ.
Aims
To investigate the volume, characteristics, and resource allocation of Te Manawa Taki (TMT) residents hospitalised with an injury over a 10-year period.
Methods
A retrospective review of TMT Trauma Registry data between January 1, 2013 and December 31, 2022 was conducted. Eligible patients were TMT residents hospitalised with an injury.
Results
Of all patients (60,753), 4,781 were high severity trauma (ISS > 12), 6,203 were moderate (ISS 9-12), and 49,769 (81.9%) were low. Trauma related hospitalisations were dominated by males (62.6%) and Europeans (63.2%). The proportion of moderate and severe trauma combined increased noticeably from early teenage years onwards. However, paediatric trauma, with the exception of infants 0-1 year, was dominated by low severity trauma. Older persons (above 64 years) had an increase in the proportion of moderate trauma. The most common cause of injury among all severity cases was falls (n = 23,687) while the road traffic crash (n = 1,441; 37.5%) with severe trauma. There were 756 transfers to out-of-region facilities for acute-care.
Conclusion
There is significant variation in the characteristics of trauma patients admitted to TMT hospitals over the last decade. This has implications for inpatient services, inter-hospital processes, rehabilitation and prevention that will guide future actions and resource allocation to reduce inequities.
References
Vos T, et al. (2020). Global burden of 369 diseases and injuries in_204_countries_and_territories, 1990‑2019: a systematic_analysis. The_Lancet. 396:1204-22.
Langley JD, McLoughlin E.(1989). Injury mortality and morbidity in NZ. Accid Anal Prev, 21(3):243-54.
