A profile of a major trauma centre of North West England between 2011 and 2018

Abstract This study examined the trends and patterns of major trauma (MT) activities, causes, mortality and survival at the Aintree Major Trauma Centre (MTC), Liverpool, between 2011 and 2018. The number of trauma team activations (TTAs) rose sharply over time (n = 699 in 2013; n = 1522 in 2018). Th...

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Autores principales:	Raimundas Lunevicius, Mina Mesri
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6627cdf599e246a795637b86f37900ef
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spelling	oai:doaj.org-article:6627cdf599e246a795637b86f37900ef2021-12-02T13:33:51ZA profile of a major trauma centre of North West England between 2011 and 201810.1038/s41598-021-84266-x2045-2322https://doaj.org/article/6627cdf599e246a795637b86f37900ef2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84266-xhttps://doaj.org/toc/2045-2322Abstract This study examined the trends and patterns of major trauma (MT) activities, causes, mortality and survival at the Aintree Major Trauma Centre (MTC), Liverpool, between 2011 and 2018. The number of trauma team activations (TTAs) rose sharply over time (n = 699 in 2013; n = 1522 in 2018). The proportion of TTAs that involved MT patients decreased from 75.1% in 2013 to 67.4% in 2018. The leading cause of MT was a fall from less than 2 m (36%). There has been a fivefold increase in the overall number of trauma procedures between 2011 and 2018. Orthopaedic surgeons have performed 80% of operations (n = 7732), followed by neurosurgeons, oral and maxillofacial surgeons, and general trauma surgeons. Both types of fall (> 2 m and < 2 m) and road traffic accidents were the three leading causes of death during the study period. The observed mortality rates exceeded that of expected rates in years 2012, 2014, 2016 and 2017. The all-cause observed to expected mortality ratio was 1.08 between 2012 and 2018. A change in care for MT patients was not directly associated with improved survival, although the marginally ascending trend line in survival rates between 2012 and 2018 reflects a gradual positive change.Raimundas LuneviciusMina MesriNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Raimundas Lunevicius Mina Mesri A profile of a major trauma centre of North West England between 2011 and 2018
description	Abstract This study examined the trends and patterns of major trauma (MT) activities, causes, mortality and survival at the Aintree Major Trauma Centre (MTC), Liverpool, between 2011 and 2018. The number of trauma team activations (TTAs) rose sharply over time (n = 699 in 2013; n = 1522 in 2018). The proportion of TTAs that involved MT patients decreased from 75.1% in 2013 to 67.4% in 2018. The leading cause of MT was a fall from less than 2 m (36%). There has been a fivefold increase in the overall number of trauma procedures between 2011 and 2018. Orthopaedic surgeons have performed 80% of operations (n = 7732), followed by neurosurgeons, oral and maxillofacial surgeons, and general trauma surgeons. Both types of fall (> 2 m and < 2 m) and road traffic accidents were the three leading causes of death during the study period. The observed mortality rates exceeded that of expected rates in years 2012, 2014, 2016 and 2017. The all-cause observed to expected mortality ratio was 1.08 between 2012 and 2018. A change in care for MT patients was not directly associated with improved survival, although the marginally ascending trend line in survival rates between 2012 and 2018 reflects a gradual positive change.
format	article
author	Raimundas Lunevicius Mina Mesri
author_facet	Raimundas Lunevicius Mina Mesri
author_sort	Raimundas Lunevicius
title	A profile of a major trauma centre of North West England between 2011 and 2018
title_short	A profile of a major trauma centre of North West England between 2011 and 2018
title_full	A profile of a major trauma centre of North West England between 2011 and 2018
title_fullStr	A profile of a major trauma centre of North West England between 2011 and 2018
title_full_unstemmed	A profile of a major trauma centre of North West England between 2011 and 2018
title_sort	profile of a major trauma centre of north west england between 2011 and 2018
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/6627cdf599e246a795637b86f37900ef
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A profile of a major trauma centre of North West England between 2011 and 2018

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