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Updated: Jun 11, 2026
08:59
A Novel In Vitro Model of Blast Traumatic Brain Injury
Published on: December 21, 2018
Deaths from trauma in London--a single centre experience
Dane Chalkley1, Grace Cheung, Michael Walsh
1Department of Emergency Medicine, Royal London Hospital, London, UK.
Emergency Medicine Journal : EMJ
|June 29, 2010
Summary
UK trauma mortality is predominantly from blunt injuries, not violent crime. Improved trauma systems and increased patient volumes led to a significant decrease in death rates over a four-year period.
Area of Science:
- Trauma Surgery
- Emergency Medicine
- Public Health
Background:
- UK trauma data collection is voluntary, leading to deficiencies in trauma mortality data.
- A maturing trauma-receiving hospital serving an inner-city population aimed to describe contemporary mortality patterns.
Purpose of the Study:
- To provide a contemporary description of mortality in a trauma-receiving hospital.
- To analyze trends in trauma mortality over a five-year period.
Main Methods:
- Analysis of a prospectively maintained registry of trauma patients admitted between 2004 and 2008.
- Data collected included demographics, injury mechanism, and time, location, and cause of death.
Main Results:
- 4243 complete cases from 4986 trauma team activations were analyzed.
- All-cause mortality decreased from 8.8% to 5.8% (p=0.0075) as patient volumes increased.
- Blunt trauma (79% of admissions) accounted for 87% of mortality, with central nervous system injury and hemorrhage as leading causes.
Conclusions:
- Blunt trauma remains the primary cause of trauma mortality, despite focus on violent crime.
- Maturation of trauma care systems, increased patient volumes, and developed clinical infrastructure are associated with reduced mortality.
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