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Impact of regionalization. The Orange County experience
Implementing a regional trauma system in Orange County significantly reduced preventable motor vehicle trauma deaths. The new system also increased appropriate surgical interventions for trauma patients.
Area of Science:
- Trauma care systems
- Public health
- Emergency medicine
Background:
- 73% of in-hospital, non-central nervous system (CNS) deaths from motor vehicle trauma in Orange County were preventable prior to 1980.
- A regional trauma care system with designated trauma centers was established in Orange County in June 1980.
Purpose of the Study:
- To evaluate the effectiveness of the newly established regional trauma care system.
- To assess changes in preventable trauma deaths and surgical intervention rates.
Main Methods:
- Utilized the autopsy method to review trauma deaths.
- Compared data from the first year of the new system (post-June 1980) with previous studies (1974, 1978-1979).
- Analyzed motor vehicular trauma cases in Orange County.
Main Results:
- A significant reduction in the number of deaths judged to be preventable was observed.
- An increase in the percentage of patients receiving appropriate surgical intervention was noted.
- Indicates a more aggressive approach to treating traumatized patients.
Conclusions:
- The regional trauma system in Orange County has been effective in reducing preventable deaths.
- The system has improved the management and outcomes of motor vehicle trauma patients.
- Further emphasizes the importance of organized trauma care systems.
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