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Commitment to trauma in a low population density area

K M Gilmore, T P Clemmer, J F Orme

    The Journal of Trauma
    |October 1, 1981
    PubMed
    Summary
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    This study on blunt trauma patients found that a commitment to trauma care and regionalization significantly impacts patient outcomes. Effective triage of high-risk individuals to major trauma centers is crucial for improving survival rates.

    Area of Science:

    • Trauma Surgery
    • Emergency Medicine
    • Public Health

    Background:

    • Blunt trauma remains a significant cause of mortality and morbidity.
    • Effective trauma systems require efficient triage and specialized care.
    • Assessing patient outcomes is vital for system improvement.

    Purpose of the Study:

    • To evaluate the outcomes of blunt trauma patients treated at a regional hospital.
    • To identify factors influencing mortality and morbidity in trauma patients.
    • To assess the effectiveness of the Injury Severity Score (ISS) and Glasgow Coma Score (GCS) in predicting outcomes.

    Main Methods:

    • A prospective and retrospective study of 202 blunt trauma patients (ages 11-92).
    • Patients were admitted to intensive care units and scored using ISS and GCS.

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  • Outcomes were categorized into death, persistent morbidity, and successful rehabilitation.

    • Main Results:

    • The overall mortality rate was 14.8% (30 deaths), with a 12.9% persistent morbidity rate (26 patients).
    • Mean ISS was significantly higher for non-survivors (39) and those with morbidity (36) compared to rehabilitated patients (23).
    • Mean GCS scores correlated with outcomes: 7 for non-survivors, 10 for morbidity, and 12 for rehabilitated patients.

    Conclusions:

    • Commitment to trauma care and regionalization are key to effective trauma systems.
    • Rapid triage of high-risk patients to major trauma centers is essential.
    • Continued education for pre-hospital and hospital care providers is recommended.