NSW Trauma Minimum Data Set
2002 Annual Report
NSW DEPARTMENT OF HEALTH
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November 2004
Acknowledgments
The NSW Institute of Trauma and Injury Management
would like to thank the following people for their
expertise, data collection, support, enthusiasm and
energy in the establishment of the NSW Trauma
Minimum Data Set.
Trauma Network CommitteeMs Libby Braybrooks
Ms Michel Burrowes
Ms Erica Caldwell
Ms Louise Carter
Ms Lisa Chytra
Ms Kate Curtis
Ms Julie Evans
Ms Fiona Fahey
Mr Peter Grove
Ms Linda Gutierrez
Ms Elizabeth Halcomb
Ms Celine Hill
Ms Alicia Jackson
Ms Patricia Manglick
Ms Nadia Nocera
Ms Kerry Quinn
Ms Sue Roncal
Ms Joanne Sheedy
Ms Rachel West
Ms Rachel Zordan
NSW Institute of Trauma and Injury ManagementProf Danny Cass
Ms Trish McDougall
Mr David Martens
Ms Christine Allsopp
Ms Margaret Perrett
Mrs Karyn Dakin
Ms Andrea Delprado
Mr Rod Isaacs
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report i
Contents
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report iii
Acknowledgments..................................................i
Executive summary...............................................1
Data summary.........................................................3
Trauma service statistics....................................7
General profile........................................................7
Motor vehicle accidents (MVA) ....................................10
Motor bike accidents (MBA) ........................................11
Pedestrians ..................................................................12
Low/medium falls (<5m) ..............................................13
High falls (>5m) ...........................................................14
Pedal cyclists ................................................................14
Blunt assault ................................................................15
Shooting......................................................................15
Stabbing ......................................................................15
Arrival modes ..............................................................16
Operating suite profile .................................................17
Intensive care profile ....................................................18
Injury region profile......................................................19
Injury severity profile....................................................20
Length of stay..............................................................21
Paediatric trauma summary..........................................22
Individual trauma service summaries..........25
John Hunter Hospital /
John Hunter Children’s Hospital ...................................25
Liverpool Hospital ........................................................27
Nepean District Hospital, Penrith..................................29
Prince of Wales Hospital ..............................................31
Royal North Shore Hospital ..........................................33
Royal Prince Alfred Hospital .........................................35
St George Hospital.......................................................37
St Vincent’s Hospital ....................................................39
Sydney Children’s Hospital ...........................................41
The Children’s Hospital at Westmead...........................43
Westmead Hospital......................................................45
Appendix 1.............................................................47
Index of figures.....................................................49
Index of tables......................................................51
Executive summary
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 1
This is the inaugural report of the NSW Institute of
Trauma and Injury Management (ITIM) Trauma Minimum
Data Set (TMDS).
BackgroundThe Trauma Minimum Data Setwas commenced in 2002 after the establishment of the NSW Institute of Trauma and Injury Management. This is the first time that data of this type has been available in NSW.
This document is a high quality and timely report of major trauma treated at trauma centres in the Sydney Greater Metropolitan region for the calendar year 2002, and includes data from the following hospitals:
John Hunter Hospital/ John Hunter Children’s Hospital
Liverpool Hospital
Nepean Hospital
Prince of Wales Hospital
Royal North Shore Hospital
Royal Prince Alfred Hospital
St George Hospital
St Vincent’s Hospital
Sydney Children’s Hospital
The Children’s Hospital at Westmead
The criteria for inclusion in the TMDSare; all patients admitted to hospital due to physical injury who have an Injury Severity Score (ISS1) greater than 15 and/or who die and/or are admitted to an Intensive Care Unit. Only those patients who had an Injury Severity Score (ISS) greater than 15 were selected for this report as this was the only cohort that could be uniformly grouped across the trauma services.
In determining the data fields to be included in the Trauma Minimum Data Setthe ITIM endeavoured to select only those data fields that were readily available within a hospital’s Trauma Registry. A conscious effort was made not to create additional workload through ‘extra’ data collection. The data needed to be collectable, relevant, reliable and reproducible.
The data collection tool is included in Appendix I.
Utilisation of informationProvide comprehensive feedback to trauma clinicians,
Area Health Services, NSW Department of Health, Injury Prevention Groups, and other stakeholders.
Assess the performance of the Trauma System Program.
Identify opportunities for Education for clinicians, administrators and consumers.
Development of improved Clinical Practice Guidelines.
Key pointsTrauma is the major cause of death and disability in
young people. The 15-44 year age group represent over 50% of the serious injuries documented in this report. This group is most at risk of serious injury, disability and death.
Serious injury is becoming an increasing problem in our aging population.
Males are still over represented by a ratio of 3:1.
Over a quarter of patients, or an average of eight patients per week, are receiving initial assessment and management of their injuries outside of a higher level trauma centre.
Of patients requiring surgery within the first 24 hours of admission to hospital 34% need a craniotomy performed. This indicates that traumatic brain injury is still a major cause of death and disability.
Serious injury occurs more frequently in the afternoon and early evening.
Serious injury occurs more frequently on Fridays, Saturdays and Sundays.
Road trauma is still the major cause of serious injury. This factor is very evident in Western, South Western Sydney and Hunter regions.
Falls at home in the elderly is a major problem, especially in the Northern and Eastern regions of Sydney.
Motor cyclists are over represented with more serious injuries occurring than would be expected from the percentage of traffic that motorbikes represent on the road.
While all trauma services see a whole range of injuries there is a tendency for each trauma service to see a predominance of one or two mechanisms of injury.
Data summary
All data is for calendar year 2002 (ie 01/01/2002 to
31/12/2002) where patients had an Injury Severity Score
(ISS) >15. The ISS1 is a reflection of overall severity and
probability of survival based on an anatomical injury
severity classification, the AIS or Abbreviated Injury
Scale.2 An ISS of greater than 15 reflects serious injury.
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 3
Table 1. Trauma service (TS) admissions and deaths
Total admissions 1,809 admission (1,772 patients*)
Survived1,511 patients (85% of total patients)
Died261 patients (15% of total patients)
Monthly average150 admissions
Minimum monthly average134 admissions (August)
Maximum monthly average164 admissions (November)
Table 2. Admissions by gender
Female463 admissions (26% of total) (454 patients)
Male1,346 admissions (74% of total) (1,318 patients)
Indeterminate463 admissions (26% of total) (454 patients)
Table 3. Outcome by gender
Gender Outcome – Survived Outcome – Died
Female374 patients (82%) 80 patients (18%)
Male1,137 patients (86%) 181 patients (14%)
1. Baker SP, O’Neill B, Haddon W, The Injury Severity Score, A method for describing patients with multiple injuries and evaluating emergency care, J Trauma
14:187-196, 1974.
2. Abbreviated Injury Scale: Association for the Advancement of Automotive Medicine.
Table 4. Age – Top three age ranges
Age range Count % of total
15-24367 patients 21%
25-34308 patients 17%
35-44248 patients 14%
Table 5. Mechanism of injury – Top three
Mechanism Count % of total Deaths (% of total deaths)
Road trauma*850 patients 48 105 patients (40%)
Falls**460 patients 26 93 patients (36%)
Assault119 patients 7 10 patients (4%)
* Road Trauma includes motor bike riders and pillions, motor vehicle drivers and passengers, pedal cyclists, and pedestrians.
** 0 to 5 metres.
Table 6. Admission type
Admission type Count % of total
Transfer in495 admissions (27%)
Direct from scene1,314 admissions (73%)
Table 7. Outcome by admission type
Admission type Outcome – Survived Outcome – Died
Transfer in407 patients (89%) 51 patients (11%)
Direct from scene1104 patients (84%) 210 patients (16%)
Table 8. ICU admissions
Admission to ICU Count % of total
Yes996 55%
No808 45%
Table 9. ICU average length of stay (LOS)
Outcome – All Outcome – Survived Outcome – Died
7.6 days 8.0 days 4.8 days
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health4
Data summary
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 5
Table 10. Hospital average length of stay (LOS)
LOS Outcome – All Outcome – Survived Outcome – Died
Overall LOS16.7 days 18.7 days 5 days
Direct admission LOS16.3 days 18.5 days 4.8 days
Transfer in admission LOS17.8 days 19.2 days 5.7 days
Table 11. Arrival mode – Top three arrival modes
Arrival Mode Admissions % of total
Ambulance1288 71%
Helicopter348 19%
Private vehicle66 4%
Table 12. Operating suite in first 24 hours
633 admissions (35% of total) were sent to the operating suite within 24 hours of admission for a total of 702 procedures.
Table 13: Operating suite in first 24 hours – Top three procedures
Operating suite procedure Count % of total procedures
Craniotomy236 34%
Laparotomy165 24%
Open ext#82 12%
Table 14. Injury time – Top three hours of the day injury occurred (excludes patients where time of injury is unknown)
Hour of day Count (patients injured) % of total
14:00103 5.8%
15:00100 5.6%
16:0098 5.5%
Data summary
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health6
Table 15. Injury day of week
Day of week Count (patients injured) % of total
Saturday 298 17%
Friday 296 17%
Sunday 273 15%
Tuesday249 14%
Wednesday228 13%
Thursday223 13%
Monday203 11%
Table 16. Injury severity score (ISS)
ISS range Count (patients) % of total
16-241012 57%
25-40621 35%
41-75139 8%
Data summary
Trauma service statistics
General profile
Figure 1. Total trauma admissions to each trauma service for 2002 with ISS > 15
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 7
Figure 2. Trauma admissions to all trauma services by age
Figure 3. Trauma admissions to all trauma services for 2002 by age and gender
Figure 4. Trauma admissions to each trauma service by admission type (ie direct from scene or transfer into the trauma service from another hospital)
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health8
Figure 5. Percentage of admission types for all trauma admissions to each trauma service direct from scene or transferred from another hospital to a trauma service
Trauma service statistics
Figure 7. Trauma admissions to all trauma services by mechanism of injury
Figure 6. Percentage of inter-AHS (from one hospital to another in a different AHS) and intra-AHS (from one hospital to another within the same AHS) transfers for all trauma admissions to each trauma service
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 9
Figure 9. Trauma admissions to all trauma services showing outcome percentages by mechanism of injury
Trauma service statistics
Figure 8. Trauma admissions to all trauma services by mechanism of injury and outcome (survived or died)
109
10
Figure 10. Trauma admissions to all trauma services showing injury region percentages by mechanism of injury
Head, Face, Chest, Abdomen, Extremity, External
Figure 13. Motor vehicle accident related trauma patient admissions to all trauma services by day of week that injury occurred for 2002
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health10
Trauma service statistics
Figure 12. Motor vehicle accident related trauma patient admissions to all trauma services by hour of day that injury occurred
Motor vehicle accidents (MVA
Figure 11. Motor vehicle accident related trauma patient admissions to all trauma services by gender and age group
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 11
Trauma service statistics
Motor bike accidents (MBA)
Figure 14. Motor bike accident related trauma patient admissions to all trauma services by age and gender
Figure 16. Motor bike accident related trauma patient admissions to all trauma services by day of week for 2002
Figure 15. Motor bike accident related trauma patient admissions to all trauma services by hour of day that injury occurred
Figure 18. Pedestrian trauma patient admissions to all trauma services by hour of day that injury occurred
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health12
Pedestrians
Figure 17. Pedestrian trauma patient admissions to all trauma services by age and gender
Trauma service statistics
Figure 19. Pedestrian trauma patient admissions to all trauma services by day of week that injury occurred
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 13
Trauma service statistics
Low/medium falls (<5m)
Figure 20. Low to medium fall (<5m) trauma patient admissions to all trauma services by age and gender
Figure 21. Low to medium fall (<5m) trauma patient admissions to all trauma services by hour of day that injury occurred
Figure 22. Low to medium fall (<5m) trauma patient admissions to all trauma services by day of week that injury occurred
Pedal cyclists
Figure 24. Pedal cycle trauma patient admissions to all trauma services by age and gender
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health14
High falls (>5m)
Figure 23, High fall (5m or greater) trauma patient admissions to all trauma services by age and gender
Trauma service statistics
Figure 25. Pedal cycle trauma patient admissions to all trauma services by hour of day that injury occurred
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 15
Trauma service statistics
Figure 26. Pedal cycle trauma patient admissions to all trauma services by day of week that injury occurred
Blunt assault
Figure 27. Blunt assault trauma patient admissions to all trauma services by age and gender
Shooting
Figure 28. Shooting trauma patient admissions to all trauma services by age and gender
Stabbing
Figure 29.Stabbing trauma patient admissions to all trauma services by age and gender
Figure 30. Arrival mode percentages for trauma admissions to all trauma services
Figure 31. Arrival mode percentages for direct from scene admissions to all trauma services
0
10
20
30
40
50
60
70
80
90
100
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health16
Trauma service statistics
Arrival modes
Table 17. Arrival mode by trauma service admissions for 2002
Trauma service Ambulance Helicopter Fixed wing Nets Private vehicle
John Hunter Hospital / John Hunter Children’s Hospital187 101 4 2 12
Liverpool Hospital205 35 1 – 5
Nepean Hospital72 29 – – 6
Prince of Wales Hospital80 28 11 – 1
Royal North Shore Hospital185 37 – – 9
Royal Prince Alfred Hospital127 53 – – 13
Sydney Children’s Hospital9 3 1 17 1
St George Hospital113 26 11 – 10
St Vincent’s Hospital112 – 5 – 5
The Children’s Hospital at Westmead25 5 1 39 1
Westmead Hospital171 31 – – 4
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 17
Trauma service statistics
Figure 32. Arrival mode percentages for transfer in trauma admissions to all trauma services
(*NETS = Neonatal Emergency Transfer Service)
Figure 34. Outcomes for operating suite procedures for trauma admissions to all trauma services
Operating suite profile
Figure 33. Trauma admissions admitted to operating suite within 24 hours of admission for all trauma services
Intensive care profile
Figure 35. ICU admissions by month for trauma admissions to all trauma services
Figure 36. ICU admissions by age for trauma admissions to all trauma services
Figure 37. ICU admission percentages by arrival mode for trauma admissions to all trauma services
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health18
Trauma service statistics
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 19
Trauma service statistics
Injury region profile
Figure 38. Injury region percentages by admission type for trauma patient admissions to all trauma services
Figure 40. Injury regions by age for trauma patient admissions to all trauma services
Figure 39. Injury region percentages by age for trauma patient admissions to all trauma services
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health20
Trauma service statistics
Figure 42. ISS range percentages by gender for trauma patient admissions to all trauma services
Figure 43. ISS range by arrival mode for trauma patient admissions to all trauma services
Injury severity profile
Figure 41. Injury severity score (ISS) range by age for trauma patient admissions to all trauma services
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 21
Trauma service statistics
Length of stay
Figure 44. Hospital average length of stay (LOS) by age and gender for surviving trauma admissions to all trauma services
Figure 45. Hospital average length of stay (LOS) by age and gender for deceased trauma admissions to all trauma services
0
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4
6
8
10
12
14
16
18
20
22
24
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Figure 47. Paediatric admissions to each trauma service by gender
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health22
Paediatric trauma summaryThis section includes all trauma admissions in the age
range 0-15 years to trauma services (TS) during 2002,
as this is the generally accepted paediatric age range
solely for use in the paediatric MDS.
Trauma service statistics
Table 18. Paediatric admissions and deaths
Total admissions156 admissions (139 patients)
Survived124 patients (89% of paediatric patients)
Died15 patients (11% of paediatric patients)
Monthly average13 admissions
Table 19. Gender
Female45 patients (32% of paediatric patients)
Male94 patients (68% of paediatric patients)
Figure 46. Paediatric admissions to each trauma service
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 23
Trauma service statistics
Figure 48. Admissions to each designated paediatric major trauma service by admission type
Figure 49. Admissions to each designated paediatric major trauma service by admission type percentage
Figure 50. Paediatric patient admissions to all trauma service by mechanism of injury
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health24
Trauma service statistics
Table 20. Arrival mode for paediatric admissions to trauma services for 2002
Trauma service Ambulance Fixed wing Helicopter Nets Private vehicle
John Hunter Children’s Hospital11 8 1 2
Liverpool Hospital14
Nepean Hospital1
Royal North Shore Hospital9 1
Royal Prince Alfred Hospital2 1
St George Hospital2 3
Sydney Children’s Hospital8 1 3 17 1
The Children’s Hospital at Westmead24 1 5 37 1
Westmead Hospital1
Individual trauma service summaries
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 25
John Hunter Hospital / John Hunter Children’s Hospital
Table 21. Admissions and deaths – John Hunter Hospital / John Hunter Children’s Hospital
Total admissions306
Survived270 (88% of total)
Died36 (12% of total)
Direct admission224 (73% of total)
Transfer in admission82 (27% of total)
Monthly average26
Table 22. Admissions by age range – John Hunter Hospital / John Hunter Children’s Hospital
Age range Count % of total
0-1422 7
15-2450 16
25-3459 19
35-4443 14
45-5434 11
55-6435 11
65-7423 8
75-8422 7
85-9417 6
95 and older1 < 1
Table 23. Admissions by gender – John Hunter Hospital / John Hunter Children’s Hospital
Gender Count % of total
Female72 24%
Male234 76%
Figure 51. Trauma admissions to John Hunter Hospital /John Hunter Children’s Hospital by age and gender
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health26
Individual trauma service summaries
Table 27. ICU average length of stay (LOS) at John Hunter Hospital / John Hunter Children’s Hospital
Outcome – All Outcome – Survived Outcome – Died
6.7 days 7.4 days 3.5 days
Table 28. Hospital average length of stay (LOS) at John Hunter Hospital / John Hunter Children’s Hospital
Outcome – All Outcome – Survived Outcome – Died
12.8 days 14.1 days 3.4 days
Table 29. Transfer in admissions to John Hunter Hospital /John Hunter Children’s Hospital
Transferring hospital Number of transfers
Belmont Hospital4
Canberra Hospital1
Cessnock Hospital10
Coffs Harbour Hospital1
Dungog Hospital1
Gloucester Hospital2
Gosford Hospital1
Goulburn Hospital1
Kempsey Hospital6
Kurri Kurri Hospital1
Lismore Hospital1
Maitland Hospital10
Manning Base Hospital1
Mater Hospital3
Merriwa Hospital1
Muswellbrook Hospital2
Nelson Bay Poly Clinic6
Port Macquarie Hospital6
Royal Adelaide Hospital1
Scone Hospital2
Singleton Hospital10
Tamworth Hospital7
Taree Hospital3
Wyong Hospital1
Table 24. Trauma admissions to John Hunter Hospital / John Hunter Children’s Hospital by mechanism of injury
Mechanism Count % of total
MV driver78 25
Low fall < 1m51 17
MB rider36 12
MV passenger24 8
Pedestrian21 7
Medium fall 1-5m20 7
High fall > 5m15 5
Assault14 5
Other9 3
Stabbing8 3
Industrial7 2
Pedal cyclist6 2
Horse5 2
Shooting4 1
Burns3 1
MB pillion2 1
Train2 1
Recreation1 <1
Table 25. Trauma admissions to John Hunter Hospital /John Hunter Children’s Hospital by arrival mode
Arrival mode Count % of total
Ambulance187 61
Helicopter101 33
Private vehicle12 4
Fixed wing4 1
Nets2 1
Table 26. Trauma admissions to John Hunter Hospital /John Hunter Children’s Hospital by ICU admission
Admission Number by ICU of admissions % of total
Yes109 36
No196 64
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 27
Individual trauma service summaries
Liverpool Hospital
Table 30. Admissions and deaths – Liverpool Hospital
Total admissions251
Survived224 (89% of total)
Died27 (11% of total)
Direct admission204 (81% of total)
Transfer in admission47 (19% of total)
Monthly average21
Table 31. Admissions by age range – Liverpool Hospital
Age range Count % of total
0-1416 6
15-2469 27
25-3451 20
35-4435 14
45-5427 11
55-6419 8
65-7413 5
75-8417 7
85-943 1
95 and over1 <1
Table 32. Admissions by gender, Liverpool Hospital
Gender Count % of total
Female60 24%
Male191 76%
Figure 52. Trauma admissions to Liverpool Hospital by age and gender
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health28
Table 33. Trauma admissions to Liverpool Hospital by mechanism of injury
Mechanism Count % of total
MV driver52 21
Medium fall 1-5m34 14
MV passenger30 12
Assault20 8
Pedestrian19 8
MB rider16 6
High fall > 5m13 5
Stabbing12 5
Industrial10 4
Recreation9 4
Burns8 3
Pedal cyclist8 3
Shooting8 3
Other5 2
Horse3 1
MB pillion2 1
Low fall < 1m1 <1
Train1 <1
Table 34. Trauma admissions to Liverpool Hospital by arrival mode
Arrival mode count % of total
Ambulance205 83
Helicopter35 14
Private vehicle5 2
Fixed wing1 <1
Other1 <1
Table 35. Trauma admissions to Liverpool Hospital by ICU admission
Admission Number by ICU of admissions % of total
Yes132 53
No119 47
Individual trauma service summaries
Table 36. ICU average length of stay (LOS) at Liverpool Hospital
Outcome – All Outcome – Survived Outcome – Died
7 days 7.4 days 3.5 days
Table 37. Hospital average length of stay (LOS) at Liverpool Hospital
Outcome – All Outcome – Survived Outcome – Died
17.1 days 18.8 days 2.8 days
Table 38. Transfer in admissions to Liverpool Hospital
Transferring hospital Number of transfers
Bankstown Hospital9
Bathurst Hospital2
Bowral Hospital4
Blue Mountains Hospital1
Camden Hospital1
Campbelltown Hospital6
Canterbury Hospital1
Fairfield Hospital2
Goulburn Hospital5
Lithgow Hospital1
Mudgee Hospital1
Nepean Hospital2
Nowra Hospital1
Orange Hospital1
Ryde Hospital1
Shoalhaven Hospital1
Tamworth Hospital1
The San Hospital1
Ulladulla Hospital1
Wollongong Hospital4
Young Hospital1
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 29
Individual trauma service summaries
Nepean District Hospital, Penrith
Table 39. Admissions and deaths – Nepean District Hospital, Penrith
Total admissions107
Survived96 (90% of total)
Died11 (10% of total)
Direct admission90 (84% of total)
Transfer in admission17 (16% of total)
Monthly average9
Table 40. Admissions by age range – Nepean District Hospital, Penrith
Age range Count % of total
0-141 1
15-2427 25
25-3430 28
35-4421 20
45-548 7
55-649 8
65-746 6
75-844 4
85-941 1
Table 41. Admissions by gender – Nepean District Hospital, Penrith
Gender Count % of total
Female23 21%
Male84 79%
Figure 53. Trauma admissions to Nepean District Hospital, Penrith by age and gender
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health30
Table 42. Trauma admissions to Nepean District Hospital, Penrith by mechanism of injury
Mechanism Count % of total
MV driver26 24
MB rider21 20
Assault10 9
Medium fall 1-5m10 9
MV passenger6 6
Pedal cyclist6 6
Recreation6 6
Industrial4 4
Stabbing4 4
Other3 3
Pedestrian3 3
Sport2 2
Train2 2
High fall > 5m1 1
Horse1 1
Low fall < 1m1 1
Shooting1 1
Table 43. Trauma admissions to Nepean District Hospital, Penrith, by arrival mode
Arrival mode Count % of total
Ambulance72 67
Helicopter29 27
Private vehicle6 6
Table 44. Trauma admissions to Nepean District Hospital, Penrith by ICU admission
Admission Number by ICU of admissions % of total
Yes82 77
No24 23
Individual trauma service summaries
Table 45. ICU average length of stay (LOS) at Nepean District Hospital, Penrith
Outcome – All Outcome – Survived Outcome – Died
7.9 days 8.1 days 6.1 days
Table 46. Hospital average length of stay (LOS) at Nepean District Hospital, Penrith
Outcome – All Outcome – Survived Outcome – Died
17.1 days 18.3 days 6.9 days
Table 47. Transfer in admissions to Nepean District Hospital, Penrith
Transferring hospital Number of transfers
Blue Mountains Hospital5
Forbes Hospital1
Hawkesbury Hospital4
Lithgow Hospital2
Mudgee Hospital1
Narromine Hospital1
Orange Hospital3
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 31
Individual trauma service summaries
Prince of Wales Hospital
Table 48. Admissions and deaths – Prince of Wales Hospital
Total admissions122
Survived101 (83% of total)
Died21 (17% of total)
Direct admission87 (71% of total)
Transfer in admission35 (29% of total)
Monthly average10
Table 49. Admissions by age range – Prince of Wales Hospital
Age range Count % of total
0-140 0
15-2430 25
25-3426 21
35-4420 16
45-5413 11
55-647 6
65-7411 9
75-8412 10
85-943 2
Table 50. Admissions by gender – Prince of Wales Hospital
Gender Count % of total
Female26 21%
Male96 79%
Figure 54. Trauma admissions to Prince of Wales Hospital by age and gender
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health32
Table 51. Trauma admissions to Prince of Wales Hospital by mechanism of injury
Mechanism Count % of total
Medium fall 1-5m19 16
MB rider14 11
High fall > 5m12 10
MV driver12 10
Pedestrian10 8
Low fall < 1m9 7
MV passenger8 7
Assault7 6
Other6 5
Stabbing6 5
Recreation5 4
Industrial4 3
Pedal cyclist3 2
Shooting3 2
Sport3 2
Burns1 1
Table 52. Trauma admissions to Prince of Wales Hospital by arrival mode
Arrival mode Count % of total
Ambulance80 66
Helicopter28 23
Private vehicle1 1
Fixed wing11 9
Other2 2
Table 53. Trauma admissions to Prince of Wales Hospital by ICU admission
Admission Number by ICU of admissions % of total
Yes65 53
No57 47
Individual trauma service summaries
Table 54. ICU average length of stay (LOS) at Prince of Wales Hospital
Outcome – All Outcome – Survived Outcome – Died
7.4 days 7.9 days 5.2 days
Table 55. Hospital length of stay (LOS) at Prince of Wales Hospital
Outcome – All Outcome – Survived Outcome – Died
18.5 days 20.9 days 6.8 days
Table 56. Transfer in admissions to Prince of Wales Hospital
Transferring hospital Number of transfers
Bourke Hospital1
Cobar Hospital1
Coffs Harbour Hospital3
Crockwell Hospital1
Dubbo Hospital1
Gosford Hospital1
Griffith Base Hospital1
John Hunter Hospital John Hunter Children’s Hospital1
Kempsey Hospital2
Lightning Ridge Hospital2
Liverpool Hospital2
Manning Base Hospital1
Milton-Ulladulla Hospital2
Nepean Hospital1
Orange Hospital1
Port Macquarie Hospital2
Shoalhaven Hospital4
St George Hospital2
Sutherland Hospital1
Wollongong Hospital5
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 33
Individual trauma service summaries
Royal North Shore Hospital
Table 57. Admissions and deaths – Royal North Shore Hospital
Total admissions230
Survived179 (78% of total)
Died51 (22% of total)
Direct admission152 (66% of total)
Transfer in admission78 (34% of total)
Monthly average19
Table 58. Admissions by age range – Royal North Shore Hospital
Age range Count % of total
0-1410 5
15-2442 18
25-3433 14
35-4421 9
45-5421 9
55-6420 9
65-7422 10
75-8443 19
85-9416 7
Table 59. Admissions by gender – Royal North Shore Hospital
Gender Count % of total
Female63 27%
Male166 73%
Figure 55. Trauma admissions to Royal North Shore Hospital by age and gender
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health34
Table 60. Trauma admissions to Royal North Shore Hospital by mechanism of injury
Mechanism Count % of total
Medium fall 1-5m67 29
Low fall < 1m34 15
Pedestrian29 13
MV driver27 12
Burns14 6
MB rider13 6
MV passenger12 5
Pedal cyclist11 5
High fall > 5m7 3
Assault6 3
Industrial3 1
Recreation3 1
Other2 1
Stabbing2 1
Table 61. Trauma admissions to Royal North Shore Hospital by arrival mode
Arrival mode Count % of total
Ambulance185 80
Helicopter37 16
Private vehicle8 4
Table 62. Trauma admissions to Royal North Shore Hospital by ICU admission
Admission Number by ICU of admissions % of total
Yes152 66
No78 34
Table 63. ICU average length of stay (LOS) at Royal North Shore Hospital
Outcome – All Outcome – Survived Outcome – Died
9.28 days 10.3 days 5 days
Individual trauma service summaries
Table 64. Hospital average length of stay (LOS) at Royal North Shore Hospital
Outcome – All Outcome – Survived Outcome – Died
19.8 days 23.8 days 5.8 days
Table 65. Transfer in admissions to Royal North Shore Hospital
Transferring hospital Number of transfers
Dubbo Hospital2
John Hunter Hospital John Hunter Children’s Hospital2
Liverpool Hospital2
Port Macquarie Hospital2
Bowral Hospital1
Coffs Harbour Hospital1
Gosford Hospital18
Goodooga Rural Hospital1
Griffith Base Hospital1
Gunnedah Base Hospital1
Hornsby Hospital3
Manly Hospital8
Manning Base Hospital1
Milton-Ulladulla Hospital1
Mona Vale Hospital8
Muswellbrook Hospital1
Narrabri Hospital1
Nepean Hospital1
Orange Hospital1
Ryde Hospital4
St George Hospital1
Tamworth Hospital2
Taree Hospital1
The San Hospital3
Wagga Wagga Base Hospital2
Westmead Hospital2
Yass District Hospital1
Wollongong Hospital3
Wyong Hospital3
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 35
Individual trauma service summaries
Royal Prince Alfred Hospital
Table 66. Admissions and deaths – Royal Prince Alfred Hospital
Total admissions194
Survived164 (85% of total)
Died30 (15% of total)
Direct admission129 (66% of total)
Transfer in admission65 (34% of total)
Monthly average16
Table 67. Admissions by age range – Royal Prince Alfred Hospital
Age range Count % of total
0-143 2
15-2438 20
25-3435 18
35-4436 19
45-5417 9
55-6420 10
65-7421 11
75-8416 8
85-946 3
Table 68. Admissions by gender – Royal Prince Alfred Hospital
Gender Count % of total
Female55 29%
Male137 71%
Figure 56. Trauma admissions to Royal Prince Alfred Hospital by age and gender
Table 69. Trauma admissions to Royal Prince Alfred Hospital by mechanism of injury
Mechanism Count % of Total
Low fall < 1m50 26
Pedestrian27 14
MV driver26 13
Assault20 10
Medium fall 1-5m16 8
Other13 7
MB rider12 6
MV passenger7 4
High fall > 5m5 3
Stabbing5 3
Shooting3 2
Sport3 2
Horse2 1
Pedal cyclist2 1
Train2 1
Recreation1 1
Low fall < 1m50 26
Pedestrian27 14
MV driver26 13
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health36
Table 70. Trauma admissions to Royal Prince Alfred Hospital by arrival mode
Arrival mode Count % of total
Ambulance127 66
Helicopter53 27
Private vehicle13 7
Table 71. Trauma admissions to Royal Prince Alfred Hospital by ICU admission
Admission Number by ICU of admissions % of total
Yes 151 78
No 43 22
Table 72. ICU average length of stay (LOS) at Royal Prince Alfred Hospital
Outcome – All Outcome – Survived Outcome – Died
5.5 days 5.5 days 5.4 days
Table 73. Hospital average length of stay (LOS) at Royal Prince Alfred Hospital
Outcome – All Outcome – Survived Outcome – Died
13.5 days 15.1 days 5.2 days
Individual trauma service summaries
Table 74. Transfer In admissions to Royal Prince Alfred Hospital
Transferring hospital Number of transfers
Auburn Hospital1
Balmain Hospital3
Bathurst Hospital3
Bega Hospital1
Brewarrina Hospital3
Canterbury Hospital3
Coffs Harbour Hospital4
Concord Hospital1
Coonamble Hospital1
Dubbo Hospital9
Gloucester Soldiers Hospital1
Goulburn Hospital1
Griffith Base Hospital1
Hornsby Hospital1
Kempsey Hospital1
Manning Base Hospital2
Moree Hospital1
Nepean Hospital2
Noumea Hospital1
Nowra Hospital1
Orange Hospital2
Parkes Hospital1
Port Macquarie Hospital2
Prince of Wales Hospital1
Royal North Shore Hospital1
Shoalhaven Hospital1
St Vincents Hospital3
Sutherland Hospital1
Sydney Children’s Hospital Hospital1
Wagga Wagga Base Hospital3
Walgett Hospital3
Tamworth Hospital2
Wollongong Hospital2
Wyong Hospital1
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 37
Individual trauma service summaries
St George Hospital
Table 75. Admissions and deaths – St George Hospital
Total admissions162
Survived136 (84% of total)
Died26 (16% of total)
Direct admission127 (78% of total)
Transfer in admission35 (22% of total)
Monthly average14
Table 76. Admissions by age range – St George Hospital
Age range Count % of total
0-145 3
15-2434 21
25-3421 13
35-4422 14
45-5411 7
55-6420 12
65-7421 13
75-8420 12
85-947 4
95 and older1 1
Table 77. Admissions by gender – St George Hospital
Gender Count % of total
Female47 29%
Male115 71%
Figure 57. Trauma admissions to St George Hospital by age and gender
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health38
Table 78. Trauma admissions to St George Hospital by mechanism of injury
Mechanism Count % of total
Medium fall 1-5m43 27
MV driver33 20
MV passenger16 10
Pedestrian16 10
Assault13 8
MB rider9 6
Pedal cyclist8 5
Stabbing7 4
Burns4 2
Other3 2
Horse2 1
Shooting2 1
High fall > 5m1 1
Low fall < 1m1 1
MB pillion1 1
Recreation1 1
Sport1 1
Train1 1
Table 79. Trauma admissions to St George Hospital by arrival mode
Arrival mode Count % of total
Ambulance113 70
Helicopter26 16
Private vehicle10 6
Fixed wing11 7
Other1 <1%
Table 80. Trauma admissions to St George Hospital by ICU admission
Admission Number by ICU of admissions % of total
Yes82 52
No77 48
Individual trauma service summaries
Table 81. ICU average length of stay (LOS) at St George Hospital
Outcome – All Outcome – Survived Outcome – Died
7.53 days 7.9 days 5.8 days
Table 82. Hospital average length of stay (LOS) at St George Hospital
Outcome – All Outcome – Survived Outcome – Died
18.6 days 21.4 days 4.7 days
Table 83. Transfer In admissions to St George Hospital
Transferring hospital Number of transfers
Bathurst Hospital3
Canberra Hospital1
Coffs Harbour Hospital3
Dubbo Hospital2
Goulburn Hospital1
Griffith Base Hospital1
Inverell Hospital1
John Hunter Hospital John Hunter Children’s Hospital1
Kareena Hospital1
Kempsey Hospital1
Leeton Hospital1
Narrabri Hospital2
Norfolk Island Hospital1
Nowra Hospital1
Shoalhaven Hospital2
Sutherland Hospital5
Taree Hospital1
Ulladulla Hospital1
Wollongong Hospital6
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 39
Individual trauma service summaries
St Vincent’s Hospital
Table 84. Admissions and deaths – St Vincent’s Hospital
Total admissions123
Survived99 (80% of total)
Died24 (20% of total)
Direct admission109 (89% of total)
Transfer in admission14 (11% of total)
Monthly average10
Table 85. Admissions by age range – St Vincent’s Hospital
Age range Count % of total
0-1435 28
15-2414 11
25-3419 15
35-4414 11
45-5410 8
55-647 6
65-7410 8
75-8412 10
85-942 2
95 and over35 28
Table 86. Admissions by gender – St Vincent’s Hospital
Gender Count % of total
Female34 28%
Male89 72%
Figure 58. Trauma admissions to St Vincent’s Hospital by age and gender
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health40
Table 87.Trauma admissions to St Vincent’s Hospital by mechanism of injury
Mechanism Count % of total
Medium fall 1-5m46 37
Pedestrian25 20
MV driver12 10
Assault10 8
Stabbing7 6
Other5 4
Pedal cyclist4 3
Burns3 2
MV passenger3 2
Shooting3 2
High fall > 5m2 2
MB rider1 1
Recreation1 1
Sport1 1
Table 88. Trauma admissions to St Vincent’s Hospital by arrival mode
Arrival mode Count % of total
Ambulance112 91
Fixed wing5 4
Private vehicle5 4
Other1 1
Table 89. Trauma admissions to St Vincent’s Hospital by ICU admission
Admission Number by ICU of admissions % of total
Yes 66 54
No 57 46
Individual trauma service summaries
Table 90. ICU average length of stay (LOS) at St Vincent’s Hospital
Outcome – All Outcome – Survived Outcome – Died
9.5 days 10.1 days 6.9 days
Table 91. Hospital average length of stay (LOS) at St Vincent’s Hospital
Outcome – All Outcome – Survived Outcome – Died
17.7 days 20.6 days 5.8 days
Table 92. Transfer In admissions to St Vincent’s Hospital
Transferring hospital Number of transfers
Flinders Hospital – SA1
Griffith Base Hospital1
Parkes Hospital1
Princess Alexandra Hospital1
Royal North Shore Hospital1
Shoalhaven Hospital1
Sydney Hospital3
Wagga Wagga Base Hospital3
Wollongong Hospital2
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 41
Individual trauma service summaries
Sydney Children’s Hospital
Table 93. Admissions and deaths – Sydney Children’s Hospital
Total admissions31
Survived29 (94% of total)
Died2 (6% of total)
Direct admission8 (26% of total)
Transfer in admission23 (74% of total)
Monthly average3
Table 94. Admissions by age range (general age groups), Sydney Children’s Hospital
Age range Count % of total
0-1430 97
15-241 3
Table 95. Admissions by gender – Sydney Children’s Hospital
Gender Count % of total
Female10 32%
Male21 68%
Figure 59. Trauma admissions to Sydney Children’s Hospital by age and gender
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health42
Table 96. Trauma admissions to Sydney Children’s Hospital by mechanism of injury
Mechanism Count % of total
MV passenger6 19
Medium fall 1-5m4 13
Other4 13
Pedal cyclist4 13
Pedestrian4 13
Assault2 6
Low fall < 1m2 6
Horse1 3
MB rider1 3
Recreation1 3
Sport1 3
Stabbing1 3
Table 97. Trauma admissions to Sydney Children’s Hospital by arrival mode
Arrival mode Count % of total
Nets17 55
Ambulance9 29
Helicopter3 10
Fixed wing1 3
Private vehicle1 3
Table 98. Trauma admissions to Sydney Children’s Hospital by ICU admission
Admission Number by ICU of admissions % of total
Yes 25 81
No 6 19
Table 99. ICU average length of stay (LOS) at Sydney Children’s Hospital
Outcome – All Outcome – Survived Outcome – Died
5.84 days 6.2 days 2 days
Individual trauma service summaries
Table 100. Hospital average length of stay (LOS) at Sydney Children’s Hospital
Outcome – All Outcome – Survived Outcome – Died
18.7 days 19.9 days 2 days
Table 101. Transfer In admissions to Sydney Children’s Hospital
Transferring hospital Number of transfers
Bowral Hospital1
Condobolin Hospital1
Dubbo Hospital1
Goulburn Hospital1
Kempsey Hospital1
Liverpool Hospital4
Nepean Hospital1
Parkes Hospital1
Royal North Shore Hospital2
Royal Prince Alfred Hospital3
Shoalhaven Hospital1
St George Hospital3
Tamworth Hospital1
Westmead Hospital1
Wollongong Hospital1
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 43
Individual trauma service summaries
The Children’s Hospital at Westmead
Table 102. Admissions and deaths – The Children’s Hospital at Westmead
Total admissions71
Survived63 (86% of total)
Died8 (14% of total)
Direct admission13 (18% of total)
Transfer in admission58 (82% of total)
Monthly average6
Table 103. Admissions by age range (general age groups) – The Children’s Hospital at Westmead
Age range Count % of total
0-1468 96
15-243 4
Table 104. Admissions by gender – The Children’s Hospital at Westmead
Gender Count % of total
Female26 37%
Male45 63%
Figure 60. Trauma admissions to The Children’s Hospital at Westmead by age and gender
Table 105. Trauma admissions to The Children’s Hospital at Westmead by mechanism of injury
Mechanism Count % of total
Pedestrian13 18
MV passenger11 15
Burns10 14
Low fall < 1m9 13
Medium fall 1-5m8 11
Pedal cyclist8 11
MB Rider4 6
Assault2 3
High fall > 5m2 3
MV driver2 3
Other1 1
Shooting1 1
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health44
Table 106. Trauma admissions to The Children’s Hospital at Westmead by arrival mode
Arrival mode Count % of total
Nets39 56
Ambulance25 35
Helicopter5 7
Fixed Wing1 1
Private Vehicle1 1
Table 107. Trauma admissions to The Children’s Hospital at Westmead by ICU admission
Admission Number by ICU of admissions % of total
Yes48 68
No23 32
Table 108. ICU average length of stay (LOS) at The Children’s Hospital at Westmead
Outcome – All Outcome – Survived Outcome – Died
7 days 7.7 days 2 days
Table 109. Hospital average length of stay (LOS) at The Children’s Hospital at Westmead
Outcome – All Outcome – Survived Outcome – Died
15.3 days 16.8 days 3.6 days
Individual trauma service summaries
Table 110. Transfer In admissions to The Children’s Hospital at Westmead
Transferring hospital Number of transfers
Auburn Hospital1
Bankstown Hospital2
Bathurst Hospital2
Bourke Hospital1
Campbelltown Hospital2
Canberra Hospital1
Coffs Harbour Hospital2
Cowra Hospital2
Dubbo Hospital2
Fiji Hospital1
Forbes Hospital1
Gosford Hospital5
Hay Hospital1
John Hunter Hospital John Hunter Children’s Hospital2
Kempsey Hospital1
Liverpool Hospital5
Mona Vale Hospital3
Moree Hospital1
Mt Druitt Hospital2
Mudgee Hospital2
Nepean Hospital3
Noumea Hospital2
Orange Hospital2
Port Macquarie Hospital1
Royal North Shore Hospital2
Royal Prince Alfred Hospital2
Shoalhaven Hospital1
St George Hospital1
Tamworth Hospital1
Terrigal Hospital1
Wagga Wagga Base Hospital1
Westmead Hospital1
Wyndham Hospital1
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 45
Individual trauma service summaries
Westmead Hospital
Table 111. Admissions and deaths – Westmead Hospital
Total admissions212
Survived187 (88% of total)
Died25 (12% of total)
Direct admission173 (81% of total)
Transfer in admission39 (19% of total)
Monthly average18
Table 112. Admissions by age range – Westmead Hospital
Age range Count % of total
0-141 <1
15-2445 21
25-3446 22
35-4434 16
45-5429 14
55-6411 5
65-7428 13
75-8410 4
85-945 2
95 and over2 1
Table 113. Admissions by gender – Westmead Hospital
Gender Count % of total
Female47 22%
Male165 78%
Figure 61. Trauma admissions to Westmead Hospital by age and gender
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health46
Table 114. Trauma admissions to Westmead Hospital by mechanism of injury
Mechanism Count % of total
MV driver56 27
Medium fall 1-5m36 17
MV passenger19 9
Pedestrian19 9
MB rider17 8
Assault15 7
Industrial10 5
Pedal cyclist9 4
Stabbing8 4
Other6 3
Low fall < 1m4 2
Burns3 1
Sport3 1
High fall > 5m2 1
Horse1 < 1%
MB pillion1 < 1%
Train1 < 1%
MV driver56 27
Medium fall 1-5m36 17
MV passenger19 9
Pedestrian19 9
Table 115. Trauma admissions to Westmead Hospital by arrival mode
Arrival mode Count % of total
Ambulance173 82
Helicopter31 15
Private vehicle4 2
Table 116. Trauma admissions to Westmead Hospital by ICU admission
Admission Number by ICU of admissions % of total
Yes84 40
No128 60
Individual trauma service summaries
Table 117. ICU average length of stay (LOS) at Westmead Hospital
Outcome – All Outcome – Survived Outcome – Died
9.4 days 10.2 days 4.4 days
Table 118. Hospital average length of stay (LOS) at Westmead Hospital
Outcome – All Outcome – Survived Outcome – Died
18.4 days 20.1 days 5.9 days
Table 119. Transfer in admissions to Westmead Hospital
Transferring hospital Number of transfers
Blacktown Hospital12
Mt Druitt Hospital7
Gosford Hospital3
Wollongong Hospital3
Auburn Hospital1
Bathurst Hospital1
Blank Hospital1
Blacktown Hospital12
Blue Mountains Hospital1
Cowra Hospital1
Dubbo Hospital1
Forbes Hospital1
Katoomba Hospital1
Nepean Hospital1
Parkes Hospital1
Sutherland Hospital1
The Children’s Hospital at Westmead1
The San Hospital1
Wagga Wagga Base Hospital1
Appendix 1
NSW Trauma System – Minimum Data Set
All trauma admissions with ISS >15 or ICU Admission or death (Exclude # NOF Death)
Data collection form
Hospital name
Gender male / female
Age
Residential postcode
Injury postcode
Date of injury \ \
Time of injury :
Mechanism
Place of injury home / not at home
Date of arrival \ \ (at your hospital)
Time of arrival : (at your hospital)
Mode of arrival (at your hospital)
Transfer in? yes / no
Transfer from
Op suite at first hospital? yes / no
If yes, type of OS at first hospital
Transfer out? yes / no
Transferred to
Transfer out reason (burns, paediatric, spinal, other)
Op suite first 24 hrs? yes / no
If yes, type of OS
ICU admit? yes / no
ICU LOS (patient days)
Outcome? survived / died
AIS body regions
ISS
Length of stay (LOS) (total Hospital LOS in patient days)
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 47
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health48
Data dictionary
MechanismMVC driver
MVC pass
MBC rider
MBC pillion
Pedestrian
Pedal cyclist
Fall <1m
Fall 1-5m
Fall >5m
Shooting
Stabbing
Blunt assault
Organised sport
Recreational sport
Burns
Industrial – includes all work related
Horse
Other – specify
Mode of arrivalAmbulance
Helicopter
Private vehicle
Fixed wing
NETS
Other
AIS body regionsList three most injured, ie the ones used to calculate
the ISS.
Type of OSCraniotomy
Thoracotomy
Laparotomy
Open ext#
Other – specify
Length of stay (LOS)If LOS is >6 weeks then put >42 days.
Appendix 1
Index of figures
Figure 1. Total trauma admissions to each trauma service for 2002 with ISS > 15.........................................................7
Figure 2. Trauma admissions to all trauma services by age ............................................................................................7
Figure 3. Trauma admissions to all trauma services for 2002 by age and gender...........................................................7
Figure 4. Trauma admissions to each trauma service by admission type (ie direct from scene or transfer
into the trauma service from another hospital) ...............................................................................................7
Figure 5. Percentage of admission types for all trauma admissions to each trauma service direct from scene or
transferred from another hospital to a trauma service ....................................................................................8
Figure 6. Percentage of inter-AHS (from one hospital to another in a different AHS) and intra-AHS (from
one hospital to another within the same AHS) transfers for all trauma admissions to each trauma service .....8
Figure 7. Trauma admissions to all trauma services by mechanism of injury...................................................................8
Figure 8. Trauma admissions to all trauma services by mechanism of injury and outcome (survived or died)..................9
Figure 9. Trauma admissions to all trauma services showing outcome percentages by mechanism of injury ..................9
Figure 10. Trauma admissions to all trauma services showing injury region percentages by mechanism of injury.............9
Figure 11. Motor vehicle accident related trauma patient admissions to all trauma services by gender and age group..10
Figure 12. Motor vehicle accident related trauma patient admissions to all trauma services by hour of day
that injury occurred ......................................................................................................................................10
Figure 13. Motor vehicle accident related trauma patient admissions to all trauma services by day of week that
injury occurred for 2002...............................................................................................................................10
Figure 14. Motor Bike accident related trauma patient admissions to all trauma services by age and gender ................11
Figure 15. Motor Bike accident related trauma patient admissions to all trauma services by hour of day that
injury occurred .............................................................................................................................................11
Figure 16. Motor bike accident related trauma patient admissions to all trauma services by day of week for 2002.......11
Figure 17. Pedestrian trauma patient admissions to all trauma services by age and gender...........................................12
Figure 18. Pedestrian trauma patient admissions to all trauma services by hour of day that injury occurred ..................12
Figure 19. Pedestrian trauma patient admissions to all trauma services by day of week that injury occurred .................12
Figure 20. Low to medium fall (<5m) trauma patient admissions to all trauma services by age and gender ..................13
Figure 21. Low to medium fall (<5m) trauma patient admissions to all trauma services by hour of day that
injury occurred .............................................................................................................................................13
Figure 22. Low to medium fall (<5m) trauma patient admissions to all trauma services by day of week that
injury occurred .............................................................................................................................................13
Figure 23. High fall (5m or greater) trauma patient admissions to all trauma services by age and gender .....................14
Figure 24. Pedal cycle trauma patient admissions to all trauma services by age and gender ..........................................14
Figure 25. Pedal cycle trauma patient admissions to all trauma services by hour of day that injury occurred .................14
Figure 26. Pedal cycle trauma patient admissions to all trauma services by day of week that injury occurred ................15
Figure 27. Blunt assault trauma patient admissions to all trauma services by age and gender .......................................15
Figure 28. Shooting trauma patient admissions to all trauma services by age and gender.............................................15
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 49
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health50
FFigure 29.Stabbing trauma patient admissions to all trauma services by age and gender .............................................15
Figure 30. Arrival mode percentages for trauma admissions to all trauma services. .......................................................16
Figure 31. Arrival mode percentages for direct from scene admissions to all trauma services ........................................16
Figure 32. Arrival mode percentages for transfer in trauma admissions to all trauma services .......................................17
Figure 33. Trauma admissions admitted to operating suite within 24 hours of admission for all trauma services. ..........17
Figure 34. Outcomes for operating suite procedures for trauma admissions to all trauma services ................................17
Figure 35. ICU admissions by month for trauma admissions to all trauma services ........................................................18
Figure 36. ICU admissions by age for trauma admissions to all trauma services.............................................................18
Figure 37. ICU admission percentages by arrival mode for trauma admissions to all trauma services.............................18
Figure 38. Injury region percentages by admission type for trauma patient admissions to all trauma services................19
Figure 39. Injury Region percentages by age for trauma patient admissions to all trauma services ................................19
Figure 40. Injury regions by age for trauma patient admissions to all trauma services. ..................................................19
Figure 41. Injury severity score (ISS) range by age for trauma patient admissions to all trauma services.........................20
Figure 42. ISS range percentages by gender for trauma patient admissions to all trauma services.................................20
Figure 43. ISS range by arrival mode for trauma patient admissions to all trauma services. ...........................................20
Figure 44. Hospital average length of stay (LOS) by age and gender for surviving trauma admissions to
all trauma services. .......................................................................................................................................21
Figure 45. Hospital average length of stay (LOS) by age and gender for deceased trauma admissions to
all trauma services. .......................................................................................................................................21
Figure 46. Paediatric admissions to each trauma service................................................................................................22
Figure 47. Paediatric admissions to each trauma service by gender ...............................................................................22
Figure 48. Admissions to each designated Paediatric Major trauma service by admission type. .....................................23
Figure 49. Admissions to each designated Paediatric Major trauma service by admission type percentage. ...................23
Figure 50. Paediatric patient admissions to all trauma service by mechanism of injury. ..................................................23
Figure 51. Trauma admissions to John Hunter Hospital / John Hunter Children’s Hospital by age and gender................25
Figure 52. Trauma admissions to Liverpool Hospital by age and gender ........................................................................27
Figure 53. Trauma admissions to Nepean District Hospital, Penrith by age and gender..................................................29
Figure 54. Trauma admissions to Prince of Wales Hospital by age and gender ..............................................................31
Figure 55. Trauma admissions to Royal North Shore Hospital by age and gender ..........................................................33
Figure 56. Trauma admissions to Royal Prince Alfred Hospital by age and gender .........................................................35
Figure 57. Trauma admissions to St George Hospital by age and gender.......................................................................37
Figure 58. Trauma admissions to St Vincent’s Hospital by age and gender ....................................................................39
Figure 59. Trauma admissions to Sydney Children’s Hospital by age and gender ...........................................................41
Figure 60. Trauma admissions to The Children’s Hospital at Westmead by age and gender ...........................................43
Figure 61. Trauma admissions to Westmead Hospital by age and gender......................................................................45
Index of figures
Index of tables
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 51
Table 1. Trauma service (TS) admissions and deaths ....................................................................................................3
Table 2. Admissions by gender ...................................................................................................................................3
Table 3. Outcome by gender ......................................................................................................................................3
Table 4. Age – Top three age ranges ..........................................................................................................................4
Table 5. Mechanism of injury – Top three ...................................................................................................................4
Table 6. Admission type..............................................................................................................................................4
Table 7. Outcome by admission type ..........................................................................................................................4
Table 8. ICU admissions..............................................................................................................................................4
Table 9. ICU average length of stay (LOS) ...................................................................................................................4
Table 10. Hospital average length of stay (LOS) ............................................................................................................5
Table 11. Arrival mode – Top three arrival modes .........................................................................................................5
Table 12. Operating suite in first 24 hours....................................................................................................................5
Table 13: Operating suite in first 24 hours – Top three procedures...................................................................................5
Table 14. Injury time – Top three hours of the day injury occurred (excludes patients where time of injury is unknown)5
Table 15. Injury day of week.........................................................................................................................................6
Table 16. Injury severity score (ISS)................................................................................................................................6
Table 17. Arrival mode by trauma service admissions for 2002 ...................................................................................16
Table 18. Paediatric admissions and deaths ................................................................................................................22
Table 19. Gender........................................................................................................................................................22
Table 20. Arrival mode for paediatric admissions to trauma services for 2002 ............................................................24
Table 21. Admissions and deaths – John Hunter Hospital / John Hunter Children’s Hospital........................................25
Table 22. Admissions by age range – John Hunter Hospital / John Hunter Children’s Hospital.....................................25
Table 23. Admissions by gender – John Hunter Hospital / John Hunter Children’s Hospital .........................................25
Table 24. Trauma admissions to John Hunter Hospital / John Hunter Children’s Hospital by mechanism of injury........26
Table 25. Trauma admissions to John Hunter Hospital /John Hunter Children’s Hospital by arrival mode.....................26
Table 26. Trauma admissions to John Hunter Hospital /John Hunter Children’s Hospital by ICU admission ..................26
Table 27. ICU average length of stay (LOS) at John Hunter Hospital / John Hunter Children’s Hospital........................26
Table 28. Hospital average length of stay (LOS) at John Hunter Hospital/John Hunter Children’s Hospital ...................26
Table 29. Transfer in admissions to John Hunter Hospital /John Hunter Children’s Hospital .........................................26
Table 30. Admissions and deaths – Liverpool Hospital ................................................................................................27
Table 31. Admissions by age range – Liverpool Hospital .............................................................................................27
Table 32. Admissions by gender – Liverpool Hospital ..................................................................................................27
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health52
Table 33. Trauma admissions to Liverpool Hospital by mechanism of injury ................................................................28
Table 34. Trauma admissions to Liverpool Hospital by arrival mode.............................................................................28
Table 35. Trauma admissions to Liverpool Hospital by ICU admission..........................................................................28
Table 36. ICU average length of stay (LOS) at Liverpool Hospital ................................................................................28
Table 37. Hospital average length of stay (LOS) at Liverpool Hospital..........................................................................28
Table 38. Transfer In admissions to Liverpool Hospital.................................................................................................28
Table 39. Admissions and deaths – Nepean District Hospital, Penrith..........................................................................29
Table 40. Admissions by age range – Nepean District Hospital, Penrith.......................................................................29
Table 41. Admissions by gender – Nepean District Hospital, Penrith ...........................................................................29
Table 42. Trauma admissions to Nepean District Hospital, Penrith by mechanism of injury..........................................30
Table 43. Trauma admissions to Nepean District Hospital, Penrith by arrival mode......................................................30
Table 44. Trauma admissions to Nepean District Hospital, Penrith by ICU admission ...................................................30
Table 45. ICU average length of stay (LOS) at Nepean District Hospital, Penrith ..........................................................30
Table 46. Hospital average length of stay (LOS) at Nepean District Hospital, Penrith ...................................................30
Table 47. Transfer In admissions to Nepean District Hospital, Penrith ..........................................................................30
Table 48. Admissions and deaths – Prince of Wales Hospital.......................................................................................31
Table 49. Admissions by age range – Prince of Wales Hospital ...................................................................................31
Table 50. Admissions by gender – Prince of Wales Hospital ........................................................................................31
Table 51. Trauma admissions to Prince of Wales Hospital by mechanism of injury .....................................................32
Table 52. Trauma admissions to Prince of Wales Hospital by arrival mode...................................................................32
Table 53. Trauma admissions to Prince of Wales Hospital by ICU admission................................................................32
Table 54. ICU average length of stay (LOS) at Prince of Wales Hospital.......................................................................32
Table 55. Hospital length of stay (LOS) at Prince of Wales Hospital .............................................................................32
Table 56. Transfer In admissions to Prince of Wales Hospital .......................................................................................32
Table 57. Admissions and deaths – Royal North Shore Hospital ..................................................................................33
Table 58. Admissions by age range – Royal North Shore Hospital ...............................................................................33
Table 59. Admissions by gender – Royal North Shore Hospital ....................................................................................33
Table 60. Trauma admissions to Royal North Shore Hospital by mechanism of injury ..................................................34
Table 61. Trauma admissions to Royal North Shore Hospital by arrival mode ..............................................................34
Table 62. Trauma admissions to Royal North Shore Hospital by ICU admission............................................................34
Table 63. ICU average length of stay (LOS) at Royal North Shore Hospital ..................................................................34
Table 64. Hospital average length of stay (LOS) at Royal North Shore Hospital............................................................34
Table 65. Transfer in admissions to Royal North Shore Hospital...................................................................................34
Table 66. Admissions and deaths – Royal Prince Alfred Hospital .................................................................................35
Table 67. Admissions by age range – Royal Prince Alfred Hospital ..............................................................................35
Index of tables
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 53
Table 68. Admissions by gender – Royal Prince Alfred Hospital ...................................................................................35
Table 69. Trauma admissions to Royal Prince Alfred Hospital by mechanism of injury .................................................35
Table 70. Trauma admissions to Royal Prince Alfred Hospital by arrival mode .............................................................36
Table 71. Trauma admissions to Royal Prince Alfred Hospital by ICU admission...........................................................36
Table 72. ICU average length of stay (LOS) at Royal Prince Alfred Hospital .................................................................36
Table 73. Hospital average length of stay (LOS) at Royal Prince Alfred Hospital...........................................................36
Table 74. Transfer In admissions to Royal Prince Alfred Hospital..................................................................................36
Table 75. Admissions and deaths – St George Hospital...............................................................................................37
Table 76. Admissions by age range – St George Hospital............................................................................................37
Table 77. Admissions by gender – St George Hospital ................................................................................................37
Table 78. Trauma admissions to St George Hospital by mechanism of injury...............................................................38
Table 79. Trauma admissions to St George Hospital by arrival mode...........................................................................38
Table 80. Trauma admissions to St George Hospital by ICU admission ........................................................................38
Table 81. ICU average length of stay (LOS) at St George Hospital...............................................................................38
Table 82. Hospital average length of stay (LOS) at St George Hospital ........................................................................38
Table 83. Transfer In admissions to St George Hospital ...............................................................................................38
Table 84. Admissions and deaths – St Vincent’s Hospital ............................................................................................39
Table 85. Admissions by age range – St Vincent’s Hospital .........................................................................................39
Table 86. Admissions by gender – St Vincent’s Hospital ..............................................................................................39
Table 87. Trauma admissions to St Vincent’s Hospital by mechanism of injury ............................................................40
Table 88. Trauma admissions to St Vincent’s Hospital by arrival mode.........................................................................40
Table 89. Trauma admissions to St Vincent’s Hospital by ICU admission......................................................................40
Table 90. ICU average length of stay (LOS) at St Vincent’s Hospital.............................................................................40
Table 91. Hospital average length of stay (LOS) at St Vincent’s Hospital......................................................................40
Table 92. Transfer In admissions to St Vincent’s Hospital.............................................................................................40
Table 93. Admissions and deaths – Sydney Children’s Hospital ...................................................................................41
Table 94. Admissions by age range (general age groups), Sydney Children’s Hospital .................................................41
Table 95. Admissions by gender – Sydney Children’s Hospital .....................................................................................41
Table 96. Trauma admissions to Sydney Children’s Hospital by mechanism of injury ...................................................42
Table 97. Trauma admissions to Sydney Children’s Hospital by arrival mode ...............................................................42
Table 98. Trauma admissions to Sydney Children’s Hospital by ICU admission.............................................................42
Table 99. ICU average length of stay (LOS) at Sydney Children’s Hospital ...................................................................42
Table 100. Hospital average length of stay (LOS) at Sydney Children’s Hospital.............................................................42
Table 101. Transfer In admissions to Sydney Children’s Hospital....................................................................................42
Table 102. Admissions and deaths – The Children’s Hospital at Westmead ...................................................................43
Index of tables
NSW Trauma Minimum Data Set – 2002 Annual Report NSW Health54
Table 103. Admissions by age range (general age groups) – The Children’s Hospital at Westmead ...............................43
Table 104. Admissions by gender – The Children’s Hospital at Westmead.....................................................................43
Table 105. Trauma admissions to The Children’s Hospital at Westmead by mechanism of injury ...................................43
Table 106. Trauma admissions to The Children’s Hospital at Westmead by arrival mode ...............................................44
Table 107. Trauma admissions to The Children’s Hospital at Westmead by ICU admission ............................................44
Table 108. ICU average length of stay (LOS) at The Children’s Hospital at Westmead ...................................................44
Table 109. Hospital average length of stay (LOS) at The Children’s Hospital at Westmead ............................................44
Table 110. Transfer In admissions to The Children’s Hospital at Westmead ...................................................................44
Table 111. Admissions and deaths – Westmead Hospital ..............................................................................................45
Table 112. Admissions by age range – Westmead Hospital...........................................................................................45
Table 113. Admissions by gender – Westmead Hospital ...............................................................................................45
Table 114. Trauma admissions to Westmead Hospital by mechanism of injury ..............................................................46
Table 115. Trauma admissions to Westmead Hospital by arrival mode ..........................................................................46
Table 116. Trauma admissions to Westmead Hospital by ICU admission .......................................................................46
Table 117. ICU average length of stay (LOS) at Westmead Hospital ..............................................................................46
Table 118. Hospital average length of stay (LOS) at Westmead Hospital .......................................................................46
Table 119. Transfer in admissions to Westmead Hospital ..............................................................................................46
Index of tables
Notes
NSW Health NSW Trauma Minimum Data Set – 2002 Annual Report 55
SHPN(SSD) 040208