INSTITUTE OF
TRAUMA AND INJURY
MANAGEMENTNE W
S OU
TH W
AL ES
The NSW Trauma Registry Profile of Serious to Critical Injuries
2006
Cover for WEB pdf 3/9/08 3:58 PM Page 1
Suggested citationNew South Wales Institute of Trauma and Injury Management. The NSW Trauma Registry Profile of
Serious to Critical Injuries: 2006. 2007. NSW Health
Prepared by
David Martens
NSW Trauma Data Manager
New South Wales Institute of Trauma and Injury Management
Any enquiries about or comments on this publication should be directed to:
Trish McDougall
Executive Manager
© NSW Institute of Trauma and Injury Management
PO Box 6314
Level 3, 51 Wicks Road
NORTH RYDE NSW 2113
Phone: 02 9887 5726
Fax: 02 9887 5843
International: +61 2 9887 5726
Email: itim@nsccahs.health.nsw.gov.au
Website: www.itim.nsw.gov.au
WEB inside cov 3/9/08 3:56 PM Page 1
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries 2006 i
acknowledgements The NSW Institute of Trauma and Injury Management would like to thank the staff of trauma services at the following hospitals for their expertise, data collection, support and enthusiasm in the collection of the NSW Trauma Minimum Data Set.
• Gosford Hospital
• 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
• Westmead Hospital
• Wollongong
ii ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries 2006 NSW Health
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries 2006 iii
Acknowledgements................................................... i
Executive Summary..................................................1 Overview ......................................................................1
The NSW Trauma System ..............................................1
The NSW Trauma Registry .............................................3
How complete is the dataset? .......................................3
Why is this data important? ..........................................4
Injury Severity Scores .....................................................5
Defi nitive trauma care ...................................................5
People and admissions ..................................................5
How data in this report is used ......................................6
Key Points .....................................................................6
Data Summary...........................................................7 Total injured people and admissions ..............................7
Trauma centre admissions .............................................8
Area Health Services .....................................................9
Age distribution ..........................................................10
Mechanisms of injury ..................................................11
Admission type ...........................................................12
Intensive care ..............................................................13
Hospital length of stay ................................................14
Arrival mode ...............................................................14
Surgical procedures .....................................................15
Times and Days of Week .............................................16
Injury Severity Score and body regions.........................17
Times to Defi nitive Care ..............................................18
Contents
Focus on low/medium falls (<5m).........................20 Focus on Pedestrians.............................................29 Individual Trauma Service Summaries.................36 Gosford Hospital .........................................................36
John Hunter Hospital/John Hunter Children’s Hospital .40
Liverpool Hospital .......................................................45
Nepean Hospital .........................................................49
Prince of Wales Hospital ..............................................53
Royal North Shore Hospital .........................................57
Royal Prince Alfred Hospital ........................................61
St George Hospital ......................................................65
St Vincent’s Hospital ....................................................69
Sydney Children’s Hospital ..........................................73
The Children’s Hospital at Westmead ..........................77
Westmead Hospital .....................................................81
Wollongong Hospital ..................................................85
Appendix..................................................................89 Index of Tables........................................................90 Index of Figures......................................................93
iv ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries 2006 NSW Health
Overview
In 2006, 2386 people were admitted to Trauma centres
in NSW after sustaining injuries classifi ed as serious to
critical. Although this was only a small increase from the
2005 fi gure of 2,314 people, the numbers in this group
have been steadily rising since the establishment of the
NSW Trauma Registry in 2002. In that year, the total
number of people was 1,781.
The steady growth is largely refl ected in a consistent
annual rise in the numbers of people sustaining injuries
due to road trauma, and due to falls1. Most notable in
these groups in 2006 has been the increase in trauma
due to low/medium falls (<5m), and an increase in
trauma due to pedal cycle, pedestrian and motorcycle
crashes.
There are also more positive signs in the 2006 data. The
overall fatality rate for all patients in 2006 fell slightly
to 12.6%, from 13.4% in 2005. Another good sign has
been a small fall in the numbers of people sustaining
injuries in motor vehicle crashes.
This report is the fi fth in the series of NSW Trauma
Registry Profi les of Serious to Critical Injuries published
by the NSW Institute of Trauma and Injury Management2
(NSW ITIM). Familiar tables and fi gures are provided to
illustrate the 2006 data, and to enable comparison of
data with previous year’s reports.
New to this report is an Area Health Service profi le.
This data expands upon the picture of trauma in
NSW provided in this report, allowing for a better
understanding of where injuries occur and how the NSW
trauma system responds to these patients.
The NSW Trauma System
The NSW trauma system consists of an organised
approach to facilitate and coordinate a multidisciplinary
system response to provide care to injured patients. The
system encompasses a continuum of care that provides
injured people with the greatest likelihood of returning to
their prior level of function within the community.
This continuum of care includes injury prevention, pre
hospital coordination and care, appropriate triage and
transport, emergency department trauma care, trauma
centre team activation, surgical intervention, intensive/
critical and general in-hospital care, rehabilitation
services, allied health and medical care follow up.
The overall goal of the NSW State Trauma System is to
decrease the incidence and severity of injury; as well
as to ensure optimal and accessible care to improve
health outcomes for those who are injured. Furthermore
the trauma system aims to facilitate the treatment of
the ‘right patient at the right hospital’, ensuring that
designated trauma centres have appropriate resources to
meet the complex needs of the injured patient.
Within NSW Health there are defi ned lines of
responsibility and accountability for care of the injured
patient within the trauma system. The clinical structure is
comprised of:
J Out of Hospital
The management of serious to critical trauma in NSW
is guided by the Ambulance Service of NSW (ASNSW)
Protocol 4 early notifi cation and bypass system. This
system has been designed to facilitate the delivery of
patients to a hospital where meaningful interventions
can be undertaken in the shortest possible time.
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries 2006 1
1 A small increase in numbers can also be attributed to the addition of trauma patient data from Gosford Hospital from 2003 onward, and from Wollongong Hospital
from 2004 onward
2 Earlier reports in this series were published annually with the title:NSW Institute of Trauma and Injury Management (ITIM) Trauma Minimum Data Set Annual Report
Executive Summary
2 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries 2006 NSW Health
In the metropolitan areas this involves bypassing non-
trauma designated hospitals. In rural areas it involves
the early notifi cation through ambulance operations
centres and the NSW Aeromedical and Medical Retrieval
Service (AMRS) to allow planning of retrieval and support
services to a place of intervention3;
J Hospitals
A three tiered level of care exists within the greater
metropolitan area and the rural areas of the state,
provided by Major Trauma Services, Regional Trauma
Services and Urban Trauma Services, Rural Referral
Trauma Services and Rural Designated Protocol 4 and
Non-designated Protocol 4 Trauma Services;
J State-wide Specialist Services
Spinal Cord Injury & Severe Burn Injury Service4;
J Rehabilitation Services including Brain Injury
Rehabilitation Services.
Out of Hospital
An injured patient may be delivered to the trauma
system in two ways:
J Non-ambulance arrival occurs when the patient
arrives at a hospital outside of the ambulance/
emergency services arrangements. For example a
patient may arrive at hospital by private vehicle;
J Ambulance/helicopter arrival occurs after the patient
has been subjected to a Trauma Triage process
whereby a decision is reached which determines
which hospital is the most appropriate for the
patient.
The pre-hospital phase of care is the period from the time
of injury to arrival at a defi nitive care trauma hospital.
The appropriate identifi cation of patients with serious
injury and their timely arrival at an appropriate hospital
are crucial to the effectiveness of the trauma system.
In NSW the pre-hospital management of serious to critical
trauma is guided by the Ambulance Service of NSW
(ASNSW) Protocol 4 early notifi cation and bypass system.
The purpose of Pre hospital Trauma Triage is to provide a
statewide, structured protocol driven process
for patients meeting the criteria defi ning serious trauma
to receive an appropriate emergency response and
transport to the appropriate level trauma facility within
the least time interval possible. By preference this will be
direct transport from the scene or by the most effi cient
retrieval means possible.
Protocol 4 is aligned to the Early Notifi cation of Severe
Trauma (NSW Health Circular 2002/105) for rural area,
involving the early notifi cation through ambulance
operations centres and the NSW Aeromedical and
Medical Retrieval Service (AMRS) to allow the appropriate
mobilisation of clinical resources.
Hospitals
Upon arrival at a hospital patients undergo a systematic
assessment of their injuries. Injury diagnosis, treatment
and progress through the hospital are planned and
monitored.
If deemed necessary a patient may require transfer
to a more appropriate level of service within the
trauma system. Injured patients progress to recovery,
rehabilitation and discharge in a timely fashion with
appropriate referral to post acute care as required.
Patients with major trauma are likely to be directly
admitted or transferred to a major trauma service in
NSW. Major trauma, the key focus of this report5, refers
to patients with multiple injuries requiring complex
multidisciplinary management or single system injuries of
a potentially life-threatening nature or which will require
complex management at specifi cally designated and
equipped health facilities.
A major trauma service can provide the full spectrum
of care for the most severely injured trauma patient,
from initial resuscitation through to discharge and
rehabilitation.
The major trauma service provides leadership, education,
research and promotes a cooperative and collaborative
working environment among the clinical disciplines
involved in trauma care. The major trauma service
provides expert care for injured patients, coordinating
3 In 2002 the revised document ‘Early Notifi cation of Severe Trauma in Rural New South Wales’ was released with the aim to improve the management and the
outcomes for patients severely injured in rural NSW. All rural hospitals must have in place written protocols for the recognition, notifi cation and response to severe
trauma in rural areas. (See: NSW Health Circular 2002/105). 4 See also NSW Health Policy Directive - Critical Care Adult Tertiary Referral Networks 2006 (Doc No. PD2006_046), which defi nes links between Area Health Services
and tertiary referral hospitals. The policy also defi nes clinical super-specialty referral networks including the NSW Severe Burn Injury Service (Adult), NSW Acute
Spinal Cord Injury Referrals (Adult), and NSW Major Trauma Referrals (Adult). 5 ‘Major trauma’ is a term also used to refer to patients with serious to critical injuries.
Executive Summary
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries 2006 3
the care of multiple specialty teams and advocating for
patients, both within the acute in hospital phase and
during rehabilitative care.
In the initial phase, all major trauma patients are
transported to a major trauma service for assessment,
resuscitation and initiation of defi nitive trauma care.
The service also reviews all trauma patients following
admission and perform a tertiary service and radiology
review.
State-wide Specialist Services
A number of statewide clinical super-speciality networks
operate in tandem with the NSW Critical Care Tertiary
Referral Networks (Adults).
These networks are largely determined by the location
of the clinical super-specialty services, and in some cases,
the imperative to achieve early clinical intervention such
as for those patients with major trauma.
1. NSW Severe Burn Injury Service (Adult)
The NSW Severe Burn Injury Service (Adult) is part of
the Statewide Severe Burn Service Network located at
Concord Repatriation General Hospital and Royal North
Shore Hospital. Children requiring attention for severe
burn injury are cared for at The Children’s Hospital at
Westmead.
2. NSW Acute Spinal Cord Injury Service (Adult)
The NSW Acute Spinal Cord Injury Service (Adult) is
located at the Prince of Wales Hospital and the Royal
North Shore Hospital. The State Spinal Cord Injury Service
(SSCIS) is responsible for the management of adults
who have sustained a spinal cord injury, with evidence
of damage to the neural tissues as a result of trauma, or
from a non-progressive disease process (eg. transverse
myelitis, vascular occlusion, compression by infective
process or haemorrhage).
3. Brain Injury Rehabilitation
The needs of patients with brain injury are complex and
often require long term therapy. Brain injury rehabilitation
units at Royal Rehabilitation Centre, Sydney, Westmead
and Liverpool Hospitals provide highly specialised adult
in-patient care. Paediatric in-patient services are provided
at the Children’s Hospital, Westmead and at the Sydney
Children’s Hospital.
The NSW Trauma Registry NSW ITIM is responsible for managing the collection of
data about seriously to critically injured people admitted
to trauma centres in NSW. Data collected about these
patients is held securely in the NSW Trauma Registry.
Data in the registry is submitted regularly from Trauma
Registries at each NSW trauma centre6.
The data submitted from each Trauma Registry describes
patients admitted to the trauma centre whose injuries are
classifi ed from serious to critical according to an Injury
Severity Score calculated by accredited trauma centre
staff. More information about Injury Severity Scores is
provided below.
The NSW Trauma Registry contains simple, non-
identifi able information about each injured person, the
nature and location of the incident resulting in injury,
the main injuries sustained, and details of pre-hospital
and in-hospital treatments and services provided to each
person. In addition, some data about other (earlier)
hospital admissions is collected for patients transferred to
a trauma centre for trauma services7. The data collection
tool from which this data is derived is included in
Appendix 1.
How complete is the dataset? The data held in the NSW Trauma Registry represents the
great majority of people who sustained serious to critical
injuries within NSW. More specifi cally, the data represents
an almost complete record of admissions of seriously to
critically injured patients admitted to trauma centres in
NSW. There are however known instances where data
about seriously to critically injured patients is not held in
the NSW Trauma Registry.
In general, the data represents residents of NSW who
were injured in NSW and who were consequently
admitted to a Trauma Centre in NSW. The data may also
include some patients who were injured outside NSW, or
who are residents outside NSW, who were admitted to a
Trauma Centre in NSW.
No data is currently available to NSW ITIM however
regarding injured people who were not admitted to
trauma centres in NSW, as data is only currently collected
for the NSW Trauma Registry at these centres.
6 Currently includes trauma registries at Gosford Hospital, John Hunter/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, Westmead Hospital, The Children’s
Hospital at Westmead and Wollongong Hospital 7 The trauma data collection tool from which this data is derived is provided at Appendix 1
Executive Summary
4 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries 2006 NSW Health
Consequently, data is not currently collected about
seriously to critically injured people who were admitted
to other hospitals in NSW. Although it is likely that this
group of patients is very small, NSW ITIM recognises that
the lack of specifi c data to support evaluation of system
access by patients injured in the rural environment is an
area that needs attention.
A NSW Rural Trauma Clinical Nurse Consultant Pilot
Project has been developed which will enable prospective
data collection identifying the spectrum of serious
trauma admissions to hospitals in a rural region, including
in-hospital deaths and patients who are transferred or
taken directly from the scene to Trauma Centres in the
metropolitan areas.
The pilot project after appropriate evaluation will enable
a process which could be adapted in other areas to
provide data, monitoring of patient outcomes and
trauma system function in rural areas of NSW. The pilot
project will commence in 2007.
Data is also currently unavailable for people who may
have been injured in NSW and admitted or transferred
to a hospital outside NSW. The effect of this is most
noticeable for areas of NSW near state borders, such as
the far north or far south of NSW, or districts adjacent
to the Australia Capital Territory. NSW ITIM is currently
collaborating with the Shock Trauma Team at Canberra
Hospital and hopes to present data from that hospital in
future reports.
Why is this data important? The numbers of patients described in this report are
relatively small in contrast to the large numbers of
people admitted to hospital or attending emergency
departments in NSW hospitals following traumatic injury.
This group of seriously to critically injured patients,
however, is resource intensive, and may require the
utilisation of numerous health and community services,
multiple government and non-government agencies,
insurers, legal practitioners, employers, unions and
others. While many health services will assist these
patients in the immediate acute phase following injury,
other needs and relationships will be long term, and
ongoing.
In the acute period immediately following injury,
these patients may require extensive pre-hospital and
emergency services - including the services of other
government agencies such as police and rescue services.
They will frequently require a range of coordinated
services from hospital emergency departments and
trauma teams, surgical services and intensive care units.
They will often require extensive assistance from allied
health professionals.
They may need extensive rehabilitation and a range of
community services in order to return home. Others
may need ongoing support from health and community
services for the rest of their lives. In many cases an injury
will affect an injured person’s ability to work and live
independently, often impacting on lives beyond that of
the injured person.
Costs associated with this group of patients are
therefore extensive. A large number of these patients are
entitled to compensation, and may be engaged in legal
proceedings or in long-term relationships with insurers
following their injury. For others without recourse to
compensation, the costs of treatment, rehabilitation and
long term care and support are provided by government
agencies.
Identifying and understanding the nature of trauma
through these patients is critical to determining
prevention and treatment strategies, as well as gearing
the trauma system to provide the best possible response
to trauma where and when it occurs.
Executive Summary
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 5
Injury Severity Scores
Major trauma patients, the key focus of this report, are
defi ned as those with either a severe injury or a risk
for severe injury with an Injury Severity Score (ISS) >15,
recognised as an indicator of serious injury.
ISS scoring is undertaken retrospectively, but within 24-48
hours after admission to allow for identifi cation of all
injuries. On initial evaluation these patients typically have
abnormal vital signs or a signifi cant anatomical injury.
Patients with an ISS >15 represent approximately 2.4%
of total trauma related admissions to NSW hospitals.
The Injury Severity Score (ISS) is an anatomical scoring
system that provides an overall score for patients with
multiple injuries. The ISS is a calculated number which
is based on an anatomical injury severity classifi cation,
the AIS or Abbreviated Injury Scale8. The AIS classifi es
individual injuries by body region on a 6 point severity
scale from Minor to Maximum (currently untreatable
injury).
The ISS score is an internationally recognised anatomical
scoring system which correlates linearly with mortality,
morbidity and other measures of severity. ISS is best
reported in ranges – for this report: 16-24 (serious injury),
25-40 (severe injury) and 41-75 (critical injury).
Defi nitive trauma care
Defi nitive care is a key factor determining optimal patient
outcome. The hospital of defi nitive care is considered
to be the hospital where a patient is provided with all
treatment and care required for their injuries.
Although a patient may be admitted to a hospital for
treatment of an injury, specialist treatment or facilities
may require transfer to a trauma service for defi nitive
care, for example a child may be transferred to a
children’s hospital for specialised defi nitive care.
The hospital of defi nitive care is referred in this report as
the defi nitive trauma hospital. Figures in this report which
refer to defi nitive care have been adjusted to account for
any transfers from other hospitals or trauma centres.
People and admissions In 2006 there were 2,482 admissions to trauma centres
in NSW. There were however 2,386 people who
sustained serious to critical injuries in NSW.
The different fi gures refl ect a great strength of the NSW
Trauma Registry – the ability to trace the progress of
trauma patients through the NSW trauma system.
When a patient is transferred from one trauma centre to
another, the NSW Trauma Registry records the transfer
as an additional hospital admission for that patient. The
number of patients remains as it is – only one person has
been injured - but an additional record has been created
for the additional admission9.
This feature of the NSW Trauma Registry allows for
counts of distinct people, generally referred to as ‘people
injured’ in the report, to be distinguished from counts of
hospital admissions. By defi nition, the number of hospital
admissions is always equal to or greater than the number
of people injured.
Generally, numbers of injured people are used in this
report to describe people, their injuries and how, when
and where they sustained them, while numbers of
admissions are used to describe pre-hospital and in-
hospital treatments and services.
8 Abbreviated Injury Scale: Association for the Advancement of Automotive Medicine, 1990 Update, ’98 Revision. 9 Admissions to hospitals other than trauma centres are generally not included in admission fi gures in this report unless specifi cally mentioned.
Executive Summary
6 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
10 Death rates in this report are case fatality rates, calculated as follows: Case fatality rate = number of deaths divided by the number of patients in this data collection X 100 11 Assaults in the NSW Trauma Registry include blunt assault, shootings and stabbings
How data in this report is used Data from the Trauma Minimum Data Set is used to provide advice and feedback to clinicians and other
stakeholders, and enables research into patterns of service demand and staffi ng. This data also supports
benchmarking and performance improvement activities. In addition it is used in the following important areas
of practice: J Provides information to NSW Health, Area Health Services, Injury Prevention Groups, Motor Accidents
Authority, Road Traffi c Authority and other appropriate organisations
J Supports current and future trauma service planning in NSW
J Identifi es specifi c areas of need for Education programs to be used by pre hospital providers, clinicians,
administrators and consumers
J Illustrates the Rural – Metropolitan trauma transfer patterns
J Is a resource for the development of identifi ed Clinical Practice Guidelines
J Assists in the evaluation of inter rater reliability Scoring Systems across the trauma environment
J Recommends topics for potential research projects
J Contributes to the National Trauma Registry Consortium
Key Points
Much of the data presented in this report is consistent with data from previous years: for example age distributions, major mechanisms of injury (road trauma, falls, assaults), and gender distributions show little variation in data collected from 2002-2006;
The death rate10 for serious to critically injured people fell to 12.6%, from 13.4% in 2005;
The number of people injured due to motorcycle crashes, pedestrian injuries, pedal cycle injuries, and low to medium falls (<5m) increased in the year from 2005 to 2006;
Injured pedestrians in 2006 were more frequent in younger age ranges (particularly aged 15-24 years), with proportionally more critical injuries than other mechanisms of injury, a higher than average death rate, and were most frequently injured in South Eastern Sydney/Illawarra Area Health Service districts;
People injured following low/medium falls were more commonly aged 65 years and over, and were injured in Northern Sydney/Central Coast Area Health Service districts. The death rate for low/medium falls was particularly high for these older age groups;
Hunter/New England Area Health Service and Sydney West Area Health Service treated more major trauma due to road trauma than any other area health service;
40% of people injured in 2006 were injured within the boundaries of Sydney South West and Sydney West Area Health Services;
Transfers from rural hospitals to trauma centres were most frequently recorded in the Hunter/New England Area Health Service (99 transfers), followed by transfers from the Greater Western Area Health Service (73 transfers);
Most assaults11 in the 2006 data occurred in Sydney South West Area Health Service districts;
Paediatric admissions fell in 2006, due largely to fewer admissions of children injured following low/medium falls and motor vehicle crashes;
Overall times to defi nitive care fi gures were maintained within NSW Health benchmarks. A key performance indicator - people injured in a metropolitan area in 2006 and transported directly to a trauma centre from the scene of their injury (within 2 hours) – achieved the NSW Health standard. The time to arrival at the defi nitive trauma hospital was an average 55 minutes for 87% of this group.
Executive Summary
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 7
Data Summary12
Total injured people and admissions The NSW Trauma Registry recorded 2,386 people injured with an ISS > 15 in 2006. Trauma centre admissions totalled
2,482 for this group of patients.
Table 1: Trauma Service (TS) Admissions and Deaths
Total Admissions/people people injured13 2482 admissions / 2386 people injured
Survived 2085 people 87.4% of all people injured
Died 301 people 12.6% of all people injured
Monthly Average 207 admissions
Minimum Monthly Admissions 181 August
Maximum Monthly Admissions 238 December
These fi gures rose slightly from those in 2005, and continue a series of small annual increases in trauma fi gures since the
establishment of the NSW Trauma Registry in 2002.
There may be several factors infl uencing this small but consistent growth in trauma fi gures, not least of which may be the
consolidation of trauma services and personnel in trauma centres where data is collected, as well as maturing practices in
capturing, managing and reporting trauma data in those centres.
Figure 1: People injured, 2002-2006 (including deaths)
The death rate within this group of patients14 in 2006 was 12.6%, which was down from the 2005 rate of 13.4%.
The NSW rate continues to be lower than the Australasian death rate for this population of 15%15.
Figure 1 also demonstrates that the volume of deaths in this population has remained reasonably steady since 2002.
The 2006 fi gure of 301 deaths is within the range for the fi ve year period (range from 257 to 309 deaths) and only 1
above the median (median number of deaths = 300).
12 All data is for calendar year 2006 (i.e. 01/01/2006 to 31/12/2006). 13 The term ‘people injured’ refers to distinct people, whereas numbers of ‘patients admitted to hospital’ may include a count of the same person one or more times, if that person is admitted to or transferred to additional trauma centres. 14 Death rates in this report are case fatality rates, calculated as follows: Case fatality rate = number of deaths divided by the number of patients in this data collection X 100 15 The National Trauma Registry Consortium (Australia and New Zealand). The National Trauma Registry (Australia and New Zealand) Report: 2003. 2006. Herston
TotalDiedPeople injured, 2002 – 2006 (including deaths)
Pe op
le In
jur ed
Mechanism of Injury
0
500
1000
1500
2000
2500
257 300 270 309 301
1781
2082
2263 2314 2389
2002 2003 2004 2005 2006
8 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
The fi gures in Table 2 confi rm that trauma is still predominantly a male health problem, with males outnumbering females
almost 3 to 1. The proportion of females in the data fell to 25.8%, similar to the 2004 rate. Outcome rates for each
gender however remained almost unchanged from 2005 (Table 3).
Table 2: Admissions by Gender
Female616 people (634 admissions) 25.8% of people and 25.5% of admissions
Male1770 people (1848 admissions) 74.2% of people and 74.5% of admissions
Table 3: Outcome by Gender
Gender Outcome – Survived Outcome - Died
Female 521 people (84.6% of Females) 95 people (15.4% of Females)
Male 1564 people (88.4% of Males) 206 people (11.6% of Males)
Trauma centre admissions Admissions of serious to critically injured patients to trauma centres are presented in Figure 2. The distribution of
admissions has remained largely unchanged since 2005, although paediatric admissions at Sydney Children Hospital and
The Children’s Hospital at Westmead fell slightly while all other trauma centre admissions increased.
Major trauma admissions to John Hunter Hospital/John Hunter Children’s Hospital have been consistently greater than any
other single trauma centre during the past 5 years. This is largely due to the hospital being the only trauma centre in the
Hunter/New England Area Health Service (in contrast to other Area Health Services which host multiple trauma centres)16.
Figure 2: Admissions to trauma centres
16 The Area Health Service profi le (see following section) provides additional context for these trauma centre admission fi gures.
Data Summary
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Admissions to Trauma Centres – 2006
0
50
100
150
200
250
300
350
400
450
134 400 275 164 71 318 201 228 130 49 76 330 106
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 9
Area Health Services Data relating to Area Health Service distributions of people and admissions is included in this report for the fi rst time in
2006. The aggregation of data into Area Health Service groups is based upon postcodes collected for each record in the
NSW Trauma Registry, and upon the location of specifi c trauma centres within Area Health Services in NSW.
A patient may be injured within the boundaries of any of the nine Area Health Services in NSW. Trauma centres are only
located however in the following six Area Health Services:
J Hunter/New England
J Northern Sydney/Central Coast
J South Eastern Sydney/Illawarra
J Sydney South West
J Sydney West
J The Children’s Hospital at Westmead
Table 4 shows the distribution of admissions to trauma centres across Area Health Services. Numbers include admissions of
transferred patients, so that the same patient may be admitted to a trauma centre in different Area Health Services, or to
more than one trauma centre in the same Area Health Service.
Variation in admission numbers between the areas may be attributed in part to the location of specialist services, such
as the Spinal Injuries service at Prince of Wales and Royal North Shore Hospitals, paediatric services at Sydney Children’s
Hospital, and the burns service at Royal North Shore Hospital.
Table 4: Admissions by Area Health Service
Area Health Service Admissions %
Hunter/New England 402 admissions 16.2% of all admissions
Northern Sydney/Central Coast 453 admissions 18.3% of all admissions
South Eastern Sydney/Illawarra 584 admissions 23.5% of all admissions
Sydney South West 476 admissions 19.2% of all admissions
Sydney West 494 admissions 19.9% of all admissions
The Children’s Hospital at Westmead 76 admissions 3.1% of all admissions
Aggregation of the geographical location of injury into Area Health Service groups, based on the boundaries of each Area
Health Service, provides a snapshot of where traumatic injury occurred in NSW in 2006. People injured in Sydney South
West and Sydney West were the largest group, and accounted for almost 40% of people injured in 2006.
Signifi cantly fewer people were injured in non-metropolitan Area Health Services; however these numbers do not include
patients who may have been treated interstate. People injured in or treated in the ACT are also excluded from these
fi gures. Numbers may also refl ect the population densities of rural and metropolitan areas of the state.
Data Summary
10 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 5: Geographical Location of injury by Area Health Service (people injured)17
Area Health Service Admissions %
Greater Western 81 3.7% of all patients
Greater Southern 61 2.8% of all patients
Hunter/New England 383 17.5% of all patients
North Coast 51 2.3% of all patients
Northern Sydney/Central Coast 358 16.4% of all patients
South Eastern Sydney/Illawarra 387 17.7% of all patients
Sydney South West 439 20.1% of all patients
Sydney West 425 19.4% of all patients
Age distribution The age distribution of injured people in the 2006 data is similar to previous years. People aged from 15 to 44 years were
again the most represented in the data, accounting for 47.3% of all people injured. This was marginally lower than the
2005 fi gure of 47.8% and lower than the calculated rate for the entire 2002-2006 period, where the 15-44 years group
represented 49.8% of all people injured. The fi gure for this age group has in fact been falling gently since 2002, when it
was recorded at a fi ve year high of 52.9% of people injured.
Figure 3: Admissions to Trauma Services by age and gender
Table 6: Age - Top 3 Age Ranges
Age Range Count (people injured) % of people injured
15-24 458 19.2%
25-34 372 15.6%
35-44 301 12.6%
17 This table maps postcode of locality where injury occurred to Area Health Services. Numbers exclude records where the postcode of injury is unknown. In 2006 this
represented 200 records.
MaleFemaleAdmissions to Trauma Centres – 2002-2006 – Age and Gender
N um
be r o
f A dm
iss io
ns
Age Range
0
50
100
150
200
250
300
350
400
450
500
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
63 140 91 367 47 325 55 246 60 200 57 196 61 154 123 142 70 75 7 2
Data Summary
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 11
Mechanisms of injury
There was little change from 2005 to 2006 in the overall proportions of the main categories of injury: Road Trauma, Falls
and Assaults (see fi gure 3). Road trauma remained the leading mechanism of injury, associated with 44.2% of trauma,
followed by Falls (35.5%) and Assaults (10.2%).
Figure 4: Mechanisms of injury
Other 239
(10.1%)
Assault 244
(10.2%)
Falls 848
(35.5%)Road Trauma 1055
(44.2%)
Mechanisms of Injury
There were increases in the numbers of almost all mechanism of injury sub-categories consistent with the general increase
in people injured in 2006, expect for motor vehicle crashes and shootings, where the fi gures fell.
The most signifi cant increases were found in the Low/medium falls mechanism subcategory, up by 7.2% to 756 people
injured, and in the Pedal cycle mechanism subcategory, up 20.9% to 81 people injured. Other rises included Pedestrians
(up 7.8%) and Motorcycle crashes (up 5.2%).
Table 7: Mechanism of Injury - Road Trauma
Road Trauma Count % of Total Deaths (% of mechanism)
MVC 499 people 20.9% 53 people (10.6%)
MBC 241 people 10.1% 9 people (3.7%)
Pedestrian 234 people 9.8% 49 people (20.9%)
Pedal Cyclist 81 people 3.4% 1 person (1.2%)
Total Road Trauma 1055 people 44.2% 112 people (10.6%)
Death rates18 for Road Trauma and Falls were lower in 2006 than 2005 (10.6% and 15.4% respectively), although the
high rate for Pedestrians was worse than in 2006 (up to 20.9%), confi rming pedestrians as a vulnerable group in the
trauma population.
18 Includes 3 falls of unspecifi ed height
Data Summary
12 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 8: Mechanism of Injury - Falls
Road Trauma Count % of Total Deaths (% of mechanism)
Low/Medium Fall (<5m) 756 people 31.7% 119 people (15.7%)
High Fall (>5m) 89 people 3.7% 11 people (12.4%)
Total All Falls 848 people18 35.5% 131 people (15.4%)19
Small numbers of people have a greater affect on death rates calculated for categories of assault in the 2006 data. The
high rate of deaths for shootings should therefore be interpreted within the context of a relatively small group of patients
(<1% of the entire group of people injured in 2006). The overall death rate for assaults increased from 11.6% in 2005 to
13.1% in 2006. Table 9: Mechanism of Injury - Assaults
Assault Count % of Total Deaths (% of mechanism)
Blunt Assault 167 people 7% 10 people (6%)
Shooting 17 people <1% 9 people (52.9%)
Stabbing 60 people 2.5% 13 people (21.7%)
Total All Assaults 244 people 10.2% 32 people (13.1%)
Admission type Patients may be admitted to a trauma centre directly from the scene of injury, or following a transfer from another trauma
centre or a non-trauma hospital. In particular, patients requiring the services of a clinical super-specialty network such as
the NSW Acute Spinal Cord Injury Service (Adult), NSW Severe Burn Injury Service (Adult), or a paediatric trauma service
may be transferred.
NSW ITIM also monitors rates and patterns of interhospital patient transfers in the NSW Trauma system, to ascertain the
effectiveness of the Ambulance Service of NSW (ASNSW) Protocol 4 early notifi cation and bypass system, and tertiary
referral networks20 in NSW.
At 74.3%, the rate of ‘direct from scene’ admissions21 to trauma centres remained virtually unchanged from 2005 to
2006. The remainder of patients in the data admitted to a trauma centre were transferred from either another trauma
centre or another non-trauma hospital. Table 10: Admission Type
Admission Type Count % of Total
Transfer In 639 admissions 25.7% of all admissions
Direct From Scene 1843 admissions 74.3% of all admissions
Table 11: Outcome by Admission Type
Admission Type Outcome – Survived Outcome - Died
Transfer In 579 admissions (90.6%) 60 admissions (8.4%)
Direct From Scene 1602 admissions (86.9%) 241 admissions (13.1%)
18 Includes 3 falls of unspecifi ed height 19 Includes 1 death from a fall of unspecifi ed height 20 I See NSW Health Policy Directive - Critical Care Adult Tertiary Referral Networks 2006 (Doc No. PD2006_046), which defi nes links between Area Health Services and tertiary referral hospitals. The policy also defi nes clinical super-specialty referral networks including the NSW Severe Burn Injury Service (Adult), NSW Acute Spinal Cord Injury Referrals (Adult), and NSW Major Trauma Referrals (Adult). 21 Where the patient was transported directly from the place where injury was sustained to a trauma centre
Data Summary
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 13
Intensive care
Due to the severity of their injuries, patients in this data collection are often admitted to an intensive care unit at a
trauma centre. An intensive care unit (ICU) is a designated ward of a hospital which is specially staffed and equipped to
provide observation, care and treatment to patients with critical injuries. The ICU provides special expertise and facilities
for the support of vital functions and utilises the skills of medical, nursing and other staff trained and experienced in the
management of these problems.22
In 2006 42.7% of injured people (1,018 people) recorded in the NSW Trauma Registry were admitted to an ICU.
This fi gure was almost unchanged from 2005 (1,026 people or 42.5% of injured people).
The death rate for this group was 14%, contrasting with the death rate of 10.8% for people not admitted to an intensive
care unit (Table 11). In general this refl ects a higher severity of injury for patients requiring intensive care unit admission.
The average length of stay in an ICU in 2006 was 7.53 days (Table 12). The length of stay in an ICU varied with
outcome – patients who survived stayed in ICU an average 7.84 days, while patients who died stayed an average 5.62
days in an ICU (Table 13)23.
Table 12: ICU Admissions
Admission to ICU Count % of Total
Yes 1018 people/ 1030 ICU admissions
42.7% of people/ 41.5% of hospital admissions24
No 1368 people/ 1452 hospital admissions
57.3% of people/ 58.5% of hospital admissions
Table 13: ICU Admission by Outcome
Admission to ICU Outcome – Survived Outcome - Died
Yes 886 admissions (86%) 144 admissions (14%)
No 1295 admissions (89.2%) 157 admissions (10.8%)
Table 14: ICU Average Length of Stay (LOS)
Outcome - All Outcome – Survived Outcome - Died
7.53 Days 7.84 days 5.62 days
22 National Health Data Committee 2003. National Health Data Dictionary. Version 12, Volume 1, AIHW cat. No. HWI 43. Canberra: Australian Institute of Health and
Welfare 23 Outcome is recorded for the entire period of acute care admission. Patients who died and who were admitted to an ICU may not necessarily have died in an ICU.
24 The lower percentage of hospital admissions admitted to ICU (compared to the percentage of people injured admitted to an ICU) is due to the effect of transferred
patients who were admitted in the defi nitive care trauma hospital but not admitted in the fi rst trauma centre. This is not unusual for patients transferred soon after
arrival at a trauma centre
Data Summary
14 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Hospital length of stay The average overall hospital length of stay (for the period of acute care admission) for 2006 was 15.69 days, slightly lower
than the 2005 average of 15.86 days25. The average hospital length of stay for patients admitted directly to a trauma
centre form the scene of their injury was also lower than the 2005 average (down from 15.4 days to 14.88 days).
Table 15: Hospital Average Length of Stay (LOS)
LOS Outcome – All Outcome – Survived Outcome - Died
Overall LOS 15.69 days 17.31 days 4.42 days
Direct Admission LOS26 14.88 days 16.63 days 3.77 days
Transfer in Admission LOS 18.03 days 19.19 days 7.1 days
Arrival mode
Arrival modes recorded in the NSW Trauma Minimum Data Set refer to the way in which a patient is delivered to an
admitting trauma centre. For patients transferred to a trauma centre, arrival modes describe the manner in which they
were transferred. Arrival modes include:
J Ambulance
J Fixed Wing27
J Helicopter
J NETS28
J Private Vehicle
J Other29
Arrival modes recorded in the NSW Trauma Minimum Data Set are only recorded for admissions to trauma centres in NSW.
In 2006, the proportion of ambulance arrivals30 at trauma centres fell from 71% in 2005 to 67.4%. The other main arrival
modes, Helicopter and private vehicle arrivals, remained almost unchanged from 2005.
Table 16: Arrival Mode - Top 3 Arrival Modes
Arrival Mode Admissions % of Total
Ambulance 1674 admissions 67.4%
Helicopter 410 admissions 16.5%
Private Vehicle 161 admissions 6.5%
25 The hospital length of stay recorded in the NSW Trauma Minimum Data Set is the length of stay in a trauma centre while classifi ed as an acute care patient.
Additional days in hospital, for example while attending rehabilitation, are not included in these fi gures. For patients admitted to more than one trauma centre,
lengths of stay in each centre are counted separately.
26 In this table, admissions are either ‘Direct’ (from scene), where a patient is admitted directly from the scene of the injury, or ‘Transferred in’ to a defi nitive trauma
hospital from another hospital.
27 For fi xed wing arrival modes, the data represents the primary mode of transport used to deliver the patient to an admitting trauma centre.
28 NETS = NSW Newborn & Paediatric Emergency Transport Service. ‘NETS’ is the emergency service for medical retrieval of critically ill newborns, infants and children
in NSW. NETS does not transport from the scene (pre-hospital), but assists with transport for patients too sick for care to continue in their current hospital (source:
29 Other modes of arrival may include taxis, buses, bicycles etc, as well as patients arriving on foot.
30 Arrival modes recorded in the NSW Trauma Minimum Data Set refer to the manner in which a patient is delivered to the admitting trauma centre. For patients
transferred to a trauma centre, arrival modes also describe the manner in which they were transferred.
Data Summary
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 15
Surgical procedures
The following surgical procedures are recorded in the Trauma Minimum Data Set, if the procedure was performed within
24 hours of admission to a trauma centre:
J Craniotomy - a surgical operation in which part of the skull, called a skull fl ap, is removed in order to access the brain;
J Laparotomy - a surgical incision into the abdominal cavity to examine the abdominal organs and aid diagnosis;
J Open (compound) fractures (called Open Ext# in the Trauma Minimum Data Set) involve wounds that communicate
with the fracture and may expose bone to contamination; and
J Thoracotomy - a surgical incision into the chest. It is performed by a surgeon to gain access to the thoracic organs,
most commonly the heart, the lungs, the oesophagus or thoracic aorta31
Other surgical procedures not listed above are listed as ‘Other’ in the Trauma Minimum Data Set.
32.1% of all patients (765 people) underwent surgery (901 procedures) within 24 hours of admission to a trauma centre
in 2006, up slightly from the 2005 fi gure of 31%. Craniotomy continued to be the most common surgical procedure,
performed on 224 patients in 2006, which concurs with the head and neck ISS body region being the most commonly
injured ISS body region in the 2006 data set.
Table 17: Operating Suite in First 24 Hours - Top 3 Procedures
Operating Suite Procedure Count % of Total Procedures
Craniotomy 224 procedures 24.9%
Laparotomy 146 procedures 16.2%
Open Ext# 144 procedures 16%
31 Defi nitions of these surgical procedures obtained from http://www.wkipedia.com/
Data Summary
16 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Times and Days of Week
As Figure 5 demonstrates, early to late afternoon continued to be the most common time of day for serious to critical
trauma in 2006, with 34.5% of people injured between the hours of 12 noon and 6pm. The greatest numbers of people
were injured between 4pm and 5pm (166 people). A second smaller peak occurred between 10pm and 3am, when
approximately 16% of people were injured.
Figure 5: People injured by hour of day when injury occurred
People injured by hour of day
P eo
pl e
in ju
re d
Hour (24 hr)
0
20
40
60
80
100
120
140
160
180
88
69 75
42 38
46
71 75
63
79
95
123 131 132 129
147
166
118 114
107
80
52
82
69
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Table 18: Injury Time - Top 3 Hours of the Day Injury Occurred (excludes patients where time of injury is unknown)
Hour of Day Count (People Injured) % of Total
16:00 166 7.6%
15:00 147 6.7%
13:00 132 6 %
The greatest numbers of patients were admitted to a trauma centre between 4pm and 6pm (304 admissions).
Table 19: Admission Time - Top 3 Hours of the Day of Admission to Defi nitive Trauma Hospital32
Hour of Day Count (Admissions) % of Total
17:00 162 7%
14:00 144 6.3%
16:00 142 6.1%
The most common days for traumatic injuries in 2006 were Saturday, Sunday and Monday, with Saturday the busiest day
of the week (458 patients). In total, 1195 people were injured on these three days, or 50.1% of all people injured in 2006.
Data Summary
32 The defi nitive trauma hospital is considered to be the trauma centre where a patient is provided with all treatment and care required for their injuries.
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 17
Table 20: Injury Day of Week
Day of Week Count (People injured) % of Total
Saturday 458 patients 19.2%
Sunday 420 Patients 17.6%
Monday 317 patients 13.3%
Wednesday 301 patients 12.6%
Thursday 300 patients 12.6%
Friday 299 patients 12.5%
Tuesday 287 patients 12%
Injury Severity Score and body regions
There was little variation in the distribution of Injury Severity Scores (ISS) in 2006 from previous years, with 56.3% of
patients recording an ISS in the 16-24 range (serious injuries), 36% recording an ISS in the 25-40 range (severe injuries)
and 7.6% recording an ISS in the 41-75 range (critical injuries).
Table 21: Injury Severity Score (ISS)
ISS Range Count (People Injured) % of Total
16-24 1344 patients 56.3%
25-40 860 patients 36%
41-75 182 patients 7.6%
In 2006 the head and neck body region continued to be the most frequently recorded injury region in the NSW Trauma
Registry, followed by the chest body region and extremities body region33. Head injuries have been recognised as a
signifi cant issue in trauma, and guidelines are currently being developed to assist in management of head injuries, due
for release in June 2007.
The head and neck body region was recorded for 72.2% of injured people in 2006, up from the 2005 fi gure of 70.6%.
The chest was recorded for 41.5%, and the extremities body region recorded for 37.2% of injured people in 2006.
33 While the body region provides an indication of the location of injuries for each patient, it does not necessarily indicate the nature of the injury. The Head or Neck
ISS Region for example may include cervical spine injuries as well as traumatic brain injuries and skull fractures.
Data Summary
18 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 6: AIS body regions
AIS body regions
% o
f P eo
pl e
0
10
20
30
40
50
60
70
80
90
100
ExternalExtremityAbdomenChestFaceHead
72.21
17.14
41.45
21.54
37.22 31.98
Times to Defi nitive Care
Times to defi nitive care for patients with an ISS > 15 admitted to a trauma centre provide an indicator of the effectiveness
of the NSW trauma system, encompassing the progress of the patient from the scene of injury to admission to their
defi nitive trauma hospital.
Times to defi nitive care34 are calculated individually for each patient and grouped into time periods. The numbers are
further divided into rural and metropolitan locations of injury35, and into groups of patients transported directly to a
defi nitive trauma hospital from the scene of their injury, and those transferred to a defi nitive trauma hospital from another
hospital.
For people injured in a metropolitan area in 2006, the time to arrival at the defi nitive trauma hospital was an average 55
minutes for 87% of those who were transported directly to a trauma centre from the scene of injury.
Table 22: Time to defi nitive care for patients admitted directly to a defi nitive trauma hospital, rural vs metropolitan location of injury
Time period Rural (n=115) Metropolitan (n=1375)
0-2 hours 63 patients (54.8%) Average 1 hour 28 minutes
1200 patients (87%) Average 55 minutes
2-6 hours 40 patients (34.8%) Average 2 hours 45 minutes
82 patients (6%) Average 3 hours 11 minutes
6-12 hours 6 patients (5.2%) Average 8 hours 34 minutes
23 patients (1.7%) Average 8 hours 29 minutes
12-24 hours 2 patients (1.7%) Average 13 hours 28 minutes
25 patients (1.8%) Average 16 hours 25 minutes
Greater than 24 hours 4 patients (3.5%) Average 173 hours 15 minutes
45 patients (3.3%) Average 89 hours 34 minutes
34 The time taken to defi nitive care is a value calculated from the date and time of injury to the date and time of admission to the trauma centre where defi nitive care was provided to the patient. These fi gures exclude records where time of injury is unknown. 35 This grouping is performed using the postcode where injury occurred. Metropolitan locations include Greater Metropolitan Sydney, extending from Newcastle City in the North to Wollongong in the South.
Data Summary
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 19
Table 23: Time to defi nitive care for patients transferred to a defi nitive trauma hospital, rural vs metropolitan location of injury36
Time period Rural (n=236) Metropolitan (n=277)
0-2 hours 5 patients (2.1%) Average 1 hour 13
minutes
14 patients (5%) Average 1 hour 9
minutes
2-6 hours 44 patients (18.6%) Average 4 hours
24 minutes
70 patients (25.3%) Average 4 hours
25 minutes
6-12 hours 94 patients (39.8%) Average 8 hours
45 minutes
96 patients (34.7%) Average 8 hours
28 minutes
12-24 hours 51 patients (21.6%) Average 15 hours
18 minutes
39 patients (14.1%) Average 17 hours
17 minutes
Greater than 24 hours 42 patients (17.8%) Average 83 hours
57 minutes
58 patients (20.9%) Average 77 hours
55 minutes
Data Summary
36 Figures in this table represent patients transferred to a defi nitive trauma hospital from another hospital, including patients transferred from non-trauma hospitals to trauma centres, and patients who may have been transferred between trauma centres for defi nitive care.
20 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Focus on low/medium falls (<5m) Who are they? Typically males, aged 65 - 84 years
When were they injured? The most frequent day was Saturday, most frequent time – from early to late afternoon
Where were they injured? Most were injured in Northern Sydney/Central Coast Area Health Service districts
What were the top 3 injuries? Head and neck (90.9% of patients) External (37%) Chest (20.6%)
Trauma system response 77.9% of patients who were admitted directly from the scene of injury arrived within 2 hours
Case fatality rate 15.7%
General
Low/medium falls are the most frequently recorded mechanism of injury in the NSW Trauma Registry. In 2006 they
represented 31.7% of all cases in the Registry, a total of 756 people injured. This fi gure was an increase on the 2005
fi gure of 718 people injured. Indeed, as Figure 5 demonstrates, there has been a steady rise in the volume of serious to
critical injuries following low/medium falls in the past 5 years, highlighting the need to more fully understand the nature
of these injuries (fi gure 7).
Also of concern is the case fatality rate, or death rate in this group of patients. The death rate in 2006 was 15.7%,
exceeding the overall death rate in the 2006 data (12.6%). In addition, the death rate for people aged 65 years and older
was higher still, rising to 29.7% in the 85-94 years age group.
Figure 7: Low/medium falls, 2002-2006
Low/medium falls – 2002-2006
P eo
pl e
in ju
re d
Year
0
100
200
300
400
500
600
700
800
459
2002 2003 2004 2005 2006
587
678 718
756
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 21
Characteristics of the injured population
In contrast to many other mechanisms of injury recorded in the NSW Trauma Registry, low/medium falls (<5m) are
predominantly a problem for the older population. This single mechanism of injury was recorded for 70.4% of all people
aged 65 years and over.
Figure 8: Low to medium fall (<5m) admissions to all Trauma Centres by age
Low to medium fall (<5m) admissions to all Trauma Centres by age
N um
be r
of A
dm is
si on
s
Age Range
0
20
40
60
80
100
120
140
160
180
200
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
37 37 36 43
69
97
126
184
118
9
The pattern of time of injury was similar to the general time of injury pattern for all cases in 2006. Low/medium
falls (<5m) in 2006 were most common between midday and 2pm (95 admissions) and between 4pm and 5pm (48
admissions).
Figure 9: Low to medium fall (<5m) trauma by hour of day that injury occurred
Low to medium fall (<5m) trauma by hour of day that injury occurred
P eo
pl e
in ju
re d
Hour (24 hr)
0
10
20
30
40
50
60
11
20
9 12
16 18
23
19
33 36
46 49
44 42
48
37 39
37
27 27
8
21
16 19
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Like the general pattern for day of injury in 2006, Saturday, Sunday and Monday were the most common days for low/
medium falls. As in 2005 the busiest day of the week recorded for low/medium falls was Saturday, with 133 admissions.
Low/Medium Falls
22 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 10: Low to medium fall (<5m) admissions by day of week that injury occurred
Low to medium fall (<5m) admissions by day of week that injury occurred
A dm
is si
on s
0
20
40
60
80
100
120
140
SundaySaturdayFridayThursdayWednesdayTuesdayMonday
126
105 109
104
83
133
121
Over 50% of night-time injuries (between 11pm and 4am) resulting from low/medium falls were recorded by the group
aged 65 years and older (fi gure 10). The two afternoon peaks were also more distinct in this age group, from midday to
2pm, and from 4pm until 7pm.
Figure 11: Low/medium falls (<5m) by hour of day of injury for people aged 65 years and over
Low/medium falls (<5m) by hour of day of injury for people aged 65 years and over
P eo
pl e
in ju
re d
Hour (24 hr)
0
5
10
15
20
25
30
3
14
3
9 8
11
16
11
23 22
28 28
24
20
25 25
28
25
10
8
3
11
7
9
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
A different pattern also emerges for the day of the week of injury for people aged over 65 years. Here, instead of
weekends we fi nd the days from Monday to Thursday most frequently recorded for low/medium falls in this age group,
with Monday the most frequent (68 people injured).
Low/Medium Falls
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 23
Figure 12: Low/medium falls (<5m) by day of week for people aged 65 years and older
Low to medium fall (<5m) by day of week for people aged 65 years and older
P eo
pl e
in ju
re d
0
10
20
30
40
50
60
70
80
SundaySaturdayFridayThursdayWednesdayTuesdayMonday
68 64
60
55
37
55
41
Low/medium falls were most common in the Northern Sydney/Central Coast Area Health Service in 2006. 149 people
sustained their injuries due to low/medium falls within this area health service. Although slightly lower than the 2005
fi gure of 166 people injured, the incidence of low/medium falls in this area health service has grown by almost 50% since
2002 (from 100 injured people).
Figure 13: Low/medium falls (<5m) - geographical location of injury by Area Health Service
Low/medium falls (<5m) – geographical location of injury by Area Health Service
P eo
pl e
in ju
re d
0
20
40
60
80
100
120
140
160
Sydney WestSydney South West
South Eastern Sydney / Illawara
Northern Sydney Central Coast
North CoastHunter New England
Greater WesternGreater Southern
11 16 17
136
149
115
124 122
Low/medium falls commonly occur in the home. Overall, 58.6% of all low/medium falls occurred at home, and the
frequency of falls in the group aged 0-14 years and several older age groups was even higher.
Low/Medium Falls
24 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 14: Low to medium fall (<5m) trauma patient admissions to all Trauma Services by age (injured at home)
Low to medium fall (<5m) trauma patient admissions to all Trauma Services by age (injured at home)
% in
ju re
d at
h om
e
Age Range
0
10
20
30
40
50
60
70
80
90
100
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
71.43
32.43
27.03
38.10
49.25
69.89
58.14
67.03 64.41
44.44
Many of the trauma services and other health professionals are involved in regular community falls prevention and
education activities to reduce the incidence of falls-related injury.
Injury Characteristics
Only 1.2% of low/medium fall related injuries in 2006 were in the ISS 41-75 (critical injury) range, lower than the 2006
average 7.6% for this ISS range.
Figure 15: Low/medium fall (<5m) related admissions to trauma centres by ISS range
41-75 1.19%
16-24 59.26%
25-40 39.55%
Low/medium fall (<5m) related admission to trauma centres by ISS Range
The head and neck body region features prominently in the NSW Trauma Registry for low/medium falls, and in 2006 was
recorded as a location of injury in 90.9% of cases. This greatly exceeds the average frequency of the head and neck body
region across all mechanisms of injury in 2006 of 72.2%.
Low/Medium Falls
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 25
Figure 16: AIS body regions for low/medium falls (<5m)
AIS body regions for low/medium falls (<5m)
% o
f P at
ie nt
s
0
10
20
30
40
50
60
70
80
90
100
ExternalExtremityAbdomenChestFaceHead
90.87
14.15
20.63
8.73
19.31
37.04
The external body region also features more prominently in low/medium falls than in the general fi gures, recorded in 37%
of cases in 2006 (compared with 32% overall), and appearing as the second most frequently recorded body region for
low/medium falls.
Trauma system response
There are several characteristics of the trauma system’s response to low/medium falls that may be observed in the NSW
Trauma Registry:
J A higher than average proportion of people arrive at trauma centres using private vehicles;
J Proportionally fewer injured people arrive at trauma centres directly from the scene of their injury; and
J Of those who do arrive at a trauma centre directly from the scene of their injury, proportionally fewer people arrive
within the fi rst two hours after sustaining their injury.
Perhaps consistent with the higher incidence of injuries occurring at home, the rate of arrivals at hospital using private
vehicles is higher than the overall 2006 average (11.4%, contrasting with the overall 2006 average of 6.5%). The rate of
ambulance arrivals is also higher, at 77.2% than the overall 2006 average (67.4%) perhaps refl ecting the higher rate of
interhospital transfers (using ambulances) to defi nitive care hospitals.
Low/Medium Falls
26 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 17: Low/medium falls - mode of arrival
Low/medium falls – mode of arrival
P eo
pl e
in ju
re d
Mode of Transport
0
100
200
300
400
500
600
583
Ambulance Fixed Wing Helicopter Nets Private Vehicle
23 55
8
86
The proportion of people transported directly from the scene of low/medium falls related injuries to a trauma centre in
2006 was 67.5%, almost identical to the 2005 rate of 67.8%. This rate is lower than the overall rate of direct from scene
admissions (74.3%).
The lower proportion of direct from scene admissions demonstrates the complexity of triage for this cohort of patients.
This has been identifi ed as an issue for consideration in pre-hospital trauma bypass protocols and the in-hospital trauma
team activation criteria.
Figure 18: Low/medium fall (<5m) related admissions to trauma centres by admission type
Direct from scene 528
(67.5%)
Transfer in 254
(32.5%)
Low/medium fall (<5m) related admission to trauma centres by admission type
The proportion of people transported directly to a defi nitive trauma care hospital within 2 hours was also lower than many
other mechanisms of injury groups. Only 73.8% of the low/medium falls group were transported directly to a defi nitive
trauma hospital from the scene of fall in 2006 within 2 hours of the time of injury. In contrast, 85.1% of people injured
in motor vehicle crashes, 85.9% of people injured in motorcycle crashes, and 96.8% of pedestrians injured who were
transported directly to a defi nitive care hospital arrived within 2 hours of their injury (fi gure 18).
Low/Medium Falls
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 27
Figure 19: Times to defi nitive care, direct from scene, within 2 hours, Low/medium falls, MVC, MBC, Pedestrian
Times to definitive care, direct from scene, within 2 hours, Low/medium falls, MVA, MBA, Pedestrian
% w
ith in
2 h
ou rs
0
10
20
30
40
50
60
70
80
90
100
73.8
Low/medium falls
MVC MBC Pedestrian
85.1 85.9
96.8
Craniotomies were the most frequently recorded surgical procedure, consistent with the AIS Head and Neck region as the
most commonly recorded body region injured.
Figure 20: Low/medium falls (<5m) - surgical procedures
Low/medium falls (<5m) – surgical procedures
N um
be r
of p
ro ce
du re
s
Procedure
0
20
40
60
80
100
120
98
Craniotomy Laparotomy Open Ext Thoracotomy Other
9 112
45
30.4% of people injured by low/medium falls were admitted to an intensive care unit, a much lower rated than the overall
ICU admission rate of 42.7%. This may refl ect a lower ISS in the critical (41-75) range (see fi gure 14).
Low/Medium Falls
28 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 21: Low/medium falls (<5m) - Intensive Care Unit admissions
Not admitted 544
(69.6%)
Admitted to ICU
238 (30.4%)
Low/medium falls (<5m) – ICU admissions
Outcomes - Case fatality
The case fatality rate, or death rate in the low/medium falls group of patient for 2006 was 15.7%. This is higher than the
overall death rate in the 2006 data of 12.6%.
The death rate for people aged 65 years and older in the low/medium falls group was higher still at 20.1%, and the rate
rose as high as 29.7% in the 85-94 years age group. Death rates in the older age groups are however affected by
co-morbidities and are not necessarily attributable to traumatic injuries alone.
Figure 22: Low/medium fall related admissions to trauma centres by age and outcome
Low/medium fall related admissions to all trauma centres by age and outcome
N um
be r
of A
dm is
si on
s
Age Range
0
20
40
60
80
100
120
140
160
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
SurvivedDied
0 4 3 4 8 12 16 35 35 2
37 33 33
39
61
85
110
149
83
7
Low/Medium Falls
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 29
Focus on Pedestrians
Who are they? Typically males, aged 0 - 25 years
When were they injured? The top days were Wednesdays, Saturdays, from mid to late afternoon
Where were they injured? Most were injured in South Eastern Sydney/Illawarra Area Health Service districts
What were the top 3 injuries? Head and neck (82% of patients), Extremities (66.7%) Chest (50.4%)
Trauma system response 96.8% of patients who were admitted directly from the scene of injury arrived
within 2 hours
Case fatality rate 20.9%
General
Pedestrians represent a small but growing number of people in the NSW Trauma Registry, representing in 2006 almost
10% of all people with serious to critical injuries. In 2006 there were 235 pedestrians injured and admitted to a trauma
centre, higher than the 2005 fi gure of 220 injured pedestrians (fi gure 21).
Figure 23: Pedestrian trauma, 2002-2006
Pedestrian trauma – 2002-2006
P eo
pl e
in ju
re d
Year
0
25
50
75
100
125
150
175
200
225
250
181
2002 2003 2004 2005 2006
205
219 220
235
30 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Characteristics of the injured population
The age distribution pattern for pedestrian trauma is very different to that of low/medium falls (see fi gure 2 above).
The fi gures are skewed to younger age groups, in particular to those aged 15-24 years, which represented 16.7% of all
pedestrian injuries in 2006.
Figure 24: Pedestrian trauma patient admissions to all Trauma Centres by age and gender
Pedestrian trauma patient admissions to all Trauma Centres by age range
N um
be r
of A
dm is
si on
s
Age Range
0
5
10
15
20
25
30
35
40
45
50
85-9475-8465-7455-6445-5435-4425-3415-240-14
32
39
30
24 24 25 25 23
12
The distribution of pedestrian injuries by hour of day that injury occurred varies from the overall distribution for 2006
(see fi gure 4). Most noticeable is a drop in pedestrian injuries during early to mid afternoon (from 1pm until 3pm),
and a dramatic absence of pedestrian injuries between 11 am and midday. Both of these variations are consistent with
pedestrian injuries from 2005.
Figure 25: Pedestrian trauma by hour of day that injury occurred
Pedestrian trauma by hour of day that injury occured
P eo
pl e
in ju
re d
Hour (24 hr)
0
5
10
15
20
25
4
7
2
4 3
7 7
9
14
2
16
6
10
14
16
21
17 16
14
11
6 7
5
10
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
The busiest day of the week for pedestrian injuries was again Saturday, resulting in 42 admissions to trauma centres
in 2006. This fi gure was almost identical to the 2005 number of 41 admissions. The busiest weekday in 2006 was
Wednesday, with 40 admissions.
Pedestrians
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 31
Figure 26: Pedestrian trauma admissions by day of week that injury occurred
Pedestrian trauma admissions by day of week that injury occurred
N um
be r
of A
dm is
si on
s
Day of Week
0
5
10
15
20
25
30
35
40
45
50
SundaySaturdayFridayThursdayWednesdayTuesdayMonday
33 32
40
34
37
42
26
The majority of pedestrian injuries occurred in the South Eastern Sydney/Illawarra Area Health Service districts in 2006.
This area health service area included the Inner Sydney statistical local area where the greatest number of pedestrian
injuries occurred during the year, 15 people injured in total.
In other areas, Marrickville statistical local area (in the Sydney South West Area Health Service district) recorded 11
pedestrian injuries, the second highest number for a statistical local area in 2006.
Figure 27: Pedestrians - geographical location of injury by Area Health Service
Pedestrians – geographical location of injury by Area Health Service
P eo
pl e
in ju
re d
Sydney WestSydney South West
South Eastern Sydney / Illawara
Northern Sydney Central Coast
North CoastHunter New England
Greater WesternGreater Southern 0
5
10
15
20
25
30
35
40
45
50
55
60
9
4 3
56
43
26
46
33
Pedestrians
32 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Injury Characteristics
19% of pedestrian related injuries in 2006 were in the ISS 41-75 (critical injuries) range, signifi cantly higher than the
overall fi gure of 7.6% for this ISS range across all mechanisms of injury for 2006. This highlights the seriousness of
pedestrian related injuries.
Figure 28: Pedestrian related admissions to trauma centres by ISS range
Pedestrian related admission to trauma centres by ISS Range
16-24 105 45%
25-40 84
36%
41-75 45
19%
The head and neck body region was recorded as the location of injury in 82% of pedestrian injuries in 2006, while the
Extremities body region was recorded as location of injury for 66.7% of pedestrian injuries.
Figure 29: AIS body regions for pedestrian trauma
AIS body regions for pedestrian trauma
% o
f P eo
pl e
0
10
20
30
40
50
60
70
80
90
100
ExternalExtremityAbdomenChestFaceHead
82.05
24.79
50.43
29.49
66.67
27.35
Pedestrians
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 33
Trauma system response
The following observations may be made regarding the trauma system response to pedestrian injuries in 2006:
J A higher than average proportion of people arrived at trauma centres in an ambulance;
J A higher than average proportion of people arrived at trauma centres directly from the scene of their injury; and
J Of those who arrive at a trauma centre directly from the scene of their injury, a very high proportion arrives within 2
hours of sustaining their injury.
Ambulance was the mode of arrival for 81.4% of injured pedestrians, higher than the overall 2006 average (67.4%), but
a little lower than the 2005 fi gure of 84.7%. Helicopters were recorded for 10.6% of pedestrians, lower than the 2006
average (16.5%), but higher than the 2005 fi gure of 4.2%, suggesting increased use of helicopters to retrieve injured
pedestrians in 2006.
Figure 30: Pedestrian trauma - mode of arrival
Pedestrian trauma – mode of arrival
P eo
pl e
in ju
re d
Mode of Transport
0
20
40
60
80
100
120
140
160
180
200
192
Ambulance Fixed Wing Helicopter Nets Private Vehicle
7
25
93
The proportion of people who arrived at a trauma centre directly from the scene of their injury was 84.4%, higher than
the overall 2006 average of 74.3%, and almost identical to the 5 year average for pedestrian injuries of 83.4% (for direct
from scene admissions).
Pedestrians
34 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 31: Pedestrian related admissions to trauma centres for 2006 by admission type
Direct from scene 206
(84.4%)
Transfer in 38
(15.6%)
Pedestrian related admissions to trauma centres for 2006 by admission type
The proportion of people transported directly to a defi nitive trauma care hospital within 2 hours after sustaining their
injury was one of the highest recorded in the NSW Trauma Registry in 2006. 96.8% of injured pedestrians admitted
directly from the scene of their in jury arrived within 2 hours, which was higher than both metropolitan and rural direct
from scene admissions, and better than many other mechanisms of injury (see fi gure 18).
Figure 32: Pedestrian trauma - surgical procedures
Pedestrian trauma – surgical procedures
N um
be r
of p
ro ce
du re
s
Procedure
0
5
10
15
20
25
30
35
40
45
50
55
60
23
Craniotomy Laparotomy Open Ext Thoracotomy Other
14
24
4
49
Excluding the non-specifi c category of ‘other’, surgical procedures for open (compound) fractures were the most common
procedure recorded for injured pedestrians in 2006 (24 procedures). Next most common were craniotomies with 23
procedures.
Pedestrians
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 35
Figure 33: Pedestrian trauma - intensive care admissions
Not admitted 112
(47.86%) Admittedto ICU 122
(52.14%)
Pedestrian trauma – ICU admissions
52.1% of injured pedestrians were admitted to an intensive care unit in 2006. This is higher than the overall ICU
admission rate for 2006 of 42.7, and probably refl ects the higher proportion of injuries in the ISS 41-75 (critical injuries)
range for this group of patients.
Outcomes - Case fatality
The case fatality rate or death rate for injured pedestrians in the NSW Trauma Registry is 20.9%, much higher than the
overall 2006 death rate of 12.6%. The death rate is highest in the group of people aged 85-94 (33.3%), and lowest in the
group aged 45-54 years (12.5%).
The high death rate in this group is likely to be a result of the increased severity of injuries for these patients, particularly
as the trauma system response appears to be very positive for this group (ie, higher proportion of direct from scene
admissions, more people arriving within 2 hours, more ICU admissions).
Figure 34: Pedestrian trauma by age and outcome
Pedestrian trauma by age and outcome
N um
be r
of A
dm is
si on
s
Age Range
SurvivedDied
0
5
10
15
20
25
30
35
40
45
50
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
7
25
5
34
7
23
6
18
3
21
4
21
7
18
6
17
4
8
Pedestrians
36 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Individual Trauma Service Summaries Gosford Hospital
Table 24: Admissions and Deaths, Gosford Hospital
Total Admissions 134
Survived 113 84.3% of total
Died 21 15.7% of total
Direct Admission 134 100% of total
Transfer In Admission 0 0% of total
Monthly Average 11
Table 25: Admissions by gender, Gosford Hospital
Gender Count % of Total
Female 37 27.6%
Male 97 72.4%
Figure 35: Trauma admissions to Gosford Hospital by age and gender
MaleFemaleTrauma Admissions to Gosford Hospital by age and gender
N um
be r
of A
dm is
si on
s
Age Range
0
5
10
15
20
25
30
35
40
45
50
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
3
9 7
19
2
14
2
7
4
10
4
11
1
10 8 9
5
8
1 0
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 37
Figure 36: Trauma admissions to Gosford Hospital by age range and outcome (%)
Trauma admissions to Gosford Hospital by age range and outcome (%)
% o
f A dm
is si
on s
Age Range
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
SurvivedDied
0
10
20
30
40
50
60
70
80
90
100
3 5 0 1 1 0 2 5 4 0
9 21 16 8 13 15 9 12 9 1
Figure 37: Trauma admissions to Gosford Hospital by Injury Severity Score and outcome
Trauma admissions to Gosford Hospital by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75 0
10
20
30
40
50
60
70
80
90
100
Survived
Died
4 13 4
72 37 4
Individual Trauma Service Summaries Gosford Hospital
38 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 26: Trauma admissions to Gosford Hospital by mechanism of injury
Mechanism % of Total
Assault 7.5%
Burns 2.2%
Fall < 1m 20.15%
Fall > 5m 3.7%
Fall 1-5m 9.7%
Horse <1%
Industrial <1%
MBC Rider 6.7%
MVC Back Pass 2.2%
MVC Driver 12.7%
MVC Front Pass 4.5%
Other 7.5%
Pedal Cyclist 1.5%
Pedestrian 11.9%
Recreation 3.7%
Sport <1%
Stabbing 3.7%
Figure 38: Trauma admissions to Gosford Hospital by mechanism and outcome (%)37
SurvivedDiedTrauma admissions to Gosford Hospital by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianPedal Cyclist
MVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 15
0
4
1
33
7
9
0
21
5
2
0
11
5
18
3
37 Patients transferred to another hospital are counted as survived of these surgical procedures obtained from http://www.wkipedia.com/
Individual Trauma Service Summaries Gosford Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 39
Table 27: Trauma admissions to Gosford Hospital by Arrival Mode
Arrival Mode % of Total
Ambulance 87.3%
Helicopter 3%
Private Vehicle 9%
Other <1%
Table 28: Trauma admissions at Gosford Hospital by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 35 26.1%
No 99 73.9%
Table 29: ICU Average Length of Stay (LOS) at Gosford Hospital
Outcome – All Outcome – Survived Outcome - Died
7.03 days 6 days 18 days
Table 30: Hospital Average Length of Stay at Gosford Hospital
Outcome – All Outcome – Survived Outcome - Died
4.81 days 5.06 days 3.43 days
Table 31: Transfer In Admissions to Gosford Hospital by Area Health Service
Transferring Area Health Service % of Transfers
No patients with an ISS > 15 were transferred for admissions to Gosford Hospital in 2006
Individual Trauma Service Summaries Gosford Hospital
40 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
John Hunter Hospital / John Hunter Children’s Hospital Table 32: Admissions and Deaths, John Hunter Hospital/John Hunter Children’s Hospital
Total Admissions 400
Survived 355 88.75% of total
Died 45 11.25% of total
Direct Admission 294 73.5% of total
Transfer In Admission 106 26.5% of total
Monthly Average 33
Table 33: Admissions by gender, John Hunter Hospital/John Hunter Children’s Hospital
Gender Count % of Total
Female 105 26.25%
Male 295 73.75%
Figure 39: Trauma admissions to John Hunter Hospital/John Hunter Children’s Hospital by age and gender
MaleFemaleTrauma admissions to John Hunter Hospital/John Hunter Children’s Hospital by age and gender
N um
be r
of A
dm is
si on
s
Age Range
0
5
10
15
20
25
30
35
40
45
50
55
60
85-9475-8465-7455-6445-5435-4425-3415-240-14
12 21 21 57 7 53 11 46 7 25 8 40 11 24 16 18 12 11
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 41
Figure 40: Paediatric trauma admissions to John Hunter Children’s Hospital by age and gender
MaleFemalePaediatric trauma admissions to John Hunter Children’s Hospital by age and gender
N um
be r
of A
dm is
si on
s
Age Range
0
2
4
6
8
10
1513-1410-125-90-4
5 3 3 8 2 5 2 5 0 3
Figure 41: trauma admissions to John Hunter Hospital/John Hunter Children’s Hospital by age range and outcome (%)
Trauma admissions to John Hunter Hospital/John Hunter Children’s Hospital by age range and outcome (%)
% o
f A dm
is si
on s
Age Range
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
SurvivedDied
0
10
20
30
40
50
60
70
80
90
100
1 6 2 4 1 6 5 9 11 0
32 72 58 53 31 42 30 25 12 0
Individual Trauma Service Summaries John Hunter Hospital
42 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 42: Trauma admissions to John Hunter Hospital/John Hunter Children’s Hospital by Injury Severity Score and outcome
Trauma admissions to John Hunter Hospital/John Hunter Children’s Hospital by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75 0
10
20
30
40
50
60
70
80
90
100
Survived
Died
4 27 7
250 96 9
Table 34: Trauma admissions to John Hunter Hospital/John Hunter Children’s Hospital by mechanism of injury Mechanism
Mechanism % of Total
Assault 4.75%
Burns 1.25%
Fall < 1m 22.75%
Fall > 5m 4.5%
Fall 1-5m 7.75%
Horse 3%
MBC Pillion <1%
MBC Rider 14%
MVC Back Pass 2.75%
MVC Driver 18.5%
MVC Passenger (unknown location) 4%
Other 4%
Pedal Cyclist 3%
Recreation 7%
Sport <1%
Stabbing 1.25%
Individual Trauma Service Summaries John Hunter Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 43
Figure 43: Trauma admissions to John Hunter Hospital/John Hunter Children’s Hospital
by mechanism and outcome (%)38
SurvivedDiedTrauma admissions to John Hunter Hospital/John Hunter Children’s Hospital by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianPedal Cyclist
MVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 23
4
17
1
99
23
57
2
93
8
12
0
23
5
31
2
Table 35: Trauma admissions to John Hunter Hospital/John Hunter Children’s Hospital by arrival mode
Arrival Mode % of Total
Ambulance 54.5%
Helicopter 33.75%
Fixed Wing 4%
NETS <1%
Private Vehicle 6.75%
Other <1%
Table 36: Trauma admissions to John Hunter Hospital/John Hunter Children’s Hospital by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 140 35%
No 260 65%
Table 37: ICU Average Length of Stay (LOS) at John Hunter Hospital/John Hunter Children’s Hospital
Outcome – All Outcome – Survived Outcome - Died
5.31 days 5.49 days 4.39 days
38 Patients transferred to another hospital are counted as survived.
Individual Trauma Service Summaries John Hunter Hospital
44 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 38: Hospital Average Length of Stay (LOS) at John Hunter Hospital/John Hunter Children’s Hospital
Outcome – All Outcome – Survived Outcome - Died
13.19 days 14.28 days 4.58 days
Table 39: Transfer In admissions to John Hunter Hospital/John Hunter Children’s Hospital by Area Health Service
Transferring Area Health Service % of Transfers
Greater Southern -
Greater Western <1%
Hunter / New England 85.8%
North Coast 11.3%
Northern Sydney / Central Coast 1.9%
South Eastern Sydney / Illawarra -
Sydney South West -
Sydney West -
Individual Trauma Service Summaries John Hunter Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 45
Liverpool Hospital Table 40: Admissions and Deaths, Liverpool Hospital
Total Admissions 275
Survived 241 87.6% of total
Died 34 12.4% of total
Direct Admission 224 81.4% of total
Transfer In Admission 51 18.6% of total
Monthly Average 23
Table 41: Admissions by gender, Liverpool Hospital
Gender Count % of Total
Female 62 22.5%
Male 213 77.5%
Figure 44: Trauma admissions to Liverpool Hospital by age and gender
MaleFemaleTrauma admissions to Liverpool Hospital by age and gender
N um
be r o
f A dm
is si
on s
Age Range
0
5
10
15
20
25
30
35
40
45
50
55
60
85-9475-8465-7455-6445-5435-4425-3415-240-14
4 12 5 52 7 35 10 34 7 24 8 22 5 13 10 18 6 3
Figure 45: Trauma admissions to Liverpool Hospital by age range and outcome (%)
Trauma admissions to Liverpool Hospital by age range and outcome (%)
% o
f A dm
is si
on s
Age Range
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
SurvivedDied
0
10
20
30
40
50
60
70
80
90
100
2 3 7 4 4 3 4 6 10
14 54 35 40 27 27 14 22 80
46 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 46: Trauma admissions to Liverpool Hospital by Injury Severity Score and outcome
Trauma admissions to Liverpool Hospital by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75 0
10
20
30
40
50
60
70
80
90
100
Survived
Died
5 19 21
132 88 21
Table 42: Trauma admissions to Liverpool Hospital by mechanism of injury
Mechanism % of Total
Assault 10.9%
Burns 3.3%
Fall < 1m 1.5%
Fall > 5m 4.7%
Fall 1-5m 3.6%
Horse 1.1%
Industrial 2.9%
MBC Rider 9.8%
MVC Back Pass 1.1%
MVC Driver 17.45%
MVC Front Pass 4.7%
MVC Passenger (unknown location) 2.9%
Other 2.2%
Pedal Cyclist 4%
Pedestrian 7.3%
Recreation 1.1%
Shooting 1.45%
Stabbing 2.9%
Individual Trauma Service Summaries Liverpool Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 47
Figure 47: Trauma admissions to Liverpool Hospital by mechanism and outcome (%)39
SurvivedDiedTrauma admissions to Liverpool Hospital by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianPedal Cyclist
MVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 36
6
12
1
54
7
26
1
64
8
11
0
14
6
24
5
Table 43: Trauma admissions to Liverpool Hospital by arrival mode
Arrival Mode % of Total
Ambulance 81.4%
Helicopter 11.3%
Fixed Wing <1%
NETS <1%
Private Vehicle 6.2%
Table 44: Trauma admissions to Liverpool Hospital by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 135 49.1%
No 140 50.1%
Table 45: ICU Average length of stay (LOS) at Liverpool Hospital
Outcome – All Outcome – Survived Outcome - Died
8.89 days 9.59 days 3.27 days
Table 46: Hospital average length of stay at Liverpool Hospital
Outcome – All Outcome – Survived Outcome - Died
15.36 days 17.1 days 3.09 days
39 Patients transferred to another hospital are counted as survived.
Individual Trauma Service Summaries Liverpool Hospital
48 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 47: Transfer In admissions to Liverpool Hospital by Area Health Service
Transferring Area Health Service % of Transfers
Greater Southern 4%
Greater Western 4%
Hunter / New England -
North Coast -
Northern Sydney / Central Coast -
South Eastern Sydney / Illawarra 4%
Sydney South West 86%
Sydney West 2%
Individual Trauma Service Summaries Liverpool Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 49
Nepean Hospital Table 48: Admissions and Deaths, Nepean Hospital
Total Admissions 164
Survived 146 89% of total
Died 18 11% of total
Direct Admission 134 81.7% of total
Transfer In Admission 30 18.3% of total
Monthly Average 14
Table 49: Admissions by gender, Nepean Hospital
Gender Count % of Total
Female 22 13.4%
Male 142 86.6%
Figure 48: Trauma admissions to Nepean Hospital by age and gender
MaleFemaleTrauma admissions to Nepean Hospital by age and gender
N um
be r
of A
dm is
si on
s
Age Range
0
5
10
15
20
25
30
35
40
85-9475-8465-7455-6445-5435-4425-3415-240-14
1 5 4 33 1 28 3 26 5 17 2 16 2 8 3 5 1 4
Figure 49: Trauma admissions to Nepean Hospital by age range and outcome
Trauma admissions to Nepean Hospital by age range and outcome (%)
% o
f A dm
is si
on s
Age Range
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
SurvivedDied
0
10
20
30
40
50
60
70
80
90
100
1 1 3 5 4 0 1 1 2 0
5 36 26 24 18 18 9 7 3 0
Figure 50: Trauma admissions to Nepean Hospital by Injury Severity Score and outcome
Trauma admissions to Nepean Hospital by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75
Survived
Died
0
10
20
30
40
50
60
70
80
90
100
3 12 3
84 54 8
50 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Individual Trauma Service Summaries Nepean Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 51
Table 50: Trauma admissions to Nepean Hospital by mechanism of injury
Mechanism % of Total
Assault 8.5%
Burns <1%
Fall < 1m 15.2%
Fall > 5m 2.4%
Fall 1-5m 7.3%
Horse 1.8%
Industrial 3%
MBC Rider 15.2%
MVC Back Pass 1.2%
MVC Driver 21.9%
MVC Front Pass 4.9%
Other 1.2%
Pedal Cyclist 5.5%
Pedestrian <1%
Recreation <1%
Sport 1.8%
Stabbing 3%
Train <1%
Figure 51: Trauma admissions to Nepean Hospital by mechanism and outcome (%)40
SurvivedDiedTrauma admissions to Nepean Hospital by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianPedal Cyclist
MVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 17 4
0
31
6
24
1
43
3
8
1
5
2
14
23
Individual Trauma Service Summaries Nepean Hospital
40 Patients transferred to another hospital are counted as survived.
Table 51: Trauma admissions to Nepean Hospital by arrival mode
Arrival Mode % of Total
Ambulance 70.7%
Helicopter 12.2%
NETS <1%%
Private Vehicle 7.9%
Other 8.5%
Table 52: Trauma admissions to Nepean Hospital by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 71 43.3%
No 93 56.7%
Table 53: ICU average length of stay (LOS) at Nepean Hospital
Outcome – All Outcome – Survived Outcome - Died
7.94 days 8.34 days 6 days
Table 54: Hospital average length of stay (LOS) at Nepean Hospital
Outcome – All Outcome – Survived Outcome - Died
15.6 days 16.82 days 5.78 days
Table 55: Transfer In admissions to Nepean Hospital by Area Health Service
Transferring Area Health Service % of Transfers
Greater Southern 3.3%
Greater Western 30%
Hunter / New England -
North Coast 3.3%
Northern Sydney / Central Coast 3.3%
South Eastern Sydney / Illawarra 3.3%
Sydney South West -
Sydney West 56.7%
52 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Individual Trauma Service Summaries Nepean Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 53
Prince of Wales Hospital Table 56: Admissions and Deaths, Prince of Wales Hospital
Total Admissions 71
Survived 66 93% of total
Died 5 7% of total
Direct Admission 34 47.9% of total
Transfer In Admission 37 52.1% of total
Monthly Average 6
Table 57: Admissions by gender, Prince of Wales Hospital
Gender Count % of Total
Female 20 28.2%
Male 51 71.8%
Figure 52: Trauma admissions to Prince of Wales Hospital by age and gender
MaleFemaleTrauma admissions to Prince of Wales Hospital by age and gender
N um
be r
of A
dm is
si on
s
Age Range
0
4
8
12
16
20
85-9475-8465-7455-6445-5435-4425-3415-240-14
0 1 4 16 1 7 0 7 3 6 3 7 3 3 5 2 1 2
Figure 53: Trauma admissions to Prince of Wales Hospital by age range and outcome (%)
Trauma admissions to Prince of Wales Hospital by age range and outcome (%)
% o
f A dm
is si
on s
Age Range
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
SurvivedDied
0
10
20
30
40
50
60
70
80
90
100
0 0 2 0 0 0 1 1 10
1 20 6 7 9 10 5 6 20
Figure 54: Trauma admissions to Prince of Wales Hospital by Injury Severity Score and outcome
Trauma admissions to Prince of Wales Hospital by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75
Survived
Died
0
10
20
30
40
50
60
70
80
90
100
2 1 2
33 32 1
54 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Individual Trauma Service Summaries Prince of Wales Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 55
Table 58: Trauma admissions to Prince of Wales Hospital by mechanism of injury
Mechanism % of Total
Assault 4.2%
Burns 2.8%
Fall < 1m 12.7%
Fall > 5m 5.6%
Fall 1-5m 9.9%
Horse 1.4%
MBC Pillion 1.4%
MBC Rider 8.4%
MVC Back Pass 4.2%
MVC Driver 14.1%
MVC Passenger (unknown location) 7%
Other 1.4%
Pedal Cyclist 8.4%
Recreation 7%
Pedestrian 7%
Sport 1.4%
Stabbing 2.8%
Figure 55: Trauma admissions to Prince of Wales Hospital by mechanism and outcome (%)41
SurvivedDiedTrauma admissions to Prince of Wales Hospital by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianPedal Cyclist
MVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 5
0
3
1
16
0
6
1
19
0
5
0
2
3
10
0
Individual Trauma Service Summaries Prince of Wales Hospital
41 Patients transferred to another hospital are counted as survived.
56 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 59: Trauma admissions to Prince of Wales Hospital by arrival mode
Arrival Mode % of Total
Ambulance 43.7%
Helicopter 19.7%
Fixed wing 31%
Private Vehicle 4.2%
Other 1.4%
Table 60: Trauma Admissions to Prince of Wales Hospital by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 32 45.1%
No 39 54.9%
Table 61: ICU average length of stay at Prince of Wales Hospital
Outcome – All Outcome – Survived Outcome - Died
11.88 days 12.1 days 5 days
Table 62: Hospital length of stay (LOS) at Prince of Wales Hospital
Outcome – All Outcome – Survived Outcome - Died
24.15 days 25.79 days 2.6 days
Table 63: Transfer In admissions to Prince of Wales Hospital by Area Health Service
Transferring Area Health Service % of Transfers
Greater Southern 37.5%
Greater Western 94%
Hunter / New England 6.25%
North Coast 18.75%
Northern Sydney / Central Coast 3.1%
South Eastern Sydney / Illawarra 12.5%
Sydney South West 9.4%
Sydney West 3.1%
Individual Trauma Service Summaries Prince of Wales Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 57
Royal North Shore Hospital Table 64: Admissions and Deaths, Royal North Shore Hospital
Total Admissions 318
Survived 270 84.9% of total
Died 48 15.1% of total
Direct Admission 168 52.8% of total
Transfer In Admission 150 47.2% of total
Monthly Average 26
Table 65: Admissions by gender, Royal North Shore Hospital
Gender Count % of Total
Female 91 28.6%
Male 227 71.4%
Figure 56: Trauma admissions to Royal North Shore Hospital by age and gender42
MaleFemaleTrauma admissions to Royal North Shore Hospital by age and gender
N um
be r
of A
dm is
si on
s
Age Range
0
5
10
15
20
25
30
35
40
45
50
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
0 1 10 40 7 33 6 30 9 31 10 26 8 21 29 29 11 15 1 1
42 Excludes 1 record where age not specifi ed
58 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 57: Trauma admissions to Royal North Shore Hospital by age range and outcome (%)42
Trauma admissions to Royal North Shore Hospital by age range and outcome (%)
% o
f A dm
is si
on s
Age Range
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
SurvivedDied
0
10
20
30
40
50
60
70
80
90
100
0 9 4 6 5 7 9 9 4 0
1 41 36 30 35 29 26 49 22 1
Figure 58: Trauma admissions to Royal North Shore Hospital by Injury Severity Score and outcome
Trauma admissions to Royal North Shore Hospital by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75
Survived
Died
0
10
20
30
40
50
60
70
80
90
100
2 31 15
156 101 13
Individual Trauma Service Summaries Royal North Shore Hospital
42 Excludes 1 record where age not specifi ed
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 59
Table 66: Trauma admissions to Royal North Shore Hospital by mechanism of injury
Mechanism % of Total
Assault 4.7%
Burns 4.1%
Fall < 1m 28.6%
Fall > 5m 2.2%
Fall 1-5m 19.2%
Horse <1%
MBC Pillion <1%
MBC Rider 5.3%
MVC Back Pass 1.9%
MVC Driver 8.8%
MCV Front Pass <1%
Other 5.3%
Pedal Cyclist 3.5%
Pedestrian 8.8%
Recreation <1%
shooting <1%
Sport 3.1%
Stabbing <1%
Train <1%
Unknown 1.3%
Figure 59: Trauma admissions to Royal North Shore Hospital by mechanism and outcome (%)43
SurvivedDiedTrauma admissions to Royal North Shore Hospital by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianPedal Cyclist
MVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 15 5 129 17 31 11 21 41
2 2 23 1 5 0 7 8
Individual Trauma Service Summaries Royal North Shore Hospital
43 Patients transferred to another hospital are counted as survived.
60 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 67: Trauma admissions to Royal North Shore Hospital by arrival mode
Arrival Mode % of Total
Ambulance 64.1%
Helicopter 20.1%
Fixed wing 8.8%
Private Vehicle 5.3%
Other 1.6%
Table 68: Trauma admissions to Royal North Shore Hospital by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 151 47.5%
No 167 52.5%
Table 69: ICU average length of stay at Royal North Shore Hospital
Outcome – All Outcome – Survived Outcome - Died
8.03 days 8.17 days 7.37 days
Table 70: Hospital average length of stay (LOS) at Royal North Shore Hospital
Outcome – All Outcome – Survived Outcome - Died
22.57 days 25.64 days 5.33 days
Table 71: Transfer In admissions to Royal North Shore Hospital by Area Health Service
Transferring Area Health Service % of Transfers
Greater Southern -
Greater Western 4.9%
Hunter / New England 15.3%
North Coast 9%
Northern Sydney / Central Coast 65.3%
South Eastern Sydney / Illawarra <1%
Sydney South West 2.1%
Sydney West 2.8%
Individual Trauma Service Summaries Royal North Shore Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 61
Royal Prince Alfred Hospital Table 72: Admissions and Deaths, Royal Prince Alfred Hospital
Total Admissions 201
Survived 173 86.1% of total
Died 28 13.9% of total
Direct Admission 162 80.6% of total
Transfer In Admission 39 19.4% of total
Monthly Average 17
Table 73: Admissions by gender, Royal Prince Alfred Hospital
Gender Count % of Total
Female 47 23.4%
Male 154 76.6%
Figure 60: Trauma admissions to Royal Prince Alfred Hospital by age and gender
MaleFemaleTrauma admissions to Royal Prince Alfred Hospital by age and gender
N um
be r
of A
dm is
si on
s
Age Range
0
5
10
15
20
25
30
35
40
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
1 1 5 28 2 38 4 15 4 25 4 11 10 18 8 13 8 4 1 1
62 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 61: Trauma admissions to Royal Prince Alfred Hospital by age range and outcome (%)
Trauma admissions to Royal Prince Alfred Hospital by age range and outcome (%)
% o
f A dm
is si
on s
Age Range
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
SurvivedDied
0
10
20
30
40
50
60
70
80
90
100
0 2 6 2 3 1 4 3 7 0
2 31 34 17 26 14 24 18 5 2
Figure 62: Trauma admissions to Royal Prince Alfred Hospital by Injury Severity Score and Outcome
Trauma admissions to Royal Prince Alfred Hospital by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75
Survived
Died
0
10
20
30
40
50
60
70
80
90
100
2 19 7
115 49 9
Individual Trauma Service Summaries Royal Prince Alfred Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 63
Table 74: Trauma admissions to Royal Prince Alfred Hospital by mechanism of injury
Mechanism % of Total
Assault 10.9%
Burns <1%
Fall < 1m 33.3%
Fall > 5m 2.5%
Fall 1-5m 9.4%
Horse 1.5%
Industrial <1%
MBC Rider 5.5%
MVC Back Pass 1%
MVC Driver 9%
MCV Front Pass 2%
Other 1.5%
Pedal Cyclist 2%
Pedestrian 14.4%
Recreation <1%
shooting <1%
Sport <1%
Stabbing 4%
Unknown <1%
Figure 63: Trauma admissions to Royal Prince Alfred Hospital by mechanism and outcome (%)44
SurvivedDiedTrauma admissions to Royal Prince Alfred Hospital by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianPedal Cyclist
MVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 29
2
4
1
69
17
11
0
21
3
4
0
25
4
10
1
Individual Trauma Service Summaries Royal Prince Alfred Hospital
44 Patients transferred to another hospital are counted as survived.
64 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 75: Trauma admissions to Royal Prince Alfred Hospital by arrival mode
Arrival Mode % of Total
Ambulance 72.6%
Helicopter 14.4%
Fixed wing <1%
Private Vehicle 9%
Other 3.5%
Table 76: Trauma admissions to Royal Prince Alfred Hospital by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 106 52.7%
No 95 47.3%
Table 77: ICU average length of stay (LOS) at Royal Prince Alfred Hospital
Outcome – All Outcome – Survived Outcome - Died
6.41 days 6.93 days 3.83 days
Table 78: Hospital average length of stay (LOS) at Royal Prince Alfred Hospital
Outcome – All Outcome – Survived Outcome - Died
12.68 days 14.03 days 4.36 days
Table 79: Transfer In admissions to Royal Prince Alfred Hospital by Area Health Service
Transferring Area Health Service % of Transfers
Greater Southern 10.5%
Greater Western 47.4%
Hunter / New England 2.6%
North Coast 7.9%
Northern Sydney / Central Coast 5.3%
South Eastern Sydney / Illawarra 2.6%
Sydney South West 23.7%
Sydney West -
Individual Trauma Service Summaries Royal Prince Alfred Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 65
St George Hospital Table 80: Admissions and Deaths, St George Hospital
Total Admissions 228
Survived 201 88.2% of total
Died 27 11.8% of total
Direct Admission 169 74.1% of total
Transfer In Admission 59 25.9% of total
Monthly Average 19
Table 81: Admissions by gender, St George Hospital
Gender Count % of Total
Female 58 25.4%
Male 170 74.6%
Figure 64: Trauma admissions to St George Hospital by age and gender
MaleFemaleTrauma admissions to St George Hospital by age and gender
N um
be r
of A
dm is
si on
s
Age Range
0
5
10
15
20
25
30
35
40
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
4 1 8 26 4 31 5 19 3 16 7 23 9 27 14 17 4 9 0 1
66 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 65: Trauma admissions to St George Hospital by age range and outcome (%)
Trauma admissions to St George Hospital by age range and outcome (%)
% o
f A dm
is si
on s
Age Range
95+85-9475-8465-7455-6445-5435-4425-3415-240-14
SurvivedDied
0
10
20
30
40
50
60
70
80
90
100
0 0 3 2 1 2 6 9 3 1
5 34 32 22 18 28 30 22 10 0
Figure 66: Trauma admissions to St George Hospital by Injury Severity Score and Outcome
Trauma admissions to St George Hospital by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75
Survived
Died
0
10
20
30
40
50
60
70
80
90
100
6 14 7
130 57 14
Individual Trauma Service Summaries St George Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 67
Table 82: Trauma admissions to St George Hospital by mechanism of injury
Mechanism % of Total
Assault 4.4%
Burns 1.3%
Fall < 1m 16.7%
Fall > 5m 6.1%
Fall 1-5m 15.3%
Horse <1%
Industrial <1%
MBC Rider 7.9%
MVC Back Pass 2.6%
MVC Driver 14.9%
MCV Front Pass 4.4%
MCV Front Passenger (unknown location) <1%
Other 2.6%
Pedal Cyclist 3.1%
Pedestrian 11.4%
shooting <1%
Sport 2.2%
Stabbing 3.9%
Train <1%
Figure 67: Trauma admissions to St George Hospital by mechanism and outcome (%)45
SurvivedDiedTrauma admissions to St George Hospital by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianPedal Cyclist
MVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 19
1
14
0
57
16
18
0
46
5
7
0
21
5
19
0
Individual Trauma Service Summaries St George Hospital
45 Patients transferred to another hospital are counted as survived.
68 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 83: Trauma admissions to St George Hospital by arrival mode
Arrival Mode % of Total
Ambulance 69.7%
Helicopter 11.8%
Fixed wing 11.8%
Private Vehicle 6.1%
Other <1%
Table 84: Trauma admissions to St George Hospital by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 88 38.6%
No 140 61.4%
Table 85: ICU average length of stay (LOS) at St George Hospital
Outcome – All Outcome – Survived Outcome - Died
7.57 days 7.97 days 5.23 days
Table 86: Hospital average length of stay (LOS) at St George Hospital
Outcome – All Outcome – Survived Outcome - Died
17.52 days 18.98 days 6.7 days
Table 87: Transfer In admissions to St George Hospital by Area Health Service
Transferring Area Health Service % of Transfers
Greater Southern 13.8%
Greater Western 8.6%
Hunter / New England 1.7%
North Coast 13.8%
Northern Sydney / Central Coast 1.7%
South Eastern Sydney / Illawarra 53.4%
Sydney South West 1.7%
Sydney West 5.2%
Individual Trauma Service Summaries St George Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 69
St Vincent’s Hospital Table 88: Admissions and Deaths, St Vincent’s Hospital
Total Admissions 130
Survived 118 90.8% of total
Died 12 9.2% of total
Direct Admission 124 95.4% of total
Transfer In Admission 6 4.6% of total
Monthly Average 11
Table 89: Admissions by gender, St Vincent’s Hospital
Gender Count % of Total
Female 42 32.3%
Male 88 67.7%
Figure 68: Trauma admissions to St Vincent’s Hospital by age and gender
MaleFemaleTrauma admissions to St Vincent’s Hospital by age and gender
N um
be r
of A
dm is
si on
s
Age Range
0
5
10
15
20
25
30
35
40
85-9475-8465-7455-6445-5435-4425-3415-24
7 17 5 29 4 12 5 9 4 3 3 5 7 5 7 8
70 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 69: Trauma admissions to St Vincent’s Hospital by age range and outcome
Trauma admissions to St Vincent’s Hospital by age range and outcome (%)
% o
f A dm
is si
on s
Age Range
85-9475-8465-7455-6445-5435-4425-3415-24
SurvivedDied
0
10
20
30
40
50
60
70
80
90
100 22 31 14 13 5 8 12 13
2 3 2 1 2 0 0 2
Figure 70: Trauma admissions to St Vincent’s Hospital by Injury Severity Score and Outcome
Trauma admissions to St Vincent’s Hospital by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75
Survived
Died
0
10
20
30
40
50
60
70
80
90
100
1 8 3
79 35 4
Individual Trauma Service Summaries St Vincent’s Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 71
Table 90: Trauma admissions to St Vincent’s Hospital by mechanism of injury
Mechanism % of Total
Assault 14.6%
Burns 1.5%
Fall < 1m 16.9%
Fall > 5m 8.5%
Fall 1-5m 18.5%
Iindustrial <1%
MBC Rider 3.8%
MVC Back Pass 1.5%
MVC Driver 4.6%
MCV Front Pass <1%
Other 3.8%
Pedestrian 19.2%
shooting <1%
Sport <1%
Stabbing 3.1%
Unknown <1%
Figure 71: Trauma admissions to St Vincent’s Hospital by mechanism and outcome (%)46
SurvivedDiedTrauma admissions to St Vincent’s Hospital by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianMVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 22 9 42 5 9 23 8
2 2 4 0 0 2 2
Individual Trauma Service Summaries St Vincent’s Hospital
46 Patients transferred to another hospital are counted as survived.
72 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 91: Trauma admissions to St Vincent’s Hospital by arrival mode
Arrival Mode % of Total
Ambulance 71.5%
Fixed wing <1%
Private Vehicle 4.6%
Other 23.1%
Table 92: Trauma admissions to St Vincent’s Hospital by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 66 50.8%
No 64 49.2%
Table 93: ICU average length of stay (LOS) at St Vincent’s Hospital
Outcome – All Outcome – Survived Outcome - Died
7.77 days 7.66 days 9.5 days
Table 94: Hospital average length of stay at St Vincent’s Hospital
Outcome – All Outcome – Survived Outcome - Died
18.95 days 20.47 days 4.08 days
Table 95: Transfer In admissions to St Vincent’s Hospital by Area Health Service
Transferring Area Health Service % of Transfers
Greater Southern 33.3%
Greater Western -
Hunter / New England 16.7%
North Coast 16.7%
Northern Sydney / Central Coast -
South Eastern Sydney / Illawarra 33.3%
Sydney South West -
Sydney West -
Individual Trauma Service Summaries St Vincent’s Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 73
Sydney Children’s Hospital
Table 96: Admissions and Deaths, Sydney Children’s Hospital
Total Admissions 49
Survived 47 95.9% of total
Died 2 4.1% of total
Direct Admission 13 26.5% of total
Transfer In Admission 36 73.5% of total
Monthly Average 4
Table 97: Admissions by gender, Sydney Children’s Hospital
Gender Count % of Total
Female 16 32.6%
Male 33 67.4%
Figure 72: Paediatric trauma admissions to Sydney Children’s Hospital by age and gender
Paediatric trauma admissions to Sydney Children’s Hospital by age and gender
N um
be r
of A
dm is
si on
s
Age Range
1513-1410-125-90-4
MaleFemale
0
5
10
15
20
11 14 4 5 0 6 1 6 0 2
74 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 73: Trauma admissions to Sydney Children’s Hospital by age range and outcome (%)
Trauma admissions to Sydney Children’s Hospital by age range and outcome (%)
% o
f a dm
is si
on s
Age range
0-14 15
Survived
Died
0
10
20
30
40
50
60
70
80
90
100
2 0
45 2
Figure 74: Trauma admissions to Sydney Children’s Hospital by Injury Severity Score and outcome
Trauma admissions to Sydney Children’s Hospital by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75
Survived
Died
0
10
20
30
40
50
60
70
80
90
100
0 1 1
24 17 6
Individual Trauma Service Summaries Sydney Children’s Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 75
Table 98: Trauma admissions to Sydney Children’s Hospital by mechanism of injury
Mechanism % of Total
Assault 2%
Burns 2%
Fall < 1m 6.1%
Fall > 5m 4.1%
Fall 1-5m 22.4%
MBC Rider 2%
MVC Back Pass 8.2%
MVC Driver 2%
Other 8.2%
Pedal Cyclist 14.3%
Pedestrian 26.5%
Recreation 2%
Figure 75: Trauma admissions to Sydney Children’s Hospital by mechanism and outcome (%)47
SurvivedDiedTrauma admissions to Sydney Children’s Hospital by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianPedal Cyclist
MVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 1
0
2
0
14
0
1
0
5
0
7
0
12
1
5
1
Table 99: Trauma admissions to Sydney Children’s Hospital by arrival mode
Arrival Mode % of Total
Ambulance 14.3%
Fixed wing 12.2%
NETS 20.4
Private Vehicle 40.8%
Other 12.2%
Individual Trauma Service Summaries Sydney Children’s Hospital
47 Patients transferred to another hospital are counted as survived.
76 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 100: Trauma admissions to Sydney Children’s Hospital by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 34 69.4%
No 15 30.6%
Table 101: ICU average length of stay (LOS) at Sydney Children’s Hospital
Outcome – All Outcome – Survived Outcome - Died
3.85 days 3.88 days 3 days
Table 102: Hospital average length of stay (LOS) at Sydney Children’s Hospital
Outcome – All Outcome – Survived Outcome - Died
13.41 days 13.89 days 2 days
Table 103: Transfer In admissions to Sydney Children’s Hospital by Area Health Service
Transferring Area Health Service % of Transfers
Greater Southern 5.9%
Greater Western 14.7%
Hunter / New England -
North Coast 11.8%
Northern Sydney / Central Coast 17.6%
South Eastern Sydney / Illawarra 29.4%
Sydney South West 14.7%
Sydney West 5.9%
Individual Trauma Service Summaries Sydney Children’s Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 77
The Children’s Hospital at Westmead Table 104: Admissions and Deaths, The Children’s Hospital at Westmead
Total Admissions 76
Survived 71 93.4% of total
Died 5 6.6% of total
Direct Admission 29 38.2% of total
Transfer In Admission 47 61.8% of total
Monthly Average 6
Table 105: Admissions by gender, The Children’s Hospital at Westmead
Gender Count % of Total
Female 23 30.3%
Male 53 69.7%
Figure 76: Paediatric trauma admissions to The Children’s Hospital at Westmead for by age and gender
Paediatric trauma admissions to The Children’s Hospital at Westmead by age and gender
N um
be r
of a
dm is
si on
s
Age range
0
5
10
15
20
10 14 6 15 2 9 2 13 3 2
0-4 5-9 10-12 13-14 15
MaleFemale
78 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 77: Trauma admissions to the Children’s Hospital at Westmead by age range and outcome (%)
Trauma admissions to The Children’s Hospital at Westmead by age range and outcome (%)
% o
f a dm
is si
on s
Age range
0-14 15
Survived
Died
0
10
20
30
40
50
60
70
80
90
100
5 0
66 5
Figure 78: Trauma admissions to The Children’s Hospital at Westmead by Injury Severity Score and Outcome
Trauma admissions to The Children’s Hospital at Westmead by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75
Survived
Died
0
10
20
30
40
50
60
70
80
90
100
0 3 2
51 20 0
Individual Trauma Service Summaries The Children’s Hospital at Westmead
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 79
Table 106: Trauma admissions to The Children’s Hospital at Westmead by mechanism of injury
Mechanism % of Total
Assault 2.6%
Burns 15.8%
Fall < 1m 15.8%
Fall > 5m 3.9%
Fall 1-5m 1.3%
Fall Unspecifi ed Height 1.3%
Horse 3.9%
MBC Rider 5.3%
MVC Back Pass 1.3%
MVC Driver 1.3%
MVC Front Pass 1.3%
MVC Passenger (unknown location) 15.8%
Other 5.3%
Pedal Cyclist 9.2%
Pedestrian 11.8%
Recreation 3.9%
Figure 79: Trauma admissions to The Children’s Hospital at Westmead by mechanism and outcome (%)48
SurvivedDiedTrauma admissions to The Children’s Hospital at Westmead by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianPedal Cyclist
MVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 2
0
2
1
13
0
4
0
12
3
7
0
8
1
22
0
Individual Trauma Service Summaries The Children’s Hospital at Westmead
48 Patients transferred to another hospital are counted as survived. Chart excludes one survived patient from fall of unspecifi ed height.
80 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 107: Trauma admissions to The Children’s Hospital at Westmead by arrival mode
Arrival Mode % of Total
Ambulance 35.5%
Helicopter 7.9%
Fixed wing 3.9%
NETS 42.1%
Private Vehicle 10.5%
Table 108: Trauma admissions to The Children’s Hospital at Westmead by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 44 57.9%
No 32 42.1%
Table 109: ICU average length of stay (LOS) at The Children’s Hospital at Westmead
Outcome – All Outcome – Survived Outcome - Died
6.05 days 6.38 days 2.75 days
Table 110: Hospital average length of stay (LOS) at The Children’s Hospital at Westmead
Outcome – All Outcome – Survived Outcome - Died
15.32 16.23 days 2.4 days
Table 111: Transfer In admissions to The Children’s Hospital at Westmead by Area Health Service
Transferring Area Health Service % of Transfers
Greater Southern 8.9%
Greater Western 8.9%
Hunter / New England 8.9%
North Coast 2.2%
Northern Sydney / Central Coast 13.3%
South Eastern Sydney / Illawarra 13.3%
Sydney South West 22.2%
Sydney West 22.2%
Individual Trauma Service Summaries The Children’s Hospital at Westmead
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 81
Westmead Hospital Table 112: Admissions and Deaths, Westmead Hospital
Total Admissions 330
Survived 189 87.6% of total
Died 41 12.4% of total
Direct Admission 262 79.4% of total
Transfer In Admission 68 20.6% of total
Monthly Average 27
Table 113: Admissions by gender, Westmead Hospital
Gender Count % of Total
Female 95 28.8%
Male 235 71.2%
Figure 80: Trauma admissions to Westmead Hospital by age and gender
MaleFemaleTrauma admissions to Westmead Hospital by age and gender
N um
be r
of A
dm is
si on
s
Age Range
0
5
10
15
20
25
30
35
40
45
50
55
60
95+85-9475-8465-7455-6445-5435-4425-3415-24
14 54 11 39 10 39 12 24 4 30 6 21 20 23 14 5 4 0
Individual Trauma Service Summaries Westmead Hospital
82 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 81: Trauma admissions to Westmead Hospital by age range and outcome (%)
Trauma admissions to Westmead Hospital by age range and outcome (%)
% o
f A dm
is si
on s
Age Range
95+85-9475-8465-7455-6445-5435-4425-3415-24
SurvivedDied
0
10
20
30
40
50
60
70
80
90
100 62 43 45 31 32 24 38 11 3
6 7 4 5 2 3 5 8 1
Figure 82: Trauma admissions to Westmead Hospital by Injury Severity Score and outcome
Trauma admissions to Westmead Hospital by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75
Survived
Died
0
10
20
30
40
50
60
70
80
90
100
8 21 12
166 105 18
Individual Trauma Service Summaries Westmead Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 83
Table 114: Trauma admissions to Westmead Hospital by mechanism of injury
Mechanism % of Total
Assault 6.1%
Burns <1%
Fall < 1m 18.8%
Fall > 5m 2.1%
Fall 1-5m 8.2%
Fall Unspecifi ed Height <1%
Horse 1.8%
Industrial <1%
MBC Pillion <1%
MBC Rider 10.6%
MVC Back Pass 2.4%
MVC Driver 21.8%
MVC Front Pass 5.1%
Other 2.4%
Pedal Cyclist 2.7%
Pedestrian 9.4%
Shooting 1.5%
Sport 2.1%
Stabbing 3.6%
Figure 83: Trauma admissions to Westmead Hospital by mechanism and outcome (%)49
SurvivedDiedTrauma admissions to Westmead Hospital by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianPedal Cyclist
MVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 26
11
6
1
76
13
34
2
89
8
9
0
25
6
23
0
49 Patients transferred to another hospital are counted as survived. Chart excludes one survived patient from fall of unspecifi ed height.
Individual Trauma Service Summaries Westmead Hospital
84 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 115: Trauma admissions to Westmead Hospital by arrival mode
Arrival Mode % of Total
Ambulance 74.5%
Helicopter 19.7%
Fixed wing 1.2%
Private Vehicle 3.9%
Other <1%
Table 116: Trauma admissions to Westmead Hospital by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 104 31.5%
No 226 68.5%
Table 117: ICU average length of stay (LOS) at Westmead Hospital
Outcome – All Outcome – Survived Outcome - Died
8.87 days 9.27 days 6.94 days
Table 118: Hospital average length of stay (LOS) at Westmead Hospital
Outcome – All Outcome – Survived Outcome - Died
16.13 days 17.66 days 5.32 days
Table 119: Transfer In admissions to Westmead Hospital by Area Health Service
Transferring Area Health Service % of Transfers
Greater Southern 1.5%
Greater Western 24.2%
Hunter / New England 1.5%
North Coast 1.5%
Northern Sydney / Central Coast 6.1%
South Eastern Sydney / Illawarra 4.5%
Sydney South West -
Sydney West 60.6%
Individual Trauma Service Summaries Westmead Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 85
Wollongong Hospital
Table 120: Admissions and Deaths, Wollongong Hospital
Total Admissions 106
Survived 91 85.85% of total
Died 15 14.15% of total
Direct Admission 96 90.6% of total
Transfer In Admission 10 9.4% of total
Monthly Average 9
Table 121: Admissions by gender, Wollongong Hospital
Gender Count % of Total
Female 16 15.1%
Male 90 84.9%
Figure 84: Trauma admissions to Wollongong Hospital by age and gender
MaleFemaleTrauma admissions to Wollongong Hospital by age and gender
N um
be r
of A
dm is
si on
s
Age Range
0
5
10
15
20
25
30
85-9475-8465-7455-6445-5435-4425-3415-240-14
2 7 3 21 0 18 0 11 1 13 3 7 3 4 3 3 1 6
86 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 85: Trauma admissions to Wollongong Hospital by age range and outcome (%)
Trauma admissions to Wollongong Hospital by age range and outcome (%)
% o
f A dm
is si
on s
Age Range
95+85-9475-8465-7455-6445-5435-4425-3415-24
SurvivedDied
0
10
20
30
40
50
60
70
80
90
100 8 20 16 10 13 9 4 5 6
1 4 2 1 1 1 3 1 1
Figure 86: Trauma admissions to Wollongong Hospital by Injury Severity score and outcome
Trauma admissions to Wollongong Hospital by ISS and outcome
% o
f a dm
is si
on s
ISS Range
16-24 25-40 41-75
Survived
Died
0
10
20
30
40
50
60
70
80
90
100
2 7 6
58 30 3
Individual Trauma Service Summaries Wollongong Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 87
Table 122: Trauma admissions to Wollongong Hospital by mechanism of injury
Mechanism % of Total
Assault 9.4%
Burns 1.9%
Fall < 1m 14.1%
Fall > 5m 1.9%
Fall 1-5m 17%
Fall Unspecifi ed Height <1%
MBC Rider 21.7%
MVC Driver 9.4%
MVC Front Pass <1%
MVC Passenger (unknown location) 4.7%
Other <1%
Pedal Cyclist 4.7%
Pedestrian 6.6%
Recreation 2.8%
Shooting <1%
Stabbing 1.9%
Figure 87: Trauma admissions to Wollongong Hospital by mechanism and outcome (%)50
SurvivedDiedTrauma admissions to Wollongong Hospital by mechanism of injury and outcome (%)
% o
f A dm
is si
on s
Mechanism of Injury
All other injuries
PedestrianPedal Cyclist
MVCMBCLow/Medium Falls (<5m)
High Falls (>5m)
Assault 0
10
20
30
40
50
60
70
80
90
100 12
1
2
0
30
3
22
1
11
5
5
0
5
2
4
2
Individual Trauma Service Summaries Wollongong Hospital
50 Patients transferred to another hospital are counted as survived. Chart excludes one death from fall from unspecifi ed height.
88 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 123: Trauma admissions to Wollongong Hospital by arrival mode
Arrival Mode % of Total
Ambulance 81.1%
Helicopter 8.5%
Private Vehicle 6.6%
Other 3.8%
Table 124: Trauma admissions to Wollongong Hospital by ICU admission
Admission to ICU Number of Admissions % of Total
Yes 24 22.5%
No 82 68.5%
Table 125: ICU average length of stay (LOS) at Wollongong Hospital
Outcome – All Outcome – Survived Outcome - Died
9.83 days 11.63 days 3 days
Table 126: Hospital average length of stay (LOS) at Wollongong Hospital
Outcome – All Outcome – Survived Outcome - Died
11.25 days 12.78 days 2 days
Table 127: Transfer In admissions to Wollongong Hospital by Area Health Service
Transferring Area Health Service % of Transfers
Greater Southern -
Greater Western -
Hunter / New England -
North Coast -
Northern Sydney / Central Coast -
South Eastern Sydney / Illawarra 100%
Sydney South West -
Sydney West -
Individual Trauma Service Summaries Wollongong Hospital
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 89
Appendix NSW Trauma System - Minimum Data Set
All trauma admissions with ISS > 15 or ICU Admission or death (Excluding #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 1st hospital yes / no
If Yes, Type of OS at 1st Hospital
Transfer out yes / no
Transferred to
Transfer out Reason Burns, Paediatric, Spinal, Other
Op Suite 1st 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 Total Hospital LOS in Patient days
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 3 most injured i.e. the ones used to calculate the ISS
Type of OScraniotomy, thoracotomy, laparotomy, open ext#, other – specify
Length of stayIf LOS is > 6 weeks then put >42 days
90 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Index of Tables Table 1:Trauma Service (TS)
Admissions and Deaths ................................ 7
Table 2:Admissions by Gender ................................. 8
Table 3:Outcome by Gender .................................... 8
Table 4:Admissions by Area Health Service ............... 9
Table 5:Geographical Location of injury by Area Health
Service (people injured) ................................ 10
Table 6:Age - Top 3 Age Ranges .............................. 10
Table 7:Mechanism of Injury - Road Trauma ............. 11
Table 8:Mechanism of Injury - Falls ........................... 12
Table 9:Mechanism of Injury - Assaults ..................... 12
Table 10:Admission Type ............................................ 12
Table 11:Outcome by Admission Type ........................ 12
Table 12:ICU Admissions ............................................ 13
Table 13:ICU Admission by Outcome ......................... 13
Table 14:ICU Average Length of Stay (LOS) ................ 13
Table 15:Hospital Average Length of Stay (LOS) ......... 14
Table 16:Arrival Mode - Top 3 Arrival Modes .............. 14
Table 17:Operating Suite in First 24 Hours - Top 3
Procedures ................................................... 15
Table 18:Injury Time - Top 3 Hours of the Day Injury
Occurred (excludes patients where time of
injury is unknown) ....................................... 16
Table 19:Admission Time - Top 3 Hours of the Day of
Admission to Defi nitive Trauma Hospital ...... 16
Table 20:Injury Day of Week ...................................... 17
Table 21:Injury Severity Score (ISS) ............................. 17
Table 22: Time to defi nitive care for patients admitted
directly to a defi nitive trauma hospital, rural vs
metropolitan location of injury ..................... 18
Table 23: Time to defi nitive care for patients transferred
to a defi nitive trauma hospital, rural vs
metropolitan location of injury ..................... 19
Table 24:Admissions and Deaths,
Gosford Hospital .......................................... 36
Table 25:Admissions by gender,
Gosford Hospital .......................................... 36
Table 26:Trauma admissions to Gosford Hospital by
mechanism of injury .................................... 38
Table 27:Trauma admissions to Gosford Hospital by
Arrival Mode ................................................ 39
Table 28:Trauma admissions at Gosford Hospital by
ICU admission .............................................. 39
Table 29:CU Average Length of Stay (LOS) at
Gosford Hospital .......................................... 39
Table 30:Hospital Average Length of Stay at
Gosford Hospital .......................................... 39
Table 31:Transfer In Admissions to Gosford Hospital
Area Health Service ...................................... 39
Table 32:Admissions and Deaths, John Hunter Hospital/
by ohn Hunter Children’s Hospital ................ 40
Table 33:Admissions by gender, John Hunter Hospital/
John Hunter Children’s Hospital ................... 40
Table 34:Trauma admissions to John Hunter Hospital/
John Hunter Children’s Hospital by mechanism
of injury ....................................................... 42
Table 35:Trauma admissions to John Hunter Hospital /
John Hunter Children’s Hospital by arrival
mode ........................................................... 43
Table 36:Trauma admissions to John Hunter Hospital /
John Hunter Children’s Hospital by ICU
admission .................................................... 43
Table 37:ICU Average Length of Stay (LOS) at
John Hunter Hospital / John Hunter
Children’s Hospital ....................................... 43
Table 38:Hospital Average Length of Stay (LOS)
at John Hunter Hospital / John Hunter
Children’s Hospital ....................................... 44
Table 39:Transfer In admissions to John Hunter
Hospital/John Hunter Children’s Hospital by
Area Health Service ...................................... 44
Table 40:Admissions and Deaths, Liverpool Hospital ... 45
Table 41:Admissions by gender, Liverpool Hospital ..... 45
Table 42:Trauma admissions to Liverpool Hospital by
mechanism of injury .................................... 46
Table 43:Trauma admissions to Liverpool Hospital by
arrival mode ................................................ 47
Table 44:Trauma admissions to Liverpool Hospital by
ICU admission .............................................. 47
Table 45:ICU Average length of stay (LOS) at
Liverpool Hospital ........................................ 47
Table 46:Hospital average length of stay at
Liverpool Hospital ........................................ 47
Table 47:Transfer In admissions to Liverpool Hospital
by Area Health Service ................................. 48
Table 48:Admissions and Deaths, Nepean Hospital ..... 49
Table 49:Admissions by gender, Nepean Hospital ....... 49
Table 50:Trauma admissions to Nepean Hospital by
mechanism of injury .................................... 51
Table 51:Trauma admissions to Nepean Hospital by
arrival mode ................................................ 52
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 91
Table 52:Trauma admissions to Nepean Hospital by
ICU admission .............................................. 52
Table 53:ICU average length of stay (LOS) at
Nepean Hospital .......................................... 52
Table 54:Hospital average length of stay (LOS) at
Nepean Hospital .......................................... 52
Table 55:Transfer In admissions to Nepean Hospital by
Area Health Service ...................................... 52
Table 56:Admissions and Deaths,
Prince of Wales Hospital............................... 53
Table 57:Admissions by gender,
Prince of Wales Hospital............................... 53
Table 58:Trauma admissions to Prince of Wales
Hospital by mechanism of injury .................. 55
Table 59:Trauma admissions to Prince of Wales
Hospital by arrival mode .............................. 56
Table 60:Trauma Admissions to Prince of Wales
Hospital by ICU admission ............................ 56
Table 61:ICU average length of stay at Prince of
Wales Hospital ............................................. 56
Table 62:Hospital length of stay (LOS) at Prince of
Wales Hospital ............................................. 56
Table 63:Transfer In admissions to Prince of Wales
Hospital by Area Health Service .................... 56
Table 64:Admissions and Deaths, Royal North
Shore Hospital ............................................. 57
Table 65:Admissions by gender, Royal North Shore
Hospital ....................................................... 57
Table 66:Trauma admissions to Royal North Shore
Hospital by mechanism of injury .................. 59
Table 67:Trauma admissions to Royal North Shore
Hospital by arrival mode .............................. 60
Table 68:Trauma admissions to Royal North Shore
Hospital by ICU admission ............................ 60
Table 69:ICU average length of stay at Royal North
Shore Hospital ............................................. 60
Table 70:Hospital average length of stay (LOS) at
Royal North Shore Hospital .......................... 60
Table 71:Transfer In admissions to Royal North
Shore Hospital by Area Health Service .......... 60
Table 72:Admissions and Deaths, Royal Prince Alfred
Hospital ....................................................... 61
Table 73:Admissions by gender, Royal Prince Alfred
Hospital ....................................................... 61
Table 74:Trauma admissions to Royal Prince Alfred
Hospital by mechanism of injury .................. 63
Table 75:Trauma admissions to Royal Prince Alfred
Hospital by arrival mode .............................. 64
Table 76:Trauma admissions to Royal Prince Alfred
Hospital by ICU admission ............................ 64
Table 77:ICU average length of stay (LOS) at Royal
Prince Alfred Hospital .................................. 64
Table 78:Hospital average length of stay (LOS) at
Royal Prince Alfred Hospital ......................... 64
Table 79:Transfer In admissions to Royal Prince
Alfred Hospital by Area Health Service ......... 64
Table 80:Admissions and Deaths, St George Hospital . 65
Table 81:Admissions by gender, St George Hospital ... 65
Table 82:Trauma admissions to St George Hospital by
mechanism of injury .................................... 67
Table 83:Trauma admissions to St George Hospital by
arrival mode ................................................ 68
Table 84:Trauma admissions to St George Hospital by
ICU admission .............................................. 68
Table 85:ICU average length of stay (LOS) at
St George Hospital ....................................... 68
Table 86:Hospital average length of stay (LOS) at
St George Hospital ....................................... 68
Table 87:Transfer In admissions to St George Hospital
by Area Health Service ................................. 68
Table 88:Admissions and Deaths,
St Vincent’s Hospital .................................... 69
Table 89:Admissions by gender, St Vincent’s Hospital . 69
Table 90:Trauma admissions to St Vincent’s Hospital
by mechanism of injury ................................ 71
Table 91:Trauma admissions to St Vincent’s Hospital
by arrival mode ............................................ 72
Table 92:Trauma admissions to St Vincent’s Hospital
by ICU admission ......................................... 72
Table 93:ICU average length of stay (LOS) at
St Vincent’s Hospital .................................... 72
Table 94:Hospital average length of stay at
St Vincent’s Hospital .................................... 72
Table 95:Transfer In admissions to St Vincent’s Hospital
by Area Health Service ................................. 72
Table 96:Admissions and Deaths,
Sydney Children’s Hospital ........................... 73
Table 97:Admissions by gender,
Sydney Children’s Hospital ........................... 73
Table 98:Trauma admissions to Sydney Children’s
Hospital by mechanism of injury .................. 75
92 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Table 99:Trauma admissions to Sydney Children’s
Hospital by arrival mode ............................ 75
Table 100:Trauma admissions to Sydney Children’s
Hospital by ICU admission ......................... 76
Table 101:ICU average length of stay (LOS) at
Sydney Children’s Hospital ......................... 76
Table 102:Hospital average length of stay (LOS) at
Sydney Children’s Hospital ......................... 76
Table 103:Transfer In admissions to Sydney Children’s
Hospital by Area Health Service.................. 76
Table 104:Admissions and Deaths,
The Children’s Hospital at Westmead ......... 77
Table 105:Admissions by gender,
The Children’s Hospital at Westmead ......... 77
Table 106:Trauma admissions to The Children’s
Hospital at Westmead by
mechanism of injury .................................. 79
Table 107:Trauma admissions to The Children’s Hospital
at Westmead by arrival mode .................... 80
Table 108:Trauma admissions to The Children’s Hospital
at Westmead by ICU admission.................. 80
Table 109:ICU average length of stay (LOS) at
The Children’s Hospital at Westmead ......... 80
Table 110:Hospital average length of stay (LOS) at
The Children’s Hospital at Westmead ......... 80
Table 111:Transfer In admissions to The Children’s
Hospital at Westmead by
Area Health Service.................................... 80
Table 112:Admissions and Deaths,
Westmead Hospital.................................... 81
Table 113:Admissions by gender, Westmead Hospital 81
Table 114:Trauma admissions to Westmead Hospital
by mechanism of injury .............................. 83
Table 115:Trauma admissions to Westmead Hospital by
arrival mode .............................................. 84
Table 116:Trauma admissions to Westmead Hospital
by ICU admission ......................................... 84
Table 117:ICU average length of stay (LOS) at
Westmead Hospital.................................... 84
Table 118:Hospital average length of stay (LOS) at
Westmead Hospital.................................... 84
Table 119:Transfer In admissions to Westmead Hospital
by Area Health Service ............................... 84
Table 120:Admissions and Deaths,
Wollongong Hospital ................................. 85
Table 121:Admissions by gender,
Wollongong Hospital ................................. 85
Table 122:Trauma admissions to Wollongong Hospital
by mechanism of injury .............................. 87
Table 123:Trauma admissions to Wollongong Hospital
by arrival mode .......................................... 88
Table 124:Trauma admissions to Wollongong Hospital
by ICU admission ....................................... 88
Table 125:ICU average length of stay (LOS) at
Wollongong Hospital ................................. 88
Table 126:Hospital average length of stay (LOS) at
Wollongong Hospital ................................. 88
Table 127:Transfer In admissions to Wollongong
Hospital by Area Health Service.................. 88
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 93
Index of Figures Figure 1:People injured, 2002-2006
(including deaths) ......................................... 7
Figure 2:Admissions to trauma centres ...................... 8
Figure 3:Admissions to Trauma Services by age and
gender ......................................................... 10
Figure 4:Mechanisms of injury ................................... 11
Figure 5:People injured by hour of day when injury
occurred ...................................................... 16
Figure 6: AIS body regions .......................................... 18
Figure 7:Low/medium falls, 2002-2006 ...................... 20
Figure 8:Low to medium fall (<5m) admissions to all
Trauma Centres by age ................................. 21
Figure 9:Low to medium fall (<5m) trauma by
hour of day that injury occurred ................... 21
Figure 10:Low to medium fall (<5m) admissions by
day of week that injury occurred .................. 22
Figure 11:Low/medium falls (<5m) by hour of day of
injury for people aged 65 years and over ...... 22
Figure 12:Low/medium falls (<5m) by day of week
for people aged 65 years and older .............. 23
Figure 13:Low/medium falls (<5m) - geographical
location of injury by Area Health Service ....... 23
Figure 14:Low to medium fall (<5m) trauma patient
admissions to all Trauma Services by age
(injuries at home) ......................................... 24
Figure 15:Low/medium fall (<5m) related admissions to
trauma centres by ISS range ......................... 24
Figure 16:AIS body regions for low/medium falls
(<5m) ........................................................... 25
Figure 17:Low/medium falls - mode of arrival .............. 26
Figure 18:Low/medium fall (<5m) related admissions to
trauma centres by admission type ................ 26
Figure 19: Times to defi nitive care, direct from scene,
within 2 hours, Low/medium falls,
MVC, MBC, Pedestrian ................................. 27
Figure 20:Low/medium falls (<5m) -
surgical procedures ...................................... 27
Figure 21:Low/medium falls (<5m) -
Intensive Care Unit admissions ..................... 28
Figure 22:Low/medium fall related admissions to
trauma centres by age and outcome ............ 28
Figure 23:Pedestrian trauma, 2002-2006 ..................... 29
Figure 24:Pedestrian trauma patient admissions to all
Trauma Centres by age range ....................... 30
Figure 25:Pedestrian trauma by hour of day
that injury occurred ...................................... 30
Figure 26:Pedestrian trauma admissions by
day of week that injury occurred .................. 31
Figure 27:Pedestrians - geographical location of
injury by Area Health Service ........................ 31
Figure 28:Pedestrian related admissions to
trauma centres by ISS range ......................... 32
Figure 29:AIS body regions for pedestrian trauma ........ 32
Figure 30:Pedestrian trauma - mode of arrival .............. 33
Figure 31:Pedestrian related admissions to
trauma centres for 2006 by admission type .. 34
Figure 32:Pedestrian trauma -
surgical procedures ...................................... 34
Figure 33:Pedestrian trauma -
intensive care admissions ............................. 35
Figure 34:Pedestrian trauma by age and outcome ....... 35
Figure 35:Trauma admissions to Gosford Hospital by
age and gender ............................................ 36
Figure 36:Trauma admissions to Gosford Hospital by
age range and outcome (%) ........................ 37
Figure 37:Trauma admissions to Gosford Hospital by
Injury Severity Score and outcome ................ 37
Figure 38:Trauma admissions to Gosford Hospital by
mechanism and outcome (%) ...................... 38
Figure 39:Trauma admissions to John Hunter Hospital /
John Hunter Children’s Hospital by age and
gender ......................................................... 40
Figure 40:Paediatric trauma admissions to John Hunter
Children’s Hospital by age and gender .......... 41
Figure 41:Trauma admissions to John Hunter Hospital /
John Hunter Children’s Hospital by age range
and outcome (%) ......................................... 41
Figure 42:Trauma admissions to John Hunter Hospital /
John Hunter Children’s Hospital by Injury
Severity Score and outcome ......................... 42
Figure 43:Trauma admissions to John Hunter Hospital /
John Hunter Children’s Hospital by mechanism
and outcome (%) ......................................... 43
Figure 44:Trauma admissions to Liverpool Hospital
by age and gender ....................................... 45
Figure 45:Trauma admissions to Liverpool Hospital
by age range and outcome (%) .................... 45
Figure 46:Trauma admissions to Liverpool Hospital
by Injury Severity Score and outcome ........... 46
94 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health
Figure 47:Trauma admissions to Liverpool Hospital
by mechanism and outcome (%) .................. 47
Figure 48:Trauma admissions to Nepean Hospital
by age and gender ....................................... 49
Figure 49:Trauma admissions to Nepean Hospital
by age range and outcome .......................... 50
Figure 50:Trauma admissions to Nepean Hospital
by Injury Severity Score and outcome ........... 50
Figure 51:Trauma admissions to Nepean Hospital
by mechanism and outcome (%) .................. 51
Figure 52:Trauma admissions to Prince of Wales Hospital
by age and gender ....................................... 53
Figure 53:Trauma admissions to Prince of Wales Hospital
by age range and outcome (%) .................... 54
Figure 54:Trauma admissions to Prince of Wales Hospital
by Injury Severity Score and outcome ........... 54
Figure 55:Trauma admissions to Prince of Wales Hospital
by mechanism and outcome (%) .................. 55
Figure 56:Trauma admissions to Royal North Shore
Hospital by age and gender .......................... 57
Figure 57:Trauma admissions to Royal North Shore
Hospital by age range and outcome (%) ...... 58
Figure 58:Trauma admissions to Royal North Shore
Hospital by Injury Severity Score
and outcome ............................................... 58
Figure 59:Trauma admissions to Royal North Shore
Hospital by mechanism and outcome (%) .... 59
Figure 60:Trauma admissions to Royal Prince Alfred
Hospital by age and gender .......................... 61
Figure 61:Trauma admissions to Royal Prince Alfred
Hospital by age range and outcome (%) ...... 62
Figure 62:Trauma admissions to Royal Prince Alfred
Hospital by Injury Severity Score
and Outcome ............................................... 62
Figure 63:Trauma admissions to Royal Prince Alfred
Hospital by mechanism and outcome (%) .... 63
Figure 64:Trauma admissions to St George Hospital
by age and gender ....................................... 65
Figure 65:Trauma admissions to St George Hospital
by age range and outcome (%) .................... 66
Figure 66:Trauma admissions to St George Hospital
by Injury Severity Score and Outcome ........... 66
Figure 67:Trauma admissions to St George Hospital
by mechanism and outcome (%) .................. 67
Figure 68:Trauma admissions to St Vincent’s Hospital
by age and gender ....................................... 69
Figure 69:Trauma admissions to St Vincent’s Hospital
by age range and outcome .......................... 70
Figure 70:Trauma admissions to St Vincent’s Hospital by
Injury Severity Score and Outcome ............... 70
Figure 71:Trauma admissions to St Vincent’s Hospital
by mechanism and outcome (%) .................. 71
Figure 72:Paediatric trauma admissions to Sydney
Children’s Hospital by age and gender .......... 73
Figure 73:Trauma admissions to Sydney Children’s
Hospital by age range and outcome (%) ...... 74
Figure 74:Trauma admissions to Sydney Children’s
Hospital by Injury Severity Score and
outcome ...................................................... 74
Figure 75: Trauma admissions to Sydney Children’s
Hospital by mechanism and outcome (%) .... 75
Figure 76:Paediatric trauma admissions to The Children’s
Hospital at Westmead for by age and
gender ......................................................... 77
Figure 77:Trauma admissions to the Children’s Hospital
at Westmead by age range and
outcome (%) ................................................ 78
Figure 78:Trauma admissions to The Children’s Hospital
at Westmead by Injury Severity Score and
Outcome ...................................................... 78
Figure 79:Trauma admissions to The Children’s Hospital
at Westmead by mechanism and
outcome (%) ................................................ 79
Figure 80:Trauma admissions to Westmead Hospital
by age and gender ....................................... 81
Figure 81:Trauma admissions to Westmead Hospital
by age range and outcome (%) .................... 82
Figure 82:Trauma admissions to Westmead Hospital
by Injury Severity Score and outcome ........... 82
Figure 83:Trauma admissions to Westmead Hospital
by mechanism and outcome (%) .................. 83
Figure 84:Trauma admissions to Wollongong Hospital
by age and gender ......................................... 85
Figure 85:Trauma admissions to Wollongong Hospital
by age range and outcome (%) .................... 86
Figure 86:Trauma admissions to Wollongong Hospital
by Injury Severity score and outcome ............ 86
Figure 87:Trauma admissions to Wollongong Hospital
by mechanism and outcome (%) .................. 87
NSW Health ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 95
Notes
96 ITIM – The NSW Trauma Registry Profi le of Serious to Critical Injuries - 2006 NSW Health