Featured Research

from universities, journals, and other organizations

Severely injured should go directly to trauma center, new research shows

Date:
November 2, 2010
Source:
St. Michael's Hospital
Summary:
Severely injured patients should be transported directly from the scene of an accident to a trauma center, even if it means bypassing a closer hospital, according to new research that shows this results in a nearly 25 percent lower death rate.

Severely injured patients should be transported directly from the scene of an accident to a trauma center, even if it means bypassing a closer hospital, according to new research that shows this results in a nearly 25 per cent lower death rate.

Related Articles


However, even though 80 to 85 per cent of people in North America live within a one-hour drive or flight of a trauma center, 30 to 60 per cent of severely injured patients are still taken to the nearest hospital.

Researchers led by Dr. Avery Nathens, trauma director at St. Michael's Hospital in Toronto, identified 11,398 patients who were severely injured in Ontario between 2002 and 2007. Of those, 66 per cent were transported directly to one of Ontario's nine adult trauma centres and 30 per cent were transferred to trauma centres after being assessed at the closest hospital.

Overall, 18 per cent of the patients died, or 2,065 people. Four per cent of patients died before they could be transferred to a trauma centre -- or 22 per cent of all deaths. Previous studies have not included those patients, so doctors have assumed the death rate is the same for people taken directly to trauma centres and those who are transferred after first being assessed at a non-trauma centre.

By considering the outcome of all patients, Nathens found the risk of dying is 24 per cent greater if a patient first stops at a non-trauma centre. His study will appear in the December issue of the Journal of the American College of Surgeons.

About half of the patients died more than 2-1/2 hours after arriving at a non-trauma centre, suggesting that ways to identify these patients earlier and having more rapid access to ambulance service to transfer them might make a difference.

"Trauma centres save lives," Nathens said. "We acknowledge that access to these trauma centres can be a challenge, given Ontario's geography. So we have to find innovative ways to make sure that hospitals and providers who receive these patients are equipped with the highest level of skills and resources to provide to provide optimal care and a means to transfer them ASAP."


Story Source:

The above story is based on materials provided by St. Michael's Hospital. Note: Materials may be edited for content and length.


Journal Reference:

  1. Barbara Haas, David Gomez, Brandon Zagorski, Therese A. Stukel, Gordon D. Rubenfeld, Avery B. Nathens. Survival of the Fittest: The Hidden Cost of Undertriage of Major Trauma. Journal of the American College of Surgeons, 2010; DOI: 10.1016/j.jamcollsurg.2010.08.014

Cite This Page:

St. Michael's Hospital. "Severely injured should go directly to trauma center, new research shows." ScienceDaily. ScienceDaily, 2 November 2010. <www.sciencedaily.com/releases/2010/11/101102130959.htm>.
St. Michael's Hospital. (2010, November 2). Severely injured should go directly to trauma center, new research shows. ScienceDaily. Retrieved February 28, 2015 from www.sciencedaily.com/releases/2010/11/101102130959.htm
St. Michael's Hospital. "Severely injured should go directly to trauma center, new research shows." ScienceDaily. www.sciencedaily.com/releases/2010/11/101102130959.htm (accessed February 28, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Saturday, February 28, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Could a $34 Smartphone Device Improve HIV Diagnosis in Africa?

Could a $34 Smartphone Device Improve HIV Diagnosis in Africa?

Reuters - Innovations Video Online (Feb. 27, 2015) A dongle that plugs into a Smartphone mimics a lab-based blood test for HIV and syphilis and can detect the diseases in 15 minutes, say researchers. Tara Cleary reports. Video provided by Reuters
Powered by NewsLook.com
Doctor Says Head Transplants Possible Within Two Years

Doctor Says Head Transplants Possible Within Two Years

Buzz60 (Feb. 27, 2015) An Italian doctor is saying he could stick someone&apos;s head onto someone else&apos;s body. Patrick Jones (@Patrick_E_Jones) reports. Video provided by Buzz60
Powered by NewsLook.com
How Your Dentist Could Help Screen You For Diabetes

How Your Dentist Could Help Screen You For Diabetes

Newsy (Feb. 27, 2015) A new study from researchers at New York University suggests dentists could soon use blood samples taken from patients&apos; mouths to test for diabetes. Video provided by Newsy
Powered by NewsLook.com
The Best Tips to Makeover Your Health

The Best Tips to Makeover Your Health

Buzz60 (Feb. 27, 2015) If you&apos;re looking to boost your health this season, there are a few quick and easy steps to prompt you for success. Krystin Goodwin (@Krystingoodwin) has the best tips to give your health a makeover this spring! Video provided by Buzz60
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins