Cregan P C, McLean A S
Nepean Hospital, Penrith, NSW.
Med J Aust. 1991 Mar 4;154(5):306-9.
A review of trauma statistics in metropolitan Sydney over a three-year period was undertaken. Data were obtained from the NSW Department of Health on hospital separations for trauma diagnoses for the two financial years 1985-1986 and 1988-1989 and from the Roads and Traffic Authority of New South Wales and the NSW Ambulance Service. Marked differences emerged in the pattern of overall trauma between the 1985-1986 and 1988-1989 periods, the most noteworthy being the reduction of teaching hospital separations both for total trauma and for transport related trauma which is responsible for the majority of serious injuries. The implementation of a State-wide policy for trauma services in New South Wales is now occurring. The information obtained from this study indicates that much of the baseline data used in formulating that policy were misleading. The policy of concentrating major trauma resources (level 3 trauma centres) in the eastern half of the city is found to be at odds with the finding of a high morbidity and mortality from transport related trauma in the western half of the city and the lack of such resources in that area.
对悉尼大都市地区三年期间的创伤统计数据进行了回顾。数据来自新南威尔士州卫生部，涵盖1985 - 1986年和1988 - 1989年两个财政年度因创伤诊断而住院的情况，以及新南威尔士州道路与交通管理局和新南威尔士州救护服务机构。1985 - 1986年和1988 - 1989年期间，整体创伤模式出现了显著差异，最值得注意的是教学医院因总体创伤和与交通相关创伤（导致大多数重伤的原因）而住院的人数减少。新南威尔士州目前正在实施一项全州范围的创伤服务政策。从这项研究中获得的信息表明，用于制定该政策的许多基线数据具有误导性。将主要创伤资源（3级创伤中心）集中在城市东半部的政策，与城市西半部因交通相关创伤导致的高发病率和高死亡率以及该地区缺乏此类资源的发现不一致。
