Major Injury and Death
Dr Gowan Creamer
Outline
Trauma forum
May 2006
Major Injury and Death
Auckland Population data
2004
Introduction
Population study Auckland 2004
n Trauma
– Major injury (ISS >15)
– Death
n Auckland region
– Middlemore
– Auckland City
– Starship
– North Shore
Questions
n How many ?
n Who ?
n How ?
n When ?
Study
n Aucklanders with major injuries
– ISS > 15 or death
n Attending an Auckland region hospital
– Or the coroner
How did ya do this ?
Create a citywide data base
– Age
– Gender
– Ethnicity
– Mechanism
– Date of injury
– Severity injury
– death
Define ‘Aucklanders’
– Population projections
Franklin district
+ Auckland region
Get data (injury and death)
– Middlemore
– North Shore
– Starship
– Auckland City
– coroner
Denominator
n Ministry of health
n Population projections
– Age
– Gender
– Ethnicity
n Maori, Pacific, other
Numerator
Results
n How many?
– Rate
– comparison
n Who ?
n How ?
n When ?
How many? (ISS>15, death)
536
– 40.2 per 100,000
n 192 deaths
– 14.4 per 100,000
n 44 were inpatient deaths
– Inpatient mortality (12.0%)
n 148
– straight to the coroner
Comparison Victoria State
n N = 1684 (July 03 to June 04)
n ISS > 15 or death (Auckland)
– 51.0 per 100,000 (40.2)
n Mortality
– 21.3 per 100,000 (14.4)
n Inpatient mortality 12.5 % (12.0%)
What the coroner sees …
Ethnicity differences in mechanism
Victoria:
Peaks Jan to March
Canada
Summary
n How many
One major injury a day
One death every 2nd day
n Who
½ are men under 42 y
Pacific and Maori
n How
Over ½ Motorised vehicles
n When
Spring
|
Ministry
of Health
