Investigating major trauma in Maori youth at Te Whatu Ora Counties Manukau.
ANZ J Surg
; 94(4): 580-584, 2024 Apr.
Article
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| MEDLINE
| ID: mdl-38486439
ABSTRACT
BACKGROUND:
The Ninth Perioperative Mortality Review Committee (POMRC) report found the likelihood of death was over three times higher in Maori youth compared to non-Maori (age 15-18 years) in the 30-days following major trauma. The aim of our study is to investigate variations in care provided to Maori youth presenting to Te Whatu Ora Counties Manukau (TWO-CM) with major trauma, to inform policies and improve care.METHODS:
This was a retrospective, observational study of 15-18-year-olds admitted to Middlemore Hospital from January 2018 to December 2021 following major trauma (Injury Severity Score (ISS) >12 or with (ISS) <12 who died). Data were obtained from the New Zealand Trauma Registry (NZTR). Six key performance indicators were studied against hospital guidelines/international consensus Deaths, Cause-of-death, trauma call, RedBlanket activations, time-to-computed tomography (CT), and time-to-operating theatre (OT).RESULTS:
Of 77 patients, five deaths occurred, four non-Maori, and one Maori (P = 0.645). Five trauma calls were not activated (P = 0.642). There was no statistically significant difference for both median time to CT (P = 0.917) and time to CT for patients with GCS >13 (P = 0.778) between Maori and non-Maori. Five patients did not meet guidelines for time-to-OT (three non-Maori and two Maori) (P = 0.377).CONCLUSION:
No statistically significant variations in care were present for Maori youth presenting with major trauma, these findings did not match the national trend.Palabras clave
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Base de datos:
MEDLINE
Asunto principal:
Heridas y Lesiones
/
Puntaje de Gravedad del Traumatismo
/
Pueblo Maorí
País/Región como asunto:
Oceania
Idioma:
En
Revista:
ANZ J Surg
/
ANZ j. Surg
/
ANZ journal of surgery
Año:
2024
Tipo del documento:
Article