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NSW Trauma Minimum Data Set 2004 Annual Report
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Page 1: NSW Trauma Minimum Data Set€¦ · Ms Sharyn Johnson ... 4 NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health Data summary. NSW Health NSW Trauma Minimum Data Set –

NSW Trauma Minimum Data Set

2004 Annual Report

Page 2: NSW Trauma Minimum Data Set€¦ · Ms Sharyn Johnson ... 4 NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health Data summary. NSW Health NSW Trauma Minimum Data Set –

NSW DEPARTMENT OF HEALTH

73 Miller Street

NORTH SYDNEY NSW 2060

Tel. (02) 9391 9000

Fax. (02) 9391 9101

TTY. (02) 9391 9900

www.health.nsw.gov.au

This work is copyright. It may be reproduced in whole or in part

for study training purposes subject to the inclusion of an acknowledgement

of the source. It may not be reproduced for commercial usage or sale.

Reproduction for purposes other than those indicated above,

requires written permission from the NSW Department of Health.

© NSW Department of Health 2005

SHPN (NITIM) 050136

ISBN 0 7347 3858 7

For further copies of this document please contact:

Better Health Centre – Publications Warehouse

Locked Mail Bag 5003

Gladesville NSW 2111

Tel. (02) 9816 0452

Fax. (02) 9816 0492

Further copies of this document can be downloaded from the

NSW Health website: www.health.nsw.gov.au

October 2005

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Acknowledgments

The NSW Institute of Trauma and Injury Management

would like to thank the following people for their

expertise, data collection, support and enthusiasm in

the collection of the NSW Trauma Minimum Data Set.

Trauma Network Committee■ Ms Jane Bowden

■ Ms Susan Bethe

■ Ms Libby Braybrooks

■ Ms Michel Burrowes

■ Ms Erica Caldwell

■ Mr Anthony Cook

■ Ms Kate Curtis

■ Ms Julie Evans

■ Ms Fiona Fahey

■ Ms Dadeyva Gutierrez

■ Ms Linda Gutierrez

■ Ms Celine Hill

■ Ms Alicia Jackson

■ Ms Sharyn Johnson

■ Ms Kate King

■ Ms Liz Leonard

■ Ms Patricia Manglick

■ Ms Cathy McDonald

■ Ms Karon McDonell

■ Ms Sarah Murray

■ Ms Kerry Quinn

■ Ms Kellie Rees

■ Mr Rod Reynolds

■ Ms Sue Roncal

■ Mr Jorge Sesperez

■ Ms Joanne Sheedy

■ Ms Ann Sheerin

■ Ms Rachel West

■ Ms Kellie Wilson

■ Ms Stephanie Wilson

■ Ms Nichole Woodward

■ Ms Rachel Zordan

■ Ms Yi Zou

NSW Institute of Trauma and Injury Management■ Prof Danny Cass

■ Ms Trish McDougall

■ Mr David Martens

■ Ms Christine Allsopp

■ Ms Sharon Lown

■ Mr Glenn Sisson

■ Ms Margaret Perrett

In addition NSW ITIM would like to

thank the following for their assistance:

■ Ms Dana Sarkissian

■ Ms Rachael Pliner

■ Ms Jennifer Hulme

■ Ms Preema Kabir

NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report i

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Contents

NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report iii

Acknowledgments ..................................................i

Executive summary...............................................1

Data summary.........................................................3

Trauma service statistics ....................................7

General profile...............................................................7

Motor vehicle accidents (MVA) ....................................10

Motor bike accidents (MBA) ........................................12

Pedestrians ..................................................................14

Low/medium falls (<5m) ..............................................16

High falls (>5m) ...........................................................18

Pedal cyclists ................................................................19

Blunt assault ................................................................21

Shooting......................................................................22

Stabbing ......................................................................23

Arrival modes ..............................................................24

Operating suite profile .................................................25

Intensive care profile ....................................................26

Injury region profile......................................................28

Injury severity profile....................................................28

Length of stay..............................................................31

Paediatric trauma summary..........................................32

Paediatric pedal cyclists................................................35

Paediatric pedestrians ..................................................36

Pre-school (0-5 Years) ..................................................37

Individual trauma service summaries ..........39

Gosford Hospital..........................................................39

John Hunter Hospital/John Hunter Children’s Hospital..41

Liverpool Hospital ........................................................44

Nepean Hospital ..........................................................46

Prince of Wales Hospital ..............................................48

Royal North Shore Hospital ..........................................50

Royal Prince Alfred Hospital .........................................52

St George Hospital.......................................................54

St Vincent’s Hospital ....................................................56

Sydney Children’s Hospital ...........................................58

The Children’s Hospital at Westmead...........................60

Westmead Hospital......................................................62

Wollongong Hospital ...................................................64

Appendix 1 .............................................................67

Index of figures.....................................................69

Index of tables ......................................................73

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Executive summary

NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 1

The NSW Institute of Trauma and Injury Management

(ITIM) 2004 Trauma Minimum Data Set (TMDS) Report

is the third report to be published using collated

data from the established Trauma Registries in

the Greater Metropolitan Sydney Region.

The TMDS report illustrates the spectrum of trauma

for patients who have injuries which are classified

serious to critical and admitted to Trauma Centres

in the calendar year of 2004. Data from the Trauma

Registries at:

■ 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

■ are included together with a first time

Wollongong Hospital report.

The criteria for inclusion in the TMDS for publication

in this report include all patients admitted to the above

hospitals who have a physical injury with an Injury

Severity Score (ISS) > 15. An ISS of greater than 15 reflects serious injury.

The data and format of the 2004 report remains similar

to previous years. The data collection tool from which

this data is derived is included in Appendix 1.

Key points■ The total number of patients injured in 2004 was

2,262 (this is an 11% increase from 2003 data).

■ The death rate at 11% across the collated data

was a decreased death rate of 3%.

■ 2004 data showed an 18% increase in

the number of paediatric patients injured.

■ The death rate for penetrating trauma patients

decreased by 10% for stabbing injuries and 33%

for shooting injuries.

■ There was an increase of 10% in the number of

patients in 2004 who were injured in a motor bike

crash, however despite this increase there was a 5%

reduction in deaths from this mechanism of injury.

■ Pedestrian road trauma increased by 7% in 2004

but there was a 5% decrease in the death rate

compared to 2003 data.

■ Low to medium falls continue to be an area of

concern and there was an increase of 15% in the

number of people injured from this mechanism.

■ Trauma involving paediatric pedal cyclists increased

by 33%.

Currently the data is utilised to review and evaluate

the trauma system as well as the following important

areas of practice:

■ Provides information to:– trauma clinicians

– NSW Health

– Area Health Services

– injury prevention groups

– Motor Accidents Authority

– Road Traffic Authority

– and other appropriate organisations.

■ Identifies specific areas of need for Education

programs to be used by pre hospital providers,

clinicians, administrators and consumers.

■ Illustrates the Rural – Metropolitan trauma

transfer patterns.

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NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health2

■ Is a resource for the development of identified

Clinical Practice Guidelines.

■ Assists in the evaluation of inter rater reliability

Scoring Systems across the trauma environment.

■ Recommends topics for potential research projects.

■ Contributes to the National Trauma Minimum

Data Set.

The NSW ITIM Trauma Minimum Data Registry over

the 2002-2004 periods has entered over six thousand

patients to the registry. Future reports will utilise this

collated data to review and evaluate a range of trauma

system aspects including pre hospital times and a more

comprehensive rural data set.

Executive summary

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Data summary

All data is for calendar year 2004 (ie 01/01/2004

to 31/12/2004) where patients had an Injury Severity

Score (ISS) >15. The ISS1 is a reflection of overall severity

and probability of survival based on an anatomical injury

severity classification, the AIS or Abbreviated Injury

Scale2. An ISS of greater than 15 reflects seriousinjury.

NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 3

Table 1. Trauma service (TS) admissions and deaths

Total admissions 2,407 admissions(2,262 patients)

Survived 1,994 patients 89% of all patients

Died 268 patients 11% of all patients

Monthly average 201 admissions

Minimum monthly average 181 (June)

Maximum monthly average 221 (October)

Table 2. Admissions by gender

Female 596 patients 26% of patients(646 admissions) (27% of admissions)

Male 1,665 patients 74% of patients(1,760 admissions) (73% of admissions)

Indeterminate 1 patient < 0.05% of patients/admissions(1 admission)

Table 3. Outcome by gender

Gender Outcome – Survived Outcome – Died

Female 552 admissions 94 admissions(85% of females) (15% of females)

Male 1,587 admissions 173 admissions(90% of males) (10% of males)

1. Baker SP, O’Neill B, Haddon W, The Injury Severity Score, A method for describing patients with multiple injuries and evaluating emergency care, J Trauma

14:187-196, 1974.

2. Abbreviated Injury Scale: Association for the Advancement of Automotive Medicine, 1990 Update, 1998 Revision.

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Table 4. Age – Top three age ranges

Age range Count % of total

15-24 421 patients 19% of all patients

25-34 360 patients 16% of all patients

35-44 288 patients 13% of all patients

Table 5. Mechanism of injury – Road trauma

Road trauma Count % of total Deaths (% of total deaths)

MVA 510 patients 23% 45 patients (17%)

MBA 208 patients 9% 15 patients (6%)

Pedestrian 218 patients 10% 32 patients (12%)

Pedal cyclist 73 patients 3% 7 patients (3%)

Total road trauma 1,009 patients 45% 99 patients (37%)

Table 6. Mechanism of injury – Falls

Fall Count % of total Deaths (% of total deaths)

Low/medium fall (<5m) 676 patients 30% 116 patients (43%)

High fall (>5m) 88 patients 4% 13 patients (5%)

Total all falls 764 patients 34% 129 patients (48%)

Table 7. Mechanism of injury – Assaults

Assault Count % of total Deaths (% of total deaths)

Blunt assault 159 patients 7% 9 patients (3%)

Shooting 18 patients <1% 6 patients (2%)

Stabbing 54 patients 2% 3 patients (1%)

Total all assaults 231 patients 10% 18 patients (7%)

Table 8. Admission type

Admission type Count % of total

Transfer in 667 admissions 28% of all patients

Direct from scene 1,740 admissions 72% of all patients

Table 9. Outcome by admission type

Admission type Outcome – Survived Outcome – Died

Transfer in 596 patients (89%) 71 patients (11%)

Direct from scene 1,543 patients (89%) 197 patients (11%)

NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health4

Data summary

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Table 10. ICU admissions

Admission to ICU Count % of total

Yes 1,050 admissions 44%

No 1,357 admitted patients 56%

Table 11. ICU admission by outcome

Admission to ICU Outcome – Survived Outcome – Died

Yes 916 admissions (87%) 134 admissions (13%)

No 1,223 admissions (90%) 134 admissions (10%)

Table 12. ICU average length of stay (LOS)

Outcome – All Outcome – Survived Outcome – Died

7.47 days 7.71 days 5.84 days

Table 13. Hospital average length of stay (LOS)

LOS Outcome – All Outcome – Survived Outcome – Died

Overall LOS 15.32 days 16.49 days 5.96 days

Direct admission LOS 14.51 days 15.74 days 4.87 days

Transfer in admission LOS 17.42 days 18.42 days 8.97 days

Table 14. Arrival mode – Top three arrival modes

Arrival Mode Admissions % of total

Ambulance 1,705 admissions 71%

Helicopter 366 admissions 16%

Private vehicle 134 admissions 6%

Table 15. Operating suite in first 24 hours

761 patients (34% of all patients) were sent to the operating suite within 24 hours of admission for a total of 858 procedures.

Table 16. Operating suite in first 24 hours – Top three procedures

Operating suite procedure Count % of total procedures

Craniotomy 210 admissions 24%

Open ext# 157 admissions 18%

Laparotomy 155 admissions 18%

Data summary

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Table 17. Injury time – Top three hours of the day injury occurred (excludes patients where time of injury is unknown)

Hour of day Count (patients injured) % of total

15:00 162 patients 7.2%

16:00 137 patients 6.1%

18:00 121 patients 5.4%

Table 18. Injury time – Top three hours of the day of admission to definitive care hospital

Hour of day Count (patients injured) % of total

16:00 166 patients 7.5%

17:00 143 patients 6.5%

20:00 139 patients 6.3%

Table 19. Injury day of week

Day of week Count (patients injured) % of total

Saturday 433 patients 19%

Sunday 405 Patients 18%

Friday 317 patients 14%

Tuesday 299 patients 13%

Wednesday 283 patients 13%

Thursday 274 patients 12%

Monday 251 patients 11%

Table 20. Injury severity score (ISS)

ISS range Count (patients) % of total

16-24 1,296 patients 54% (57.3% all NSW)

25-40 799 patients 38% (35.3% all NSW)

41-75 167 patients 8% (7.4% all NSW)

Data summary

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Trauma service statistics

General profile

Figure 1. Total trauma admissions to trauma services for 2002-2004 where ISS >15

NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 7

Figure 2. Trauma admissions to all trauma services for 2002-2004 by age

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Figure 5. Percentage of admission types for all traumaadmissions to each trauma service for 2004 direct from scene or transferred from anotherhospital to a trauma service

Trauma service statistics

Figure 6. Trauma admissions to all trauma services for 2004 by mechanism of injury

Figure 3. Trauma admissions to all trauma services for 2004 by age and gender

Figure 4. Trauma admissions to each trauma service for 2004by admission type (ie direct from scene or transferinto the trauma service from another hospital)

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Figure 9. Trauma admissions to all trauma services for 2004showing injury region percentages by mechanismof injury for road trauma

NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 9

Trauma service statistics

Figure 8. Trauma admissions to all trauma services for 2004 showing outcome percentages bymechanism of injury

Figure 7. Trauma admissions to all trauma services for 2002-2004 by mechanism of injury

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Trauma service statistics

Figure 13. Motor vehicle accident related admissions to all trauma services for 2004 by admission type (ie direct from scene or transferred in fromanother hospital)

Motor vehicle accidents (MVA)

Figure 12. Motor vehicle accident related trauma patientadmissions to all trauma services for 2004 bygender and age group

Figure 10. Trauma admissions to all trauma services for 2004 showing injury region percentages by mechanism of injury for falls

Figure 11. Trauma admissions to all trauma services for 2004 showing injury region percentages by mechanism of injury for assaults

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Figure 16. Motor vehicle accident related trauma patientadmissions to all trauma services for 2002-2004by day of week that injury occurred

NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 11

Trauma service statistics

Figure 15. Motor vehicle accident related trauma patient admissions to all trauma services for 2002-2004 by hour of day thatinjury occurred

50

0

100

150

200

250

300

350

400

450

Figure 14. Motor vehicle accident related admissions to all trauma services by admission type for 2002-2004 (ie direct from scene or transferred in from another hospital)

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Trauma service statistics

Figure 17. Motor vehicle accident related trauma patientadmissions to all trauma services for 2004by ISS Range

Motor bike accidents (MBA)

Figure 19. Motor bike accident related trauma patientadmissions to all trauma services for 2004 by age and gender

Figure 18. Motor vehicle accident related trauma patientadmissions to all trauma services for 2002-2004by ISS range

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Figure 21. Motor bike accident related trauma patientadmissions to all trauma services for 2002-2004by day of week

Trauma service statistics

Figure 20. Motor bike accident related trauma patient admissions to all trauma services for 2002-2004 by hour of day that injury occurred

Figure 22. Motor bike accident related trauma patientadmissions to all trauma services for 2002-2004by ISS range

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Trauma service statistics

Pedestrians

Figure 24. Pedestrian trauma patient admissions to all trauma services for 2004 by age and gender

Figure 23. Motor bike accident related trauma patientadmissions for 2004 to all trauma services by age and outcome

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NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 15

Trauma service statistics

Figure 25. Pedestrian trauma patient admissions to all trauma services for 2002-2004 by hour of day that injury occurred

Figure 26. Pedestrian trauma patient admissions to all trauma services for 2002-2004 by day of week that injury occurred

Figure 27. Pedestrian trauma patient admissions to all trauma services for 2004 by ageand outcome percentages

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Figure 30. Low to medium fall (<5m) trauma patient admissions to all trauma services for 2002-2004 by day of week that injury occurred

NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health16

Low/medium falls (<5m)

Figure 28. Low to medium fall (<5m) trauma patientadmissions to all trauma services for 2004by age and gender

Trauma service statistics

Figure 29. Low to medium fall (<5m) trauma patient admissions to all trauma services for 2002-2004 by hour of day that injury occurred

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Trauma service statistics

Figure 31. Low to medium fall (<5m) trauma patientadmissions to all trauma services for 2002-2004 by age and place of injury

Figure 33. Low to medium fall (<5m) trauma patient admissions to all trauma services for 2004 by age and hour of day that injury occurred for all patients aged 65 years and older

Figure 32. Low to medium fall (<5m) trauma patientadmissions to all trauma services for 2004by age and place of injury for patientsaged 65 years and older

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Figure 34. Low to medium fall (<5m) trauma patientadmissions to all trauma services for 2004by age and outcome for all patients aged65 years and older

Trauma service statistics

High falls (>5m)

Figure 36. High fall (5m or greater) trauma patientadmissions to all trauma services for 2004by age and gender

Figure 37. High fall (5m or greater) trauma patient admissions to all trauma services for 2004 by outcome

Figure 35. Low to medium fall (<5m) trauma patientadmissions to all trauma services for 2004by age and outcome for all patients aged65 years and older percentages

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Figure 40. Pedal cycle trauma patient admissions to all trauma services for 2002-2004 by hour of day that injury occurred

4NSW Health NSW Trauma Minimum Data Set – 2003 Annual Report 19

Trauma service statistics

Pedal cyclists

Figure 39. Pedal cycle trauma patient admissions to all trauma services for 2004 by age and gender

Figure 38. High fall (5m or greater) trauma patient admissions to all trauma services for 2002-2004 by outcome

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Trauma service statistics

Figure 41. Pedal cycle trauma patient admissionsto all trauma services for 2002-2004 by day of week that injury occurred

Figure 42. Pedal cycle trauma patient admissions to all trauma services for 2004 by outcome

Figure 43. Pedal cycle trauma patient admissionsto all trauma services for 2002-2004 by outcome

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Trauma service statistics

Blunt assault

Figure 44. Blunt assault trauma patient admissions to all trauma services for 2004 by age and gender

Figure 45. Blunt assault trauma patient admissions to all trauma services for 2004 by outcome

Figure 46. Blunt assault trauma patient admissionsto all trauma services for 2002-2004 by outcome

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Trauma service statistics

Figure 48. Shooting trauma patient admissions to all trauma services for 2004 by outcome

Shooting

Figure 47. Shooting trauma patient admissions to all trauma services for 2004 by age and gender

Figure 49. Shooting trauma patient admissionsto all trauma services for 2002-2004 by outcome

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Trauma service statistics

Stabbing

Figure 50. Stabbing trauma patient admissions to all trauma services for 2004 by age and gender

Figure 51. Stabbing trauma patient admissions to all trauma services for 2004 by outcome

Figure 52. Stabbing trauma patient admissionsto all trauma services for 2002-2004 by outcome

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Trauma service statistics

Figure 54. Frequency of arrival modes for transfer intrauma admissions to all trauma servicesfor 2004

Arrival modes

Figure 53. Frequency of arrival modes for direct fromscene admissions to all trauma servicesfor 2004

(NETS = Neonatal Emergency Transfer Service)

Figure 55. Admission type percentages by top threearrival modes for trauma admissions to all trauma services for 2004

Figure 56. Frequency of helicopter arrivals by admission type for 2002-2004

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Trauma service statistics

Figure 58. Outcomes for operating suite procedures for trauma admissions to all trauma services for 2004

Operating suite profile

Figure 57. Operating suite procedure percentage bytop three mechanisms of injury for traumaadmissions to all trauma services for 2004

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Intensive care profile

Figure 59. ICU admissions by month for trauma admissions to all trauma services for 2002-2004

Figure 60. ICU admissions by month for trauma admissions to all trauma services for 2004

NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health26

Trauma service statistics

Table 21. ICU admission by outcome and year

LOS Outcome – All Outcome – Survived Outcome – Died

2004 7.47 days 7.71 days 5.84 days

2003 7.34 days 7.78 days 4.90 days

2002 7.63 days 8.11 days 4.86 days

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Trauma service statistics

Figure 61. ICU admissions by age for trauma admissions to all trauma services for 2004

Figure 62. ICU admission percentages by arrival mode for trauma admissions to all trauma services for 2004

Figure 63. ICU admission percentages by injuryseverity score (ISS) range for traumaadmissions to all trauma services for 2004

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Injury severity profile

Figure 66. Injury severity score (ISS) rangepercentages by age for trauma patientadmissions to all trauma services for 2004

Figure 67. Injury severity score (ISS) range by arrivalmode for trauma patient admissions to alltrauma services for 2004

NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health28

Trauma service statistics

Figure 65. Injury Region percentages by age for trauma patient admissions to all trauma services for 2004

Injury region profile

Figure 64. Outcome percentages by injury regions for trauma patient admissions to all trauma services for 2004

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Trauma service statistics

Figure 69. Outcome percentages by age for traumapatient admissions to all trauma servicesfor 2004 with an injury severity score (ISS)in the range 25-40

Figure 68. Outcome percentages by age for traumapatient admissions to all trauma servicesfor 2004 with an injury severity score (ISS)in the range 16-24

Figure 70. Outcome percentages by age for traumapatient admissions to all trauma servicesfor 2004 with an injury severity score (ISS)in the range 41-75

Figure 71. Admission type percentages by injuryseverity score (ISS) range for traumapatient admissions to all trauma services for 2004

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Trauma service statistics

Figure 72. Admission type percentages by injuryseverity score (ISS) range for traumapatient admissions to all trauma services for 2004 of patients injured at metropolitan locations

Figure 73. Admission type percentages by injuryseverity score (ISS) range for traumapatient admissions to all trauma services for 2004 of patients injured at rural locations

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Trauma service statistics

Length of stay

Figure 74. Hospital average length of stay (LOS) by age and gender for deceased traumapatient admissions to all trauma servicesfor 2004

Figure 75. Hospital average length of stay (LOS) by age and injury severity score (ISS) range for trauma patient admissions to all trauma services for 2004

Figure 76. Hospital average length of stay (LOS) by age for low to medium fall (<5m) related trauma patient admissions to all trauma services for 2004

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NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health32

Paediatric trauma summaryThis section includes all trauma admissions in the age range 0-15 years to trauma services (TS) during 2004, as this is the

generally accepted paediatric age range solely for use in the paediatric MDS.

Table 22. Paediatric admissions and deaths

Total admissions 277 admissions(230 patients)

Survived 215 patients 93% of paediatric patients

Died 15 patients 7% of paediatric patients

Monthly average 23 admissions

Table 23. Gender

Female 79 patients 34% of paediatric patients

Male 151 patients 66% of paediatric patients

Trauma service statistics

Figure 77. Paediatric admissions to each trauma service for 2002-2004

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Figure 79. Paediatric admissions to each trauma service for 2004 by gender

Figure 80. Paediatric patient admissions to all traumaservices for 2004 by mechanism of injury

NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 33

Trauma service statistics

Figure 78. Paediatric admissions to each traumaservice for 2004 by transfer out status

Figure 81. Paediatric patient admissions to all

trauma services for 2002-2004 by

mechanism of injury

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Trauma service statistics

Figure 82. Paediatric patient admissions to all trauma services for 2004 by arrival mode

Figure 84. Percentage paediatric patient admissionsto all trauma services for 2004 bymechanism of injury and outcome

Figure 83. Paediatric patient admissions to all

trauma services for 2002-2004 by

arrival mode

Figure 85. Paediatric admissions to each designated paediatric trauma servicefor 2004 by admission type

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Trauma service statistics

Paediatric pedal cyclists

Figure 86. Paediatric patient admission to all trauma services for 2002-2004 by hour of day injury occurred forpedal cycle related admissions

Figure 87. Paediatric patient admission to all trauma services for 2002-2004 by day of week injury occurred for pedal cyclerelated admissions

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Trauma service statistics

Paediatric pedestrians

Figure 88. Paediatric patient admission to all trauma services for 2002-2004 by hour of day injury occurred for pedestrian related admissions

Figure 89. Paediatric patient admission to all trauma services for 2002-2004 by day of week injury occurred for pedestrianrelated admissions

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Trauma service statistics

Pre-School (0-5 years)

Figure 90. Pre-School (0-5 years) patient admissions to all trauma services for 2004 by mechanism of injury

Figure 92. Pre-School (0-5 years) patient admissions to all trauma services for 2004 by place of injury

Figure 91. Pre-School (0-5 years) patient

admissions to all trauma services

for 2002-2004 by mechanism of injury

Figure 93. Pre-School (0-5 years) patient

admissions to all trauma services

for 2002-2004 by place of injury

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Trauma service statistics

Figure 94. Pre-School (0-5 years) patient admissionsto all trauma services for 2004 by outcome

Figure 95. Pre-School (0-5 years) patient admissions to all trauma services for 2002-2004 by outcome

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Individual trauma service summariesGosford Hospital

Table 24. Admissions and deaths for 2004 – Gosford Hospital

Total admissions 112 % of total

Survived 104 93%

Died 8 7%

Direct admission 112 100%

Transfer in admission 0 0%

Monthly average 9

Table 25. Admissions by age range for 2004 – Gosford Hospital

Age range Count % of total

0-14 6 5%

15-24 18 16%

25-34 17 15%

35-44 10 9%

45-54 8 7%

55-64 16 14%

65-74 10 9%

75-84 19 17%

85-94 6 5%

95 and older 2 2%

Table 26. Admissions by gender for 2004 – Gosford Hospital

Gender Count % of total

Female 40 36%

Male 72 64%

Figure 96. Trauma admissions to Gosford Hospitalfor 2004 by age and gender

Table 27. Trauma admissions to Gosford Hospital for 2004 by mechanism of injury

Mechanism Count % of total

Assault 6 5%

Burns 7 6%

Fall <1m 28 25%

Fall >5m 3 3%

Fall 1-5m 14 12%

Industrial 1 < 1%

MBA rider 12 11%

MBA back passenger 1 < 1%

MVA driver 13 12%

MVA front passenger 5 4%

Other 4 4%

Pedestrian 14 12%

Recreation 2 2%

Sport 1 < 1%

Stabbing 1 < 1%

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Table 28. Trauma admissions to Gosford Hospitalfor 2004 by arrival mode

Arrival mode Count % of total

Ambulance 93 83%

Helicopter 2 2%

Private vehicle 17 15%

Table 29. Trauma admissions at Gosford Hospitalfor 2004 by ICU admission

Admission Numberto ICU of admissions % of total

Yes 37 33%

No 75 67%

NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health40

Individual trauma service summaries

Table 30. ICU average length of stay (LOS) at Gosford Hospital for 2004

Outcome Outcome Outcomeall survived died

3.30 days 3.36 days 1 day

Table 31. Hospital average LOS at Gosford Hospitalfor 2004

Outcome Outcome Outcomeall survived died

5.92 days 6.24 days 1.75 days

Table 32. Transfer in admissions to Gosford Hospitalfor 2004

Transferring hospital Number of transfers

No transfer in admissions to Gosford Hospital were reportedfor 2004.

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Figure 97. Trauma admissions to John Hunter Hospital/John Hunter Children’s Hospital for 2004 by age and gender

Figure 98. Paediatric trauma admissions to John Hunter Children’s Hospital for 2004 by age and gender

NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 41

Individual trauma service summaries

John Hunter Hospital/John Hunter Children’s Hospital

Table 33. Admissions and deaths for 2004 – John Hunter Hospital/John Hunter Children’s Hospital

Total admissions 402 % of total

Survived 362 90%

Died 40 10%

Direct admission 308 77%

Transfer in admission 94 23%

Monthly average 33

Table 34. Admissions by age range for 2004 – John Hunter Hospital/John Hunter Children’s Hospital

Age range Count % of total

0-14 35 9%

15-24 67 17%

25-34 70 17%

35-44 55 14%

45-54 48 12%

55-64 43 11%

65-74 23 6%

75-84 43 10%

85-94 18 4%

95 and older 0 0%

Table 35. Admissions by gender for 2004 –John Hunter Hospital/John Hunter Children’s Hospital

Gender Count % of total

Female 100 25%

Male 302 75%

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Table 37. Trauma admissions for 2004to John Hunter Hospital/John Hunter Children’s Hospital by arrival mode

Arrival mode Count % of total

Ambulance 258 65%

Helicopter 121 30%

Private vehicle 13 3%

Fixed wing 5 1%

NETS 1 < 1%

Other 1 < 1%

Table 38. Trauma admissions for 2004to John Hunter Hospital/John Hunter Children’s Hospital by ICU admission

Admission Numberto ICU of admissions % of total

Yes 107 27%

No 295 73%

Table 39. ICU average length of stay (LOS) for 2004 at John Hunter Hospital/John Hunter Children’s Hospital

Outcome Outcome Outcomeall survived died

5.76 days 5.96 days 4.71 days

Table 40. Hospital average LOS for 2004at John Hunter Hospital/John Hunter Children’s Hospital

Outcome Outcome Outcomeall survived died

11.15 days 11.78 days 5.53 days

Individual trauma service summaries

Table 36. Trauma admissions for 2004 to John Hunter Hospital/John Hunter Children’s Hospital by mechanism of injury

Mechanism Count % of total

Assault 32 8%

Burns 13 3%

Fall <1m 65 16%

Fall >5m 19 5%

Fall 1-5m 30 7%

Horse 9 2%

Industrial 3 <1%

MBA rider 44 11%

MVA back passenger 10 2%

MVA driver 76 19%

MVA front passenger 28 7%

Other 20 5%

Pedal cyclist 13 3%

Pedestrian 24 6%

Shooting 3 <1%

Stabbing 12 3%

Sport 1 <1%

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Individual trauma service summaries

Table 41. Transfer in admissions for 2004to John Hunter Hospital/John Hunter Children’s Hospital

Transferring hospital Number of transfers

Armidale and New England Hospital 1

Belmont District Hospital 7

Cessnock District Hospital 4

Coffs Harbour and District Hospital 6

Gosford Hospital 1

Interstate Hospital 1

Inverell District Hospital 1

Kempsey District Hospital 4

Kurri Kurri District Hospital 2

Maitland Hospital 12

Manning River Base Hospital (Taree) 13

Merriwa District Hospital 1

Muswellbrook District Hospital 7

Newcastle Mater Misericordiae Hospital 5

Orange Base Hospital 1

Port Macquarie Base Hospital 14

Repatriation General Hospital (Concord) 1

Singleton District Hospital 2

Tamworth Base Hospital 9

Wagga Wagga Base Hospital 1

Wyong Hospital 2

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Individual trauma service summaries

Liverpool Hospital

Table 42. Admissions and deaths for 2004– Liverpool Hospital

Total admissions 265 % of total

Survived 233 88%

Died 32 12%

Direct admission 204 77%

Transfer in admission 61 23%

Monthly average 22

Table 43. Admissions by age range for 2004– Liverpool Hospital

Age range Count % of total

0-14 13 5%

15-24 63 24%

25-34 38 14%

35-44 30 11%

45-54 35 13%

55-64 31 12%

65-74 21 8%

75-84 30 11%

85-94 4 1%

95 and older 0 0%

Table 44. Admissions by gender for 2004– Liverpool Hospital

Gender Count % of total

Female 74 28%

Male 191 72%

Table 45. Trauma admissions to Liverpool Hospitalfor 2004 by mechanism of injury

Mechanism Count % of total

Assault 19 7%

Burns 5 2%

Fall <1m 42 16%

Fall >5m 7 3%

Fall 1-5m 24 9%

Horse 1 < 1%

Industrial 9 3%

MBA rider 32 12%

MVA back passenger 7 3%

MVA driver 41 15%

MVA front passenger 21 8%

Other 4 2%

Pedal cyclist 10 4%

Pedestrian 25 9%

Recreation 7 3%

Shooting 3 1%

Sport 2 < 1%

Stabbing 6 2%

Figure 99. Trauma admissions to Liverpool Hospitalfor 2004 by age and gender

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Table 46. Trauma admissions to Liverpool Hospital for 2004 by arrival mode

Arrival mode Count % of total

Ambulance 187 86%

Helicopter 32 8%

Private vehicle 18 3%

Fixed wing 1 < 1%

Other 3 2%

Table 47. Trauma admissions to Liverpool Hospitalfor 2004 by ICU admission

Admission Numberto ICU of admissions % of total

Yes 116 44%

No 149 56%

Table 48. ICU Average length of stay (LOS) for 2004 at Liverpool Hospital

Outcome Outcome Outcomeall survived died

8.59 days 9.27 days 4.94 days

Table 49. Hospital average LOSfor 2004 at Liverpool Hospital

Outcome Outcome Outcomeall survived died

15.67 days 16.88 days 6.84 days

NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 45

Individual trauma service summaries

Table 50. Transfer in admissions for 2004 to Liverpool Hospital

Transferring hospital Number of transfers

Armidale and New England Hospital 2

Bankstown-Lidcombe Hospital 6

Bowral and District Hospital 17

Camden Hospital 3

Campbelltown Hospital 16

Fairfield Hospital 7

Goulburn Base Hospital 1

Nepean Hospital 1

Port Macquarie Hospital 1

Shoalhaven District Memorial Hospital 1

St George Hospital 1

Tamworth Base Hospital 1

Westmead Hospital 1

Wollongong Hospital 1

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Individual trauma service summaries

Nepean Hospital

Table 51. Admissions and deaths for 2004– Nepean Hospital

Total admissions 146 % of total

Survived 133 91%

Died 13 9%

Direct admission 121 83%

Transfer in admission 25 17%

Monthly average 12

Table 52. Admissions by age range for 2004– Nepean Hospital

Age range Count % of total

0-14 14 10%

15-24 33 23%

25-34 29 20%

35-44 25 17%

45-54 17 12%

55-64 12 8%

65-74 5 3%

75-84 8 5%

85-94 3 2%

95 and older 0 0%

Table 53. Admissions by gender for 2004– Nepean Hospital

Gender Count % of total

Female 37 25%

Male 109 75%

Table 54. Trauma admissions to Nepean Hospital for 2004 by mechanism of injury

Mechanism Count % of total

Assault 10 7%

Fall <1m 2 1%

Fall >5m 3 2%

Fall 1-5m 23 16%

Horse 2 1%

Industrial 3 2%

MBA pillion 2 1%

MBA rider 21 14%

MVA back passenger 3 2%

MVA driver 34 23%

MVA front passenger 15 10%

MVA passenger unknown 1 < 1%

Pedal cyclist 9 6%

Recreation 1 < 1%

Shooting 1 < 1%

Stabbing 2 1%

Train 1 < 1%

Figure 100. Trauma admissions to Nepean Hospitalfor 2004 by age and gender

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Individual trauma service summaries

Table 55. Trauma admissions to Nepean Hospital for 2004 by arrival mode

Arrival mode Count % of total

Ambulance 125 86%

Helicopter 12 8%

Private vehicle 4 3%

Other 3 2%

Fixed Wing 1 1%

Table 56. Trauma admissions to Nepean Hospital for 2004 by ICU admission

Admission Numberto ICU of admissions % of total

Yes 80 55%

No 66 45%

Table 57. ICU average length of stay (LOS) for 2004 at Nepean Hospital

Outcome Outcome Outcomeall survived died

6.79 days 6.44 days 9.56 days

Table 58. Hospital average LOS at Nepean Hospitalfor 2004

Outcome Outcome Outcomeall survived died

18.07 days 19.11 days 7.38 days

Table 57. Transfer in admissions to Nepean Hospitalfor 2004

Transferring hospital Number of transfers

Bathurst Base Hospital 1

Blue Mountains District Anzac Memorial Hospital 11

Bowral and District Hospital 1

Forbes District Hospital 1

Hawkesbury District Health Service Private Hospital 4

Lithgow District Hospital 2

Mudgee Hospital 2

Orange Base Hospital 1

Overseas Hospital 1

Rylstone District Hospital 1

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Individual trauma service summaries

Figure 101. Trauma admissions to Prince of WalesHospital for 2004 by age and gender

Table 63. Trauma admissions to Prince of WalesHospital for 2004 by mechanism of injury

Mechanism Count % of total

Assault 6 5%

Burns 4 4%

Fall <1m 9 8%

Fall >5m 9 8%

Fall 1-5m 24 21%

Industrial 1 < 1%

MBA pillion 1 < 1%

MBA rider 11 10%

MVA back passenger 1 < 1%

MVA driver 14 12%

MVA front passenger 2 2%

MVA passenger unknown 1 < 1%

Other 6 5%

Pedal cyclist 2 2%

Pedestrian 9 8%

Recreation 3 3%

Shooting 2 2%

Stabbing 3 3%

Sport 4 4%

Prince of Wales Hospital

Table 60. Admissions and deaths for 2004– Prince of Wales Hospital

Total admissions 114 % of total

Survived 97 85%

Died 17 15%

Direct admission 69 61%

Transfer in admission 45 39%

Monthly average 9

Table 61. Admissions by age range for 2004– Prince of Wales Hospital

Age range Count % of total

15-24 24 21%

25-34 24 21%

35-44 20 18%

45-54 8 7%

55-64 16 14%

65-74 9 8%

75-84 9 8%

85-94 4 4%

95 and older 0 0%

Table 62. Admissions by gender for 2004 – Prince of Wales Hospital

Gender Count % of total

Female 25 22%

Male 89 78%

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Individual trauma service summaries

Table 68. Transfer In admissions to Prince of Wales Hospital for 2004

Transferring hospital Number of transfers

Bateman’s Bay Hospital 1

Bowral and District Hospital 1

Coffs Harbour and District Hospital 2

Dubbo Base Hospital 1

Forbes Hospital 1

Gosford Hospital 5

Goulburn Base Hospital 1

Grenfell Multi-purpose Centre 1

John Hunter Hospital/John Hunter Children’s Hospital 1

Lismore Base Hospital 1

Liverpool Hospital 7

Manning River Base Hospital (Taree) 1

Milton-Ulladulla Hospital 1

Mona Vale District Hospital 1

Nepean Hospital 1

Shellharbour Hospital 1

Shoalhaven District Memorial Hospital 1

St George Hospital 3

St Vincent’s Hospital 1

Sutherland Hospital 1

Sydney-Sydney Eye Hospital 1

Tamworth Base Hospital 1

Wagga Wagga Base Hospital 1

Westmead Hospital 1

Wollongong Hospital 8

Table 64. Trauma admissions to Prince of WalesHospital for 2004 by arrival mode

Arrival mode Count % of total

Ambulance 79 70%

Helicopter 24 21%

Fixed wing 9 8%

Other 1 < 1%

Table 65. Trauma admissions to Prince of WalesHospital for 2004 by ICU admission

Admission Numberto ICU of admissions % of total

Yes 56 49%

No 58 51%

Table 66. ICU average length of stay (LOS) for 2004 at Prince of Wales Hospital

Outcome Outcome Outcomeall survived died

9.14 days 9.3 days 8.62 days

Table 67. Hospital LOS for 2004 at Prince of Wales Hospital

Outcome Outcome Outcomeall survived died

20.22 days 21.48 days 13 days

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Individual trauma service summaries

Figure 102. Trauma admissions to Royal North ShoreHospital for 2004 by age and gender

Table 72. Trauma admissions to Royal North ShoreHospital for 2004 by mechanism of injury

Mechanism Count % of total

Assault 10 3%

Burns 26 8%

Fall <1m 92 30%

Fall >5m 19 6%

Fall 1-5m 39 13%

MBA rider 18 6%

MVA back passenger 6 2%

MVA driver 35 11%

MVA front passenger 4 1%

MVA passenger unknown 2 < 1%

Other 14 5%

Pedal cyclist 8 3%

Pedestrian 25 8%

Recreation 3 < 1%

Shooting 1 < 1%

Stabbing 1 < 1%

Sport 5 2%

Unknown 1 < 1%

Royal North Shore Hospital

Table 69. Admissions and deaths for 2004– Royal North Shore Hospital

Total admissions 309 % of total

Survived 260 84%

Died 49 16%

Direct admission 169 55%

Transfer in admission 140 45%

Monthly average 26

Table 70. Admissions by age range for 2004– Royal North Shore Hospital

Age range Count % of total

0-14 13 4%

15-24 58 19%

25-34 47 15%

35-44 35 11%

45-54 35 11%

55-64 30 10%

65-74 22 7%

75-84 46 15%

85-94 20 6%

95 and older 3 < 1%

Table 71. Admissions by gender for 2004– Royal North Shore Hospital

Gender Count % of total

Female 106 34%

Male 203 66%

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Individual trauma service summaries

Table 776. Transfer In admissions to Royal North Shore Hospital for 2004

Transferring hospital Number of transfers

Armidale and New England Hospital 1

Balmain Hospital 1

Brisbane Waters Hospital 1

Coffs Harbour and District Hospital 6

Dubbo Base Hospital 1

Gosford Hospital 35

Gunnedah District Hospital 1

Hornsby and Ku-ring-gai Hospital 16

Interstate Hospital 2

Inverell District Hospital 2

John Hunter Hospital/John Hunter Children’s Hospital 11

Kempsey District Hospital 1

Lismore Base Hospital 1

Liverpool Hospital 5

Manly District Hospital 6

Manning River Base Hospital (Taree) 1

Mona Vale District Hospital 4

Mudgee District Hospital 1

Nepean Hospital 2

Orange Base Hospital 2

Overseas Hospital 2

Port Macquarie Base Hospital 4

Prince of Wales Hospital 3

Ryde Hospital 12

Tamworth Base Hospital 8

Walcha District Hospital 1

Westmead Hospital 3

Wollongong Hospital 2

Wyong Hospital 4

Table 73. Trauma admissions for 2004 to Royal North Shore Hospital by arrival mode

Arrival Mode Count % of total

Ambulance 203 65%

Helicopter 59 19%

Private vehicle 17 5%

Fixed wing 28 9%

Other 2 < 1%

Table 74. Trauma admissions for 2004 to RoyalNorth Shore Hospital by ICU admission

Admission Numberto ICU of admissions % of total

Yes 165 53%

No 144 47%

Table 75. ICU average length of stay (LOS) for 2004 at Royal North Shore Hospital

Outcome Outcome Outcomeall survived died

9.75 days 9.98 days 8.3 days

Table 76. Hospital average LOS for 2004 at Royal North Shore Hospital

Outcome Outcome Outcomeall survived died

23.01 days 25.92 days 7.61 days

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Individual trauma service summaries

Figure 103. Trauma admissions to Royal Prince AlfredHospital for 2004 by age and gender

Table 81. Trauma admissions for 2004 to Royal Prince Alfred Hospital by mechanism of injury

Mechanism Count % of total

Assault 28 14%

Burns 3 1%

Fall <1m 59 29%

Fall >5m 18 9%

Fall 1-5m 15 7%

Horse 2 < 1%

MBA rider 10 5%

MVA back passenger 2 < 1%

MVA driver 16 8%

MVA front passenger 6 3%

Other 9 4%

Pedestrian 24 12%

Shooting 1 < 1%

Stabbing 7 3%

Royal Prince Alfred Hospital

Table 78. Admissions and deaths for 2004 – Royal Prince Alfred Hospital

Total admissions 202 % of total

Survived 175 87%

Died 27 13%

Direct admission 144 71%

Transfer in admission 58 29%

Monthly average 17

Table 79. Admissions by age range for 2004 – Royal Prince Alfred Hospital

Age range Count % of total

0-14 2 < 1%

15-24 26 13%

25-34 33 16%

35-44 31 15%

45-54 23 11%

55-64 26 13%

65-74 21 10%

75-84 30 15%

85-94 9 4%

95 and older 1 < 1%

Table 80. Admissions by gender for 2004 – Royal Prince Alfred Hospital

Gender Count % of total

Female 44 22%

Male 158 78%

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Individual trauma service summaries

Table 86. Transfer in admissions to Royal Prince Alfred Hospital for 2004

Transferring hospital Number of transfers

Bathurst Base Hospital 2

Bourke District Hospital 1

Canterbury Hospital 10

Coffs Harbour and District Hospital 4

Coonabarabran District Hospital 1

Coonamble District Hospital 1

Dubbo Base Hospital 10

Griffith Base Hospital 2

Hornsby and Ku-ring-gai Hospital 1

Inverell District Hospital 2

Manly District Hospital 1

Mudgee District Hospital 1

Orange Base Hospital 2

Overseas Hospital 5

Repatriation General Hospital (Concord) 3

Shoalhaven District Memorial Hospital 3

St George Hospital 1

Sutherland Hospital 1

Wagga Wagga Base Hospital 2

Wellington District Hospital 1

Westmead Hospital 1

Wollongong Hospital 2

Wyong and District Hospital 1

Table 82. Trauma admissions for 2004 to Royal Prince Alfred Hospital by arrival mode

Arrival mode Count % of total

Ambulance 148 76%

Helicopter 34 17%

Private vehicle 12 6%

Other 1 < 1%

Fixed wing 1 < 1%

Table 83. Trauma admissions for 2004 to Royal Prince Alfred Hospital by ICU admission

Admission Numberto ICU of admissions % of total

Yes 146 72%

No 56 28%

Table 84. ICU average length of stay (LOS) for 2004 at Royal Prince Alfred Hospital

Outcome Outcome Outcomeall survived died

6.79 days 7.12 days 4.75 days

Table 85. Hospital average LOS for 2004at Royal Prince Alfred Hospital

Outcome Outcome Outcomeall survived died

13.33 days 14.8 days 3.78 days

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Individual trauma service summaries

Figure 104.Trauma admissions to St George Hospitalfor 2004 by age and gender

Table 90. Trauma admissions for 2004 to St George Hospital by mechanism of injury

Mechanism Count % of total

Assault 21 9%

Burns 3 1%

Fall < 1m 3 1%

Fall 1-5m 67 30%

MBA pillion 1 < 1%

MBA rider 11 5%

MVA driver 35 16%

MVA front passenger 10 5%

MVA passenger unknown 1 < 1%

Other 7 3%

Pedal cyclist 8 4%

Pedestrian 35 16%

Recreation 3 1%

Shooting 2 < 1%

Stabbing 5 2%

St George Hospital

Table 87. Admissions and deaths for 2004– St George Hospital

Total admissions 223 % of total

Survived 199 89%

Died 24 11%

Direct admission 181 81%

Transfer in admission 42 19%

Monthly average 19

Table 88. Admissions by age range for 2004– St George Hospital

Age range Count % of total

0-14 10 4%

15-24 50 22%

25-34 25 11%

35-44 37 17%

45-54 28 13%

55-64 18 8%

65-74 18 8%

75-84 22 10%

85-94 15 7%

95 and older 0 0%

Table 89. Admissions by gender for 2004– St George Hospital

Gender Count % of total

Female 58 26%

Male 165 74%

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Individual trauma service summaries

Table 95. Transfer in admissions to St George Hospital for 2004

Transferring hospital Number of transfers

Bowral and District Hospital 1

Coffs Harbour and District Hospital 3

Gulgong District Hospital 1

Gunnedah District Hospital 1

Holbrook District Hospital 1

Inverell District Hospital 2

John Hunter Hospital/John Hunter Children’s Hospital 1

Kempsey District Hospital 1

Moree Hospital 1

Pambula District Hospital 1

Port Macquarie Base Hospital 1

Rylstone District Hospital 1

Shoalhaven District Memorial Hospital 2

St Vincent’s Hospital 1

Sutherland Hospital 11

Tamworth Hospital 2

Walgett District Hospital 1

Wollongong Hospital 9

Wyalong and District Hospital 1

Table 91. Trauma admissions for 2004to St George Hospital by arrival mode

Arrival mode Count % of total

Ambulance 171 77%

Helicopter 23 10%

Private vehicle 12 5%

Fixed wing 16 7%

Table 92. Trauma admissions for 2004to St George Hospital by ICU admission

Admission Numberto ICU of admissions % of total

Yes 80 36%

No 143 64%

Table 93. ICU average length of stay (LOS) for 2004 at St George Hospital

Outcome Outcome Outcomeall survived died

7.66 days 8.03 days 4.38 days

Table 94. Hospital average LOS for 2004at St George Hospital

Outcome Outcome Outcomeall survived died

16.1 days 17.6 days 3.67 days

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Individual trauma service summaries

Figure 105.Trauma admissions to St Vincent’sHospital for 2004 by age and gender

Table 99. Trauma admissions for 2004 to St Vincent’s Hospital by mechanism of injury

Mechanism Count % of total

Assault 9 8%

Fall < 1m 3 3%

Fall 1-5m 57 51%

Industrial 1 < 1%

MBA rider 6 5%

MVA back passenger 1 < 1%

MVA driver 6 5%

MVA front passenger 2 2%

Other 2 2%

Pedal cyclist 2 2%

Pedestrian 16 14%

Shooting 1 < 1%

Sport 1 < 1%

Stabbing 4 4%

Unknown 1 < 1%

St Vincent’s Hospital

Table 96. Admissions and deaths for 2004– St Vincent’s Hospital

Total admissions 112 % of total

Survived 100 89%

Died 12 11%

Direct admission 94 84%

Transfer in admission 18 16%

Monthly average 9

Table 97. Admissions by age range for 2004– St Vincent’s Hospital

Age range Count % of total

0-14 1 < 1%

15-24 15 13%

25-34 33 29%

35-44 11 10%

45-54 14 12%

55-64 8 7%

65-74 12 11%

75-84 11 10%

85-94 7 6%

95 and older 0 0%

Table 98. Admissions by gender for 2004– St Vincent’s Hospital

Gender Count % of total

Female 25 22%

Male 87 78%

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Individual trauma service summaries

Table 100. Trauma admissions for 2004 to St Vincent’s Hospital by arrival mode

Arrival mode Count % of total

Ambulance 97 87%

Helicopter 2 2%

Private vehicle 7 6%

Fixed wing 6 5%

Table 101. Trauma admissions for 2004to St Vincent’s Hospital by ICU admission

Admission Numberto ICU of admissions % of total

Yes 56 50%

No 56 50%

Table 102. ICU average length of stay (LOS) for 2004 at St Vincent’s Hospital

Outcome Outcome Outcomeall survived died

8.2 days 8.55 days 2 days

Table 103. Hospital average LOS for 2004 at St Vincent’s Hospital

Outcome Outcome Outcomeall survived died

18.39 days 19.93 days 5.58 days

Table 104: Transfer In admissions to St Vincent’s Hospital for 2004

Transferring hospital Number of transfers

Bankstown-Lidcombe Hospital 1

Blue Mountains District Anzac Memorial Hospital 1

Griffith Base Hospital 2

Hornsby and Ku-ring-gai Hospital 1

Kempsey District Hospital 1

Overseas Hospital 2

Shoalhaven District Memorial Hospital 1

Sydney-Sydney Eye Hospital 5

Wagga Wagga Base Hospital 3

Wollongong Hospital 1

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Individual trauma service summaries

Figure 106. Trauma admissions to Sydney Children’sHospital for 2004 by age and gender

Sydney Children’s Hospital

Table 105. Admissions and deaths for 2004– Sydney Children’s Hospital

Total admissions 57 % of total

Survived 53 93%

Died 4 7%

Direct admission 20 35%

Transfer in admission 37 65%

Monthly average 5

Table 106. Admissions by age range (general age groups) for 2004 – Sydney Children’s Hospital

Age range Count % of total

0-14 51 89%

15-24 6 11%

Table 107. Admissions by gender for 2004– Sydney Children’s Hospital

Gender Count % of total

Female 18 32%

Male 39 68%

Figure 107. Paediatric trauma admissions to Sydney Children’s Hospital for 2004by age and gender

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Individual trauma service summaries

Table 108. Trauma admissions for 2004 to SydneyChildren’s Hospital by mechanism of injury

Mechanism Count % of total

Assault 1 2%

Assault 4 7%

Fall < 1m 8 14%

Fall > 5m 1 2%

Fall 1-5m 10 18%

Horse 3 5%

MBA pillion 1 2%

MBA rider 2 4%

MVA back passenger 2 4%

MVA driver 1 2%

Other 2 4%

Pedal cyclist 10 18%

Pedestrian 6 11%

Recreation 3 5%

Sport 2 4%

Stabbing 1 2%

Table 109. Trauma admissions for 2004 to Sydney Children’s Hospital by arrival mode

Arrival mode Count % of total

Ambulance 22 39%

Helicopter 8 14%

Private vehicle 9 16%

Fixed wing 2 4%

NETS 16 28%

Table 110. Trauma admissions for 2004 to SydneyChildren’s Hospital by ICU admission

Admission Numberto ICU of admissions % of total

Yes 29 50%

No 28 50%

Table 111. ICU average length of stay (LOS) for 2004 at Sydney Children’s Hospital

Outcome Outcome Outcomeall survived died

5.21 days 5.48 days 1.5 days

Table 112. Hospital average LOS for 2004 at Sydney Children’s Hospital

Outcome Outcome Outcomeall survived died

9 days 9.58 days 1.25 days

Table 113. Transfer In admissions to Sydney Children’s Hospital for 2004

Transferring hospital Number of transfers

Armidale Hospital 1

Bankstown-Lidcombe Hospital 1

Bathurst Base Hospital 1

Bulli Hospital 1

Camden Hospital 1

Coffs Harbour and District Hospital 1

Gosford Hospital 2

Inverell District Hospital 1

Liverpool Hospital 1

Milton-Ulladulla Hospital 3

Mount Druitt Hospital 1

Nepean Hospital 2

Oberon Multi-purpose Centre 1

Private Hospital 1

Royal North Shore Hospital 5

Royal Prince Alfred Hospital 1

Shellharbour Hospital 1

Shoalhaven District Memorial Hospital 2

St George Hospital 4

Wagga Wagga Base Hospital 1

Wollongong Hospital 4

Wyalong and District Hospital 1

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The Children’s Hospital at Westmead

Table 114. Admissions and deaths for 2004 – The Children’s Hospital at Westmead

Total admissions 103 % of total

Survived 95 91%

Died 8 9%

Direct admission 29 29%

Transfer in admission 74 71%

Monthly average 9

Table 115. Admissions by age range (general age groups) for 2004 – The Children’s Hospital at Westmead

Age range Count % of total

0-14 98 95%

15-24 5 5%

Table 116. Admissions by gender for 2004– The Children’s Hospital at Westmead

Gender Count % of total

Female 35 34%

Male 68 66%

Figure 109. Paediatric trauma admissions to The Children’s Hospital at Westmead for 2004 by age and gender

Figure 108. Trauma admissions to The Children’s Hospital at Westmead by age and gender

Table 117. Trauma admissions for 2004 to The Children’s Hospital at Westmead by mechanism of injury

Mechanism Count % of total

Assault 2 2%

Burns 16 16%

Fall < 1m 14 14%

Fall > 5m 3 3%

Fall 1-5m 13 13%

Horse 2 2%

MBA rider 5 5%

MVA back passenger 3 3%

MVA front passenger 3 3%

MVA passenger unknown 8 8%

Other 13 13%

Pedal cyclist 5 5%

Pedestrian 12 12%

Recreation 3 3%

Sport 1 1%

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Table 118. Trauma admissions for 2004 toThe Children’s Hospital at Westmead by arrival mode

Arrival mode Count % of total

Ambulance 45 45%

Helicopter 6 6%

Private vehicle 6 6%

Fixed wing 3 3%

NETS 40 40%

Table 119. Trauma admissions for 2004 to The Children’s Hospital at Westmead by ICU admission

Admission Numberto ICU of admissions % of total

Yes 50 49%

No 53 51%

Table 120. ICU average length of stay (LOS) for 2004at The Children’s Hospital at Westmead

Outcome Outcome Outcomeall survived died

5.68 days 5.89 days 4.17 days

Table 121. Hospital average LOS for 2004 at The Children’s Hospital at Westmead

Outcome Outcome Outcomeall survived died

12.89 days 13.66 days 3.75 days

Table 122. Transfer In admissions to The Children’s Hospital at Westmead for 2004

Transferring hospital Number of transfers

Auburn Hospital 1

Bankstown-Lidcombe Hospital 1

Bateman’s Bay Hospital 1

Blacktown Hospital 1

Transferring hospital Number of transfers

Bourke District Hospital 1

Brewarrina District Hospital 1

Camden Hospital 1

Canterbury Hospital 1

Coffs Harbour and District Hospital 1

Dubbo Base Hospital 3

Fairfield Hospital 2

Gosford Hospital 3

Goulburn Base Hospital 1

Hawkesbury District Health Service Private Hospital 4

Interstate Hospital 3

Inverell District Hospital 1

John Hunter Hospital/John Hunter Children’s Hospital 1

Liverpool Hospital 11

Moree Hospital 1

Mona Vale District Hospital 3

Moruya District Hospital 1

Mudgee District Hospital 1

Nepean Hospital 7

Orange Base Hospital 2

Overseas Hospital 1

Royal North Shore Hospital 8

Ryde Hospital 1

Shoalhaven District Memorial Hospital 2

St George Hospital 3

Sydney Children’s Hospital 2

Tamworth Base Hospital 1

Wagga Wagga Base Hospital 2

Wollongong Hospital 1

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Westmead Hospital

Table 123. Admissions and deaths for 2004– Westmead Hospital

Total admissions 290 % of total

Survived 265 92%

Died 25 8%

Direct admission 228 77%

Transfer in admission 62 23%

Monthly average 24

Table 124. Admissions by age range for 2004– Westmead Hospital

Age range Count % of total

0-14 1 3%

15-24 71 24%

25-34 48 16%

35-44 43 14%

45-54 36 12%

55-64 30 10%

65-74 29 10%

75-84 24 8%

85-94 7 2%

95 and older 0 0%

Age not specified 1 < 1%

Table 125. Admissions by gender for 2004– Westmead Hospital

Gender Count % of total

Female 68 25%

Male 221 74%

Indeterminate 1 < 1%

Table 126. Trauma admissions for 2004 to Westmead Hospital by mechanism of injury

Mechanism Count % of total

Assault 17 6%

Burns 7 2%

Fall < 1m 41 14%

Fall > 5m 9 3%

Fall 1-5m 20 7%

Horse 2 < 1%

Industrial 13 4%

MBA pillion 1 < 1%

MBA rider 29 10%

MVA back passenger 8 3%

MVA driver 60 21%

MVA front passenger 19 7%

MVA passenger unknown 3 1%

Other 8 3%

Pedal cyclist 9 3%

Pedestrian 26 9%

Shooting 4 1%

Stabbing 10 3%

Sport 4 1%

Figure 110. Trauma admissions to Westmead Hospitalfor 2004 by age and gender

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Table 127. Trauma admissions for 2004 to Westmead Hospital by arrival mode

Arrival Mode Count % of total

Ambulance 216 77%

Helicopter 39 14%

Private vehicle 14 5%

Fixed wing 1 < 1%

Other 11 4%

Table 128. Trauma admissions for 2004to Westmead Hospital by ICU admission

Admission Numberto ICU of admissions % of total

Yes 107 37%

No 183 63%

Table 129. ICU average length of stay (LOS) for 2004 at Westmead Hospital

Outcome Outcome Outcomeall survived died

7.25 days 7.63 days 4.54 days

Table 130. Hospital average LOS for 2004 at Westmead Hospital

Outcome Outcome Outcomeall survived died

12.89 days 13.66 days 5.36 days

Table 129. Transfer In admissions to Westmead Hospital for 2004

Transferring hospital Number of transfers

Albury Base Hospital 1

Auburn Hospital 9

Bathurst Base Hospital 2

Belmont District Hospital 1

Blacktown Hospital 14

Bowral and District Hospital 1

Coffs Harbour and District Hospital 1

Dubbo Base Hospital 2

Forbes District Hospital 1

Gosford Hospital 1

Goulburn Base Hospital 1

Griffith Base Hospital 1

Mount Druitt Hospital 9

Nepean Hospital 3

Orange Base Hospital 4

Parkes Hospital 1

Private Hospital 3

Shellharbour Hospital 1

Shoalhaven District Memorial Hospital 1

Sydney Adventist Hospital 1

Tamworth Base Hospital 1

The Hills Private Hospital 1

Wellington District Hospital 1

Wollongong Hospital 1

Wyong Hospital 1

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Wollongong Hospital

Table 132. Admissions and deaths for 2004 – Wollongong Hospital

Total admissions 72 % of total

Survived 63 87.5%

Died 9 12.5%

Direct admission 61 85%

Transfer in admission 11 15%

Monthly average 6

Table 133. Admissions by age range for 2004 – Wollongong Hospital

Age range Count % of total

0-14 4 6%

15-24 12 17%

25-34 12 17%

35-44 11 15%

45-54 15 21%

55-64 6 8%

65-74 3 4%

75-84 8 11%

85-94 1 1%

95- 0 0%

Table 134. Admissions by gender for 2004– Wollongong Hospital

Gender Count % of total

Female 16 22%

Male 56 78%

Individual trauma service summaries

Figure 111. Trauma admissions to WollongongHospital for 2004 by age and gender

Table 135. Trauma admissions for 2004 to Wollongong Hospital by mechanism of injury

Mechanism Count % of total

Assault 3 4%

Burns 1 1%

Fall < 1m 14 19%

Fall > 5m 4 6%

Fall 1-5m 6 8%

Industrial 1 1%

MBA pillion 1 1%

MBA rider 9 12%

MVA driver 14 19%

MVA front passenger 1 1%

MVA passenger unknown 4 6%

Other 2 3%

Pedal cyclist 3 4%

Pedestrian 4 6%

Recreation 1 1%

Shooting 2 3%

Stabbing 2 3%

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Table 136. Trauma admissions for 2004 to Wollongong Hospital by arrival mode

Arrival Mode Count % of total

Ambulance 61 85%

Helicopter 4 6%

Private vehicle 5 7%

Other 2 3%

Table 137. Trauma admissions for 2004 to Wollongong Hospital by ICU admission

Admission Numberto ICU of admissions % of total

Yes 21 29%

No 51 71%

Table 138. ICU average length of stay (LOS) for 2004 at Wollongong Hospital

Outcome Outcome Outcomeall survived died

8.14 days 8.5 days 1 day

Table 139. Hospital average LOS for 2004 at Wollongong Hospital

Outcome Outcome Outcomeall survived died

12.33 days 13.68 days 2.98 days

Table 140. Transfer In admissions for 2004 to Wollongong Hospital

Transferring hospital Number of transfers

Milton-Ulladulla 1

Shellharbour Hospital 5

Shoalhaven District Memorial Hospital 5

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Appendix 1

NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 67

NSW Trauma System – Minimum Data Set

All trauma admissions with ISS >15 or ICU Admission or death(Exclude # 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 first hospital? yes / no

If yes, type of OS at first hospital

Transfer out? yes / no

Transferred to

Transfer out reason (burns, paediatric, spinal, other)

Op suite first 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 (LOS) (total Hospital LOS in patient days)

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NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health68

Data dictionary

Mechanism ■ MVC 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 arrival■ Ambulance

■ Helicopter

■ Private vehicle

■ Fixed wing

■ NETS

■ Other

AIS body regionsList three most injured, ie the ones used to calculate

the ISS.

Type of OS ■ Craniotomy

■ Thoracotomy

■ Laparotomy

■ Open ext#

■ Other – specify

Length of stay (LOS)If LOS is > 6 weeks then put > 42 days.

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NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 69

Figure 1. Total trauma admissions to trauma service for 2002-2004 where ISS >15......................................................7

Figure 2. Total trauma admissions to trauma service for 2002-2004 by age..................................................................7

Figure 3. Trauma admissions to all trauma services for 2004 by age and gender ..........................................................8

Figure 4. Trauma admissions to each trauma service for 2004 by admission type

(ie direct from scene or transfer into the trauma service from another hospital).............................................8

Figure 5. Percentage of admission types for all trauma admissions to each trauma service for 2004

direct from scene or transferred from another hospital to a trauma service....................................................8

Figure 6. Trauma admissions to all trauma services for 2004 by mechanism of injury ...................................................8

Figure 7. Trauma admissions to all trauma services for 2002-2004 by mechanism of injury ..........................................9

Figure 8. Trauma admissions to all trauma services for 2004 showing outcome percentages by mechanism of injury ...9

Figure 9. Trauma admissions to all trauma services for 2004 showing injury region percentages by mechanism

of injury for road trauma ...............................................................................................................................9

Figure 10. Trauma admissions to all trauma services for 2004 showing injury region percentages by mechanism

of injury for falls ..........................................................................................................................................10

Figure 11. Trauma admissions to all trauma services for 2004 showing injury region percentages by mechanism

of injury for assaults.....................................................................................................................................10

Figure 12. Motor vehicle accident related trauma patient admissions to all trauma services for 2004 by gender

and age group .............................................................................................................................................10

Figure 13. Motor vehicle accident related admissions to all trauma services for 2004 by admission type

(ie direct from scene or transferred in from another hospital).......................................................................10

Figure 14. Motor vehicle accident related admissions to all trauma services by admission type for 2002-2004

(ie direct from scene or transferred in from another hospital).......................................................................11

Figure 15. Motor vehicle accident related trauma patient admissions to all trauma services for 2002-2004

by hour of day that injury occurred..............................................................................................................11

Figure 16. Motor vehicle accident related trauma patient admissions to all trauma services for 2002-2004

by day of week that injury occurred.............................................................................................................11

Figure 17. Motor vehicle accident related trauma patient admissions to all Trauma services for 2004 by ISS Range ......12

Figure 18. Motor Bike accident related trauma patient admissions to all trauma services for 2002-2004

by ISS range.................................................................................................................................................12

Figure 19. Motor Bike accident related trauma patient admissions to all trauma services for 2004

by age and gender.......................................................................................................................................12

Figure 20. Motor Bike accident related trauma patient admissions to all trauma services for 2002-2004

by hour of day that injury occurred..............................................................................................................13

Figure 21. Motor bike accident related trauma patient admissions to all trauma services for 2002-2004

by day of week ............................................................................................................................................13

Figure 22. Motor bike accident related trauma patient admissions to all trauma services

for 2002-2004 by ISS Range ........................................................................................................................13

Figure 23. Motor bike accident related trauma patient admissions for 2004 to all trauma

services by age and outcome .......................................................................................................................14

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Figure 24. Pedestrian trauma patient admissions to all trauma services for 2004 by age and gender............................14

Figure 25. Pedestrian trauma patient admissions to all trauma services for 2002-2004 by hour of day

that injury occurred......................................................................................................................................15

Figure 26. Pedestrian trauma patient admissions to all trauma services for 2002-2004 by day of week

that injury occurred......................................................................................................................................15

Figure 27. Pedestrian trauma patient admissions to all trauma services for 2004 by age and outcome percentages .....15

Figure 28. Low to medium fall (<5m) trauma patient admissions to all trauma services for 2004 by age and gender ...16

Figure 29. Low to medium fall (<5m) trauma patient admissions to all trauma services for 2002-2004

by hour of day that injury occurred..............................................................................................................16

Figure 30. Low to medium fall (<5m) trauma patient admissions to all trauma services for 2002-20024

by day of week that injury occurred.............................................................................................................16

Figure 31. Low to medium fall (<5m) trauma patient admissions to all trauma services for 2002-2004

by age and place of injury............................................................................................................................17

Figure 32. Low to medium fall (<5m) trauma patient admissions to all trauma services for 2004

by age and place of injury for patients aged 65 years and older ..................................................................17

Figure 33. Low to medium fall (<5m) trauma patient admissions to all trauma services for 2004

by age and hour of day that injury occurred for all patients aged 65 years and older ..................................17

Figure 34. Low to medium fall (<5m) trauma patient admissions to all trauma services for 2004

by age and outcome for all patients aged 65 years and older ......................................................................18

Figure 35. Low to medium fall (<5m) trauma patient admissions to all trauma services for 2004

by age and outcome for all patients aged 65 years and older percentages ..................................................18

Figure 36. High fall (5m or greater) trauma patient admissions to all trauma services for 2004 by age and gender ......18

Figure 37. High fall (5m or greater) trauma patient admissions to all trauma services for 2004 by outcome .................18

Figure 38. High fall (5m or greater) trauma patient admissions to all trauma services for 2002-2004 by outcome........19

Figure 39. Pedal cycle trauma patient admissions to all trauma services for 2004 by age and gender ...........................19

Figure 40. Pedal cycle trauma patient admissions to all trauma services for 2004 by hour of day

that injury occurred for 2002 and 2003 .......................................................................................................19

Figure 41. Pedal cycle trauma patient admissions to all trauma services for 2002-2004

by day of week that injury occurred.............................................................................................................20

Figure 42. Pedal cycle trauma patient admissions to all trauma services for 2004 by outcome......................................20

Figure 43. Pedal cycle trauma patient admissions to all trauma services for 2002-2004 by outcome.............................20

Figure 44. Blunt assault trauma patient admissions to all trauma services for 2004 by age and gender ........................21

Figure 45. Blunt assault trauma patient admissions to all trauma services for 2004 by outcome...................................21

Figure 46. Blunt assault trauma patient admissions to all trauma services for 2002-2004 by outcome..........................21

Figure 47. Shooting trauma patient admissions to all trauma services for 2004 by age and gender..............................22

Figure 48. Shooting trauma patient admissions to all trauma services for 2004 by outcome.........................................22

Figure 49. Shooting trauma patient admissions to all trauma services for 2002-2004 by outcome ...............................22

Figure 50. Stabbing trauma patient admissions to all trauma services for 2004 by age and gender ..............................23

Figure 51. Stabbing trauma patient admissions to all trauma services for 2004 by outcome.........................................23

Figure 52. Stabbing trauma patient admissions to all trauma services for 2002-2004 by outcome................................23

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Figure 53. Frequency of arrival modes for direct from scene admissions to all trauma services for 2004 .......................24

Figure 54. Frequency of arrival modes for transfer in trauma admissions to all trauma services for 2004 ......................24

Figure 55. Admission type percentages by top three arrival modes for trauma admissions to all trauma

services for 2004..........................................................................................................................................24

Figure 56. Frequency of helicopter arrivals by admission type for 2002-2004 ...............................................................24

Figure 57. Operating suite procedure percentage by top three mechanisms of injury for trauma admissions

to all trauma services for 2004.....................................................................................................................25

Figure 58. Outcomes for operating suite procedures for trauma admissions to all trauma services for 2004 .................25

Figure 59. ICU admissions by month for trauma admissions to all trauma services for 2002-2004................................26

Figure 60. ICU admissions by month for trauma admissions to all trauma services for 2004.........................................26

Figure 61. ICU admissions by age for trauma admissions to all trauma services for 2004..............................................27

Figure 62. ICU admission percentages by arrival mode for trauma admissions to all trauma services for 2004..............27

Figure 63. ICU admission percentages by injury severity score (ISS) range for trauma admissions to all

trauma services for 2004 .............................................................................................................................27

Figure 64. Outcome percentages by injury regions for trauma patient admissions to all trauma services for 2004 ........28

Figure 65. Injury Region percentages by age for trauma patient admissions to all trauma services for 2004 .................28

Figure 66. Injury severity score (ISS) range percentages by age for trauma patient admissions to all

trauma services for 2004 .............................................................................................................................28

Figure 67. Injury severity score (ISS) range by arrival mode for trauma patient admissions to all

trauma services for 2004 .............................................................................................................................28

Figure 68. Outcome percentages by age for trauma patient admissions to all trauma services for 2004

with an injury severity score (ISS) in the range 16-24 ...................................................................................29

Figure 69. Outcome percentages by age for trauma patient admissions to all trauma services for 2004

with an injury severity score (ISS) in the range 25-40 ...................................................................................29

Figure 70. Outcome percentages by age for trauma patient admissions to all trauma services for 2004

with an injury severity score (ISS) in the range 41-75 ...................................................................................29

Figure 71. Admission type percentages by injury severity score (ISS) range for trauma patient admissions

to all trauma services for 2004.....................................................................................................................29

Figure 72. Admission type percentages by injury severity score (ISS) range for trauma patient admissions

to all trauma services for 2004 of patients injured at metropolitan locations................................................30

Figure 73. Admission type percentages by injury severity score (ISS) range for trauma patient admissions

to all trauma services for 2004 of patients injured at rural locations ............................................................30

Figure 74. Hospital average length of stay (LOS) by age and gender for deceased trauma patient admissions

to all trauma services for 2004.....................................................................................................................31

Figure 75. Hospital average length of stay (LOS) by age and injury severity score (ISS) range for trauma patient

admissions to all trauma services for 2004...................................................................................................31

Figure 76. Hospital average length of stay (LOS) by age for low to medium fall (<5m) related trauma patient

admissions to all trauma services for 2004...................................................................................................31

Figure 77. Paediatric admissions to each trauma service for 2002-2004 .......................................................................32

Figure 78. Paediatric admissions to each trauma service for 2004 by transfer out status...............................................33

Figure 79. Paediatric admissions to each trauma service for 2004 by gender ................................................................33

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Figure 80. Paediatric patient admissions to all trauma services for 2004 by mechanism of injury ..................................33

Figure 81. Paediatric patient admissions to all trauma services for 2002-2004 by mechanism of injury .........................33

Figure 82. Paediatric patient admissions to all trauma services for 2004 by arrival mode ..............................................34

Figure 83. Paediatric patient admissions to all trauma services for 2002-2004 by arrival mode .....................................34

Figure 84. Percentage paediatric patient admissions to all trauma services for 2004 by

mechanism of injury and outcome...............................................................................................................34

Figure 85. Paediatric admissions to each designated paediatric trauma service for 2004 by admission type ..................34

Figure 86. Paediatric patient admission to all trauma services for 2002-2004 by hour of day injury occurred

for pedal cycle related admissions ................................................................................................................35

Figure 87. Paediatric patient admission to all trauma services for 2002-2004 by day of week injury occurred

for pedal cycle related admissions ................................................................................................................35

Figure 88. Paediatric patient admission to all trauma services for 2002-2004 by hour of day injury occurred

for pedestrian related admissions.................................................................................................................36

Figure 89. Paediatric patient admission to all trauma services for 2002-2004 by day of week injury occurred

for pedestrian related admissions.................................................................................................................36

Figure 90. Pre-School (0-5 years) patient admissions to all trauma services for 2004 by mechanism of injury................37

Figure 91. Pre-School (0-5 years) patient admissions to all trauma services for 2002-2004 by mechanism of injury ......37

Figure 92. Pre-School (0-5 years) patient admissions to all trauma services for 2004 by place of injury .........................37

Figure 93. Pre-School (0-5 years) patient admissions to all trauma services for 2002-2004 by place of injury................37

Figure 94. Pre-School (0-5 years) patient admissions to all trauma services for 2004 by outcome .................................38

Figure 95. Pre-School (0-5 years) patient admissions to all trauma services for 2002-2004 by outcome ........................38

Figure 96. Trauma admissions to Gosford Hospital for 2004 by age and gender...........................................................39

Figure 97. Trauma admissions to John Hunter Hospital/John Hunter Children’s Hospital for 2004 by age and gender...41

Figure 98. Paediatric trauma admissions to John Hunter Children’s Hospital for 2004 by age and gender ....................41

Figure 99. Trauma admissions to Liverpool Hospital for 2004 by age and gender .........................................................44

Figure 100. Trauma admissions to Nepean Hospital for 2004 by age and gender .........................................................46

Figure 101. Trauma admissions to Prince of Wales Hospital for 2004 by age and gender .............................................48

Figure 102. Trauma admissions to Royal North Shore Hospital for 2004 by age and gender .........................................50

Figure 103. Trauma admissions to Royal Prince Alfred Hospital for 2004 by age and gender ........................................52

Figure 104. Trauma admissions to St George Hospital for 2004 by age and gender......................................................54

Figure 105. Trauma admissions to St Vincent’s Hospital for 2004 by age and gender ...................................................56

Figure 106. Trauma admissions to Sydney Children’s Hospital for 2004 by age and gender ..........................................58

Figure 107. Paediatric trauma admissions to Sydney Children’s Hospital for 2004 by age and gender...........................58

Figure 108. Trauma admissions to The Children’s Hospital at Westmead for 2004 by age and gender..........................60

Figure 109. Paediatric trauma admissions to The Children’s Hospital at Westmead for 2004 by age and gender ..........60

Figure 110. Trauma admissions to Westmead Hospital for 2004 by age and gender.....................................................62

Figure 111. Trauma admissions to Wollongong Hospital for 2004 by age and gender ..................................................64

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Index of tables

NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 73

Table 1. Trauma service (TS) admissions and deaths....................................................................................................3

Table 2. Admissions by gender ...................................................................................................................................3

Table 3. Outcome by gender ......................................................................................................................................3

Table 4. Age – Top three age ranges ..........................................................................................................................4

Table 5. Mechanism of injury – Road trauma..............................................................................................................4

Table 6. Mechanism of injury – Falls ...........................................................................................................................4

Table 7. Mechanism of injury – Assaults .....................................................................................................................4

Table 8. Admission type .............................................................................................................................................4

Table 9. Outcome by admission type ..........................................................................................................................4

Table 10. ICU admissions..............................................................................................................................................5

Table 11. ICU admission by outcome............................................................................................................................5

Table 12. ICU average length of stay (LOS) ...................................................................................................................5

Table 13. Hospital average length of stay (LOS) ............................................................................................................5

Table 14. Arrival mode – Top three arrival modes .........................................................................................................5

Table 15. Operating suite in first 24 hours....................................................................................................................5

Table 16. Operating suite in first 24 hours – Top three procedures ...............................................................................5

Table 17. Injury time – Top three hours of the day injury occurred

(excludes patients where time of injury is unknown) .....................................................................................6

Table 18. Injury time – Top three hours of the day of admission to definitive care hospital ...........................................6

Table 19. Injury day of week.........................................................................................................................................6

Table 20. Injury severity score (ISS)................................................................................................................................6

Table 21. ICU admission by outcome and year ...........................................................................................................26

Table 22. Paediatric admissions and deaths ................................................................................................................32

Table 23. Gender........................................................................................................................................................32

Table 24. Admissions and deaths for 2004 – Gosford Hospital ..................................................................................39

Table 25. Admissions by age range for 2004 – Gosford Hospital ................................................................................39

Table 26. Admissions by gender for 2004 – Gosford Hospital.....................................................................................39

Table 27. Trauma admissions to Gosford Hospital for 2004 by mechanism of injury ...................................................39

Table 28. Trauma admissions to Gosford Hospital for 2004 by arrival mode ...............................................................40

Table 29. Trauma admissions at Gosford Hospital for 2004 by ICU admission.............................................................40

Table 30. ICU average length of stay (LOS) at Gosford Hospital for 2004 ...................................................................40

Table 31. Hospital average LOS at Gosford Hospital for 2004.....................................................................................40

Table 32. Transfer in admissions to Gosford Hospital for 2004....................................................................................40

Table 33. Admissions and deaths for 2004 – John Hunter Hospital/John Hunter Children’s Hospital ...........................41

Table 34. Admissions by age range for 2004 – John Hunter Hospital/John Hunter Children’s Hospital ........................41

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NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health74

Table 35. Admissions by gender for 2004 – John Hunter Hospital/John Hunter Children’s Hospital.............................41

Table 36. Trauma admissions for 2004 to John Hunter Hospital/

John Hunter Children’s Hospital by mechanism of injury..............................................................................42

Table 37. Trauma admissions for 2004 to John Hunter Hospital/John Hunter Children’s Hospital by arrival mode .......42

Table 38. Trauma admissions for 2004 to John Hunter Hospital/John Hunter Children’s Hospital by icu admission......42

Table 39. ICU average length of stay (LOS) for 2004 at John Hunter Hospital/John Hunter Children’s Hospital ...........42

Table 40. Hospital average LOS for 2004 at John Hunter Hospital/John Hunter Children’s Hospital.............................42

Table 41. Transfer in admissions for 2004 to John Hunter Hospital/John Hunter Children’s Hospital............................43

Table 42. Admissions and deaths for 2004 – Liverpool Hospital..................................................................................44

Table 43. Admissions by age range for 2004 – Liverpool Hospital...............................................................................44

Table 44. Admissions by gender for 2004 – Liverpool Hospital ...................................................................................44

Table 45. Trauma admissions to Liverpool Hospital for 2004 by mechanism of injury..................................................44

Table 46. Trauma admissions to Liverpool Hospital for 2004 by arrival mode..............................................................45

Table 47. Trauma admissions to Liverpool Hospital for 2004 by ICU admission ...........................................................45

Table 48. ICU average length of stay (LOS) for 2004 at Liverpool Hospital ..................................................................45

Table 49. Hospital average LOS for 2004 at Liverpool Hospital ...................................................................................45

Table 50. Transfer in admissions for 2004 to Liverpool Hospital ..................................................................................45

Table 51. Admissions and deaths for 2004 – Nepean Hospital....................................................................................46

Table 52. Admissions by age range for 2004 – Nepean Hospital.................................................................................46

Table 53. Admissions by gender for 2004 – Nepean Hospital .....................................................................................46

Table 54. Trauma admissions to Nepean Hospital for 2004 by mechanism of injury....................................................46

Table 55. Trauma admissions to Nepean Hospital for 2004 by arrival mode................................................................47

Table 56. Trauma admissions to Nepean Hospital for 2004 by ICU admission .............................................................47

Table 57. ICU average length of stay (LOS) for 2004 at Nepean Hospital ....................................................................47

Table 58. Hospital average LOS for 2004 at Nepean Hospital .....................................................................................47

Table 59. Transfer in admissions to Nepean Hospital for 2004 ....................................................................................47

Table 60. Admissions and deaths for 2004 – Prince of Wales Hospital ........................................................................48

Table 61. Admissions by age range for 2004 – Prince of Wales Hospital.....................................................................48

Table 62. Admissions by gender for 2004 – Prince of Wales Hospital .........................................................................48

Table 63. Trauma admissions to Prince of Wales Hospital for 2004 by mechanism of injury ........................................48

Table 64. Trauma admissions to Prince of Wales Hospital for 2004 by arrival mode ....................................................49

Table 65. Trauma admissions to Prince of Wales Hospital for 2004 by ICU admission .................................................49

Table 66. ICU average length of stay (LOS) for 2004 at Prince of Wales Hospital ........................................................49

Table 67. Hospital average LOS for 2004 at Prince of Wales Hospital .........................................................................49

Table 68. Transfer in admissions to Prince of Wales Hospital for 2004 ........................................................................49

Table 69. Admissions and deaths for 2004– Royal North Shore Hospital.....................................................................50

Table 70. Admissions by age range for 2004– Royal North Shore Hospital..................................................................50

Table 71. Admissions by gender for 2004– Royal North Shore Hospital ......................................................................50

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NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 75

Table 72. Trauma admissions for 2004 to Royal North Shore Hospital by mechanism of injury....................................50

Table 73. Trauma admissions for 2004 to Royal North Shore Hospital by arrival mode................................................51

Table 74. Trauma admissions for 2004 to Royal North Shore Hospital by ICU admission .............................................51

Table 75. ICU average length of stay (LOS) for 2004 at Royal North Shore Hospital....................................................51

Table 76. Hospital average LOS for 2004 at Royal North Shore Hospital .....................................................................51

Table 77. Transfer in admissions to Royal North Shore Hospital for 2004....................................................................51

Table 78. Admissions and deaths for 2004 – Royal Prince Alfred Hospital...................................................................52

Table 79. Admissions by age range for 2004 – Royal Prince Alfred Hospital................................................................52

Table 80. Admissions by gender for 2004 – Royal Prince Alfred Hospital ....................................................................52

Table 81. Trauma admissions for 2004 to Royal Prince Alfred Hospital by mechanism of injury...................................52

Table 82. Trauma admissions for 2004 to Royal Prince Alfred Hospital by arrival mode...............................................53

Table 83. Trauma admissions for 2004 to Royal Prince Alfred Hospital by ICU admission ............................................53

Table 84. ICU average length of stay (LOS) for 2004 at Royal Prince Alfred Hospital...................................................53

Table 85. Hospital average LOS for 2004 at Royal Prince Alfred Hospital ....................................................................53

Table 86. Transfer in admissions to Royal Prince Alfred Hospital for 2004 ..................................................................53

Table 87. Admissions and deaths for 2004 – St George Hospital ................................................................................54

Table 88. Admissions by age range for 2004 – St George Hospital .............................................................................54

Table 89. Admissions by gender for 2004 – St George Hospital..................................................................................54

Table 90. Trauma admissions for 2004 to St George Hospital by mechanism of injury ................................................54

Table 91. Trauma admissions for 2004 to St George Hospital by arrival mode ............................................................55

Table 92. Trauma admissions for 2004 to St George Hospital by ICU admission .........................................................55

Table 93. ICU average length of stay (LOS) for 2004 at St George Hospital ................................................................55

Table 94. Hospital average LOS for 2004 t St George Hospital ...................................................................................55

Table 95. Transfer in admissions to St George Hospital for 2004 ................................................................................55

Table 96. Admissions and deaths for 2004 – St Vincent’s Hospital..............................................................................56

Table 97. Admissions by age range for 2004 – St Vincent’s Hospital...........................................................................56

Table 98. Admissions by gender for 2004 – St Vincent’s Hospital ...............................................................................56

Table 99. Trauma admissions for 2004 to St Vincent’s Hospital by mechanism of injury..............................................56

Table 100. Trauma admissions for 2004 to St Vincent’s Hospital by arrival mode ........................................................57

Table 101. Trauma admissions for 2004 to St Vincent’s Hospital by ICU admission .......................................................57

Table 102. ICU average length of stay (LOS) for 2004 at St Vincent’s Hospital ..............................................................57

Table 103. Hospital average LOS for 2004 at St Vincent’s Hospital................................................................................57

Table 104. Transfer in admissions to St Vincent’s Hospital for 2004 .............................................................................57

Table 105. Admissions and deaths for 2004 – Sydney Children’s Hospital .....................................................................58

Table 106. Admissions by age range for 2004 – Sydney Children’s Hospital..................................................................58

Table 107. Admissions by gender for 2004 – Sydney Children’s Hospital ......................................................................58

Table 108. Trauma admissions for 2004 to Sydney Children’s Hospital by mechanism of injury .....................................59

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NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health76

Table 109. Trauma admissions for 2004 to Sydney Children’s Hospital by arrival mode .................................................59

Table 110. Trauma admissions for 2004 to Sydney Children’s Hospital by ICU admission ..............................................59

Table 111. ICU average length of stay (LOS) for 2004 at Sydney Children’s Hospital ....................................................59

Table 112. Hospital average LOS for 2004 at Sydney Children’s Hospital.......................................................................59

Table 113. Transfer in admissions for 2004 to Sydney Children’s Hospital .....................................................................59

Table 114. Admissions and deaths for 2004 – The Children’s Hospital at Westmead.....................................................60

Table 115. Admissions by age range for 2004 – The Children’s Hospital at Westmead .................................................60

Table 116. Admissions by gender for 2004 – The Children’s Hospital at Westmead ......................................................60

Table 117. Trauma admissions for 2004 to The Children’s Hospital at Westmead by mechanism of injury.....................60

Table 118. Trauma admissions for 2004 to The Children’s Hospital at Westmead by arrival mode.................................61

Table 119. Trauma admissions for 2004 to The Children’s Hospital at Westmead by ICU admission..............................61

Table 120. ICU average length of stay (LOS) for 2004 at The Children’s Hospital at Westmead.....................................61

Table 121. Hospital average LOS for 2004 at The Children’s Hospital at Westmead ......................................................61

Table 122. Transfer in admissions to The Children’s Hospital at Westmead for 2004 ....................................................61

Table 123. Admissions and deaths for 2004 – Westmead Hospital ...............................................................................62

Table 124. Admissions by age range for 2004 – Westmead Hospital ............................................................................62

Table 125. Admissions by gender for 2004 – Westmead Hospital .................................................................................62

Table 126. Trauma admissions for 2004 to Westmead Hospital by mechanism of injury ...............................................62

Table 127. Trauma admissions for 2004 to Westmead Hospital by arrival mode............................................................63

Table 128. Trauma admissions for 2004 to Westmead Hospital by ICU admission.........................................................63

Table 129. ICU average length of stay (LOS) for 2004 at Westmead Hospital................................................................63

Table 130. Hospital average LOS for 2004 at Westmead Hospital .................................................................................63

Table 131. Transfer in admissions to Westmead Hospital for 2004 ...............................................................................63

Table 132. Admissions and deaths for 2004 – Wollongong Hospital.............................................................................64

Table 133. Admissions by age range for 2004 – Wollongong Hospital..........................................................................64

Table 134. Admissions by gender for 2004 – Wollongong Hospital ..............................................................................64

Table 135. Trauma admissions for 2004 to Wollongong Hospital by mechanism of injury.............................................64

Table 136. Trauma admissions for 2004 to Wollongong Hospital by arrival mode .........................................................65

Table 137. Trauma admissions for 2004 to Wollongong Hospital by ICU admission ......................................................65

Table 138. ICU average length of stay (LOS) for 2004 at Wollongong Hospital .............................................................65

Table 139. Hospital average LOS for 2004 at Wollongong Hospital ..............................................................................65

Table 140. Transfer in admissions to Wollongong Hospital for 2004 ............................................................................65

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