@article{ref1,
title="Transatlantic perspectives of trauma systems",
journal="British journal of surgery",
year="1993",
author="McNicholl, B. P. and Fisher, R. B. and Dearden, C. H.",
volume="80",
number="8",
pages="985-987",
abstract="The need for centralized management of acute trauma was evaluated in a 1-year prospective study in Northern Ireland. All patients with an Injury Severity Score > 15 who reached hospital alive were included. The sample population was approximately 1 million people. A total of 239 patients entered the study, of whom 74 died. An audit panel considered that 3-15 per cent of deaths were preventable. There was no significant difference in the preventable mortality rate between any hospital or groups of hospitals. There was a high level of consultant involvement, especially in small hospitals. A system in which patients with acute trauma bypass the nearest hospital to reach a trauma centre may be neither beneficial nor cost-effective in Northern Ireland. Upgrading of the present system with stabilization of the patient and emergency surgery at the nearest hospital before transfer is recommended.<p /><p>Language: en</p>",
language="en",
issn="0007-1323",
doi="",
url="http://dx.doi.org/"
}