TY - JOUR PY - 1991// TI - Preventable deaths after head injury: a clinical audit of performance JO - Injury A1 - Barnes, M. R. A1 - Allen, M. J. A1 - Barton, D. J. A1 - Phair, I. C. SP - 353 EP - 356 VL - 22 IS - 5 N2 - A retrospective trauma audit of 267 consecutive patients presenting to the resuscitation room of an accident and emergency department identified 107 (M = 0.73) patients with CNS predominant injuries in a period of 1 year. The mortality rate was 33 per cent. Application of the TRISS method indicated that 18 (51 per cent) of the 35 deaths (Z = 5.74, P less than 0.001) were mathematically unexpected; no unexpected survivors were identified. Subsequent peer review agreed that death was preventable in 11 cases. The peer panel suggested that the lack of an on-site neurosurgical service may have affected the outcome of this group of patients adversely.

Language: en

LA - en SN - 0020-1383 UR - http://dx.doi.org/ ID - ref1 ER -