Evaluating the time to surgery for low severity trauma patients within a trauma quality improvement program.

Backgrounds: There is potential for inequity in quality improvement and prevention initiatives of low severity trauma burden may not be considered proportionately in the context of their impacts on healthcare providers or the community. This study defines and tests a small preliminary set of common, low-severity injuries requiring non-urgent, operative interventions in a health region of NZ.

Methods: The regional trauma registry was reviewed to develop a short list of potential diagnostic groups to be used in testing the time from admission to surgery and selection criteria were applied to find appropriate injuries.

Ethnic variations in traumatic injury hospitalisations in a health region of Aotearoa New Zealand-10-year review.

Aim: To examine the ethnic variations in trauma hospitalisations in a health region of Aotearoa New Zealand over a 10-year period.

Methods: A retrospective, observational study utilised data from the Te Manawa Taki (TMT) regional trauma registry to identify individuals of all ages and injury severities who were hospitalised due to injuries between 2013 and 2022. This investigation focusses on the epidemiology of trauma, examining factors such as ethnicity, gender, Injury Severity Score (ISS) and injury characteristics.

Characteristics of low, moderate and high severity trauma hospitalisations in a health region of Aotearoa New Zealand-10-year review.

Aim: To describe the incidence, characteristics, outcomes and hospital costs of patients admitted to hospital following trauma in a health region in Aotearoa New Zealand over a 10-year period.

Methods: A retrospective, observational study used data from the Te Manawa Taki (TMT) regional trauma registry to identify patients of all ages and injury severities that were admitted to hospital following injuries from 2013 to 2022, inclusive. This study reports on incidence of injuries with regard to age, gender, ethnicity, injury severity score (ISS), injury characteristics and direct cost to TMT facilities.

Falls at home: hospital admissions in a health region of Aotearoa New Zealand.

Aim: To report on the descriptive epidemiology and costs of trauma admissions to the Te Manawa Taki Trauma System (TMT) hospitals in Aotearoa New Zealand following falls at home.

Methods: A retrospective, observational study was conducted using data from the TMT trauma registry to identify patients of all ages who presented following falls at home from 2012 to 2022. This study reports on incidence of Fall Related Injuries (FRIs) that occurred at home with regard to age, gender, ethnicity, Injury Severity Score (ISS), injury characteristics and direct cost to TMT facilities.

Contemporary management of blunt colonic injuries - Experience from a level one trauma centre in New Zealand.

Introduction: Blunt colonic injury (BCI) is relatively rare, and literature on the topic is sparse. This study reviews our contemporary experience in its management at a level-one trauma centre in New Zealand.

Materials And Methods: This was a retrospective study (January 2012 to December 2020) that included all patients who sustained a BCI managed at Waikato Hospital, New Zealand.

Development of a standardized minimum dataset for including low-severity trauma patients in trauma registry collections in Australia and Aotearoa New Zealand.

Background: Trauma continues to place a burden on individuals, communities and health care systems around the world. To help reduce this burden and improve care, trauma registries in Australia and Aotearoa New Zealand collect standardized data on patients admitted with Injury Severity Scores greater than 12. There is currently no agreed minimum data set for trauma patients with Injury Severity Score less than 13, representing an opportunity to provide more data for quality improvement and injury prevention.

Fatal sepsis from appendicitis caused by an impacted tooth.

Acute appendicitis is one of the most common causes of acute abdominal pain globally. The pathophysiology of acute appendicitis is due to occlusion of the appendiceal lumen commonly from a faecolith. Obstruction of the appendiceal lumen by ingested foreign bodies is possible albeit rare.

The "weekend effect" does not impact on outcome of trauma laparotomy - Experience from a level 1 trauma centre in New Zealand.

Purpose: Trauma centres have been proven to provide better outcomes in developed countries for overall trauma, but there is limited literature on the systematic factors that describe any discrepancies in outcomes for trauma laparotomies in these centres. This study was conducted to examine and interrogate the effect of systematic factors on patients undergoing a trauma laparotomy in a developed country, intending to identify potential discrepancies in the outcome.

Methods: This was a retrospective study of all laparotomies performed for trauma at a level 1 trauma centre in New Zealand.

Contemporary management of isolated free fluid on computed tomography scan in blunt abdominal trauma-experience from a Level 1 trauma centre in New Zealand.

Aims: The management of patients with blunt abdominal trauma (BAT) who have isolated free fluid (IFF) with no solid organ injury (SOI) on computed tomography (CT) remains controversial. This study aims to determine if the volume of free fluid (FF) is a predictor of the need for operative management of traumatic intra-abdominal injuries, by reviewing the local cumulative experience with IFF at a major trauma centre in New Zealand.

Methods: A retrospective study was undertaken over nine years at a Level 1 trauma centre in New Zealand.

Characteristics of patients hospitalised with traumatic brain injuries.

Aim: To investigate the volume, injury characteristics and journey of Te Manawa Taki/Midland (TMT) residents hospitalised with a traumatic brain injury (TBI).

Methods: A retrospective review of TMT Trauma Registry data between 1 January 2012 and 31 December 2019 was conducted. Eligible patients (n=4,875) were TMT residents hospitalised with an injury to the brain parenchyma.

Surgical registrars' exposure to trauma laparotomy: A retrospective study from a level 1 trauma centre in New Zealand.

Introduction: The objective of this study was to review the experience of surgical registrars in performing trauma laparotomies at a level 1 trauma centre in New Zealand, and to benchmark this exposure against the current literature on the topic.

Methods: A cohort study was conducted retrospectively at a level 1 trauma centre, Waikato Hospital, Hamilton, New Zealand. All patients (>15 years) who underwent a laparotomy for trauma between 2012 and 2020 were included.

Clinical decision making for abdominal stab wounds in high resourced but low volume centres require structured guidelines to be effective.

Aim: The management of abdominal stab wounds (SW) has continued to evolve. The use of CT and laparoscopy has been advocated to reduce the rate of laparotomy. This study reviews our experience with SW in a high income, low volume setting.

Paediatric playground and tree-related injuries: Hospital admissions in the Midland region of New Zealand.

Aim: To examine the incidence and outcomes of paediatric playground and tree-related injuries in the Midland region of New Zealand.

Methods: A retrospective review of Midland Trauma Registry hospitalisation data between January 2012 and December 2018 was undertaken. Cases included children aged 0-14 years hospitalised for playground and tree-related injuries.

Blood alcohol screening and outcomes in trauma team activation patients at a level 1 trauma centre in New Zealand.

Objective: A causal relationship between alcohol consumption and injury exists and the prevalence of harmful alcohol intakes in New Zealand adults is high. The present study investigates compliance to blood alcohol (BA) screening policy and the epidemiological profile and hospital-related outcomes of trauma team activation (TTA) patients with positive BA at a New Zealand level 1 trauma centre.

Methods: A retrospective review of Midland Trauma Registry hospitalisation data between January 2012 and December 2019 was conducted.

Admission to hospital for injury during COVID-19 alert level restrictions.

Aim: To assess the effects of the community lockdown phases on trauma-related admissions to Midland region hospitals over the period 15 February to 10 July 2020, and to compare volume variation with the same period in the previous three years.

Methods: A retrospective, descriptive study of prospectively collected data from the Midland Trauma Registry in New Zealand.

Results: There was a 36.

Identifying the priority challenges in trauma care delivery for Australian and New Zealand trauma clinicians.

Introduction: Injury is a leading cause of death and disability world-wide. Little is known about the day-to-day challenges the trauma clinicians face in their practice that they feel could be improved through an increased evidence base. This study explored and ranked the trauma clinical practice research priorities of trauma care professionals across Australia and New Zealand.

Variation in volumes and characteristics of trauma patients admitted to a level one trauma centre during national level 4 lockdown for COVID-19 in New Zealand.

Aim: The aims of this study were to describe the variation in volumes and types of injuries admitted to a level one trauma centre in New Zealand over two 14-day periods before and during the national level 4 lockdown for COVID-19; and highlight communities at risk of preventable injury that may impact negatively on hospital resources.

Method: A retrospective, descriptive study of prospectively collected data in the Midland Trauma Registry in New Zealand.

Results: Overall there was a reduction of 43% in all injury-related admissions with significant reductions seen in major injury (50% reduction), males (50% reduction) and children aged 0-14 years (48% reduction).

Challenges to trauma care delivery for Australian and New Zealand trauma clinicians.

Introduction: The availability and implementation of evidence-based care is essential to achieving safe, quality trauma patient outcomes. Little is documented, however, about the challenges trauma clinicians face in their day-to day practice, or their views on the availability of evidence. This paper presents the most significant clinical practice challenges reported by multidisciplinary trauma care professionals in Australia and New Zealand, in particular those that may be resolved with focussed research or enhanced implementation activity.

Priorities for trauma quality improvement and registry use in Australia and New Zealand.

Introduction: The Australia New Zealand Trauma Registry enables the collection and analysis of standardised data about trauma patients and their care for quality improvement, injury prevention and benchmarking. Little is known, however, about the needs of providers and clinicians in relation to these data, or their views on trauma quality improvement priorities. As clinical experts, trauma clinicians should have input to these as ultimately their practice may be influenced by report findings.

Over view of major traumatic injury in Australia--Implications for trauma system design.

Background: Trauma registries are known to drive improvements and optimise trauma systems worldwide. This is the first reported comparison of the epidemiology and outcomes at major centres across Australia.

Methods: The Australian Trauma Registry was a collaboration of 26 major trauma centres across Australia at the time of this study and currently collects information on patients admitted to these centres who die after injury and/or sustain major trauma (Injury Severity Score (ISS) > 12).

A six-year review of patients admitted to hospital with injuries related to quad bike use.

Aim: To describe quad bike injury-related hospitalisations in the Midland region over a six-year period.

Method: A retrospective review of anonymised, prospectively-collected trauma registry data from 1 July 2012 to 30 June 2018 was undertaken. Cases include patients hospitalised with quad bike-related injuries.

Cycling-related injuries and cycling promotion: a trauma service perspective.

Aim: Current policy direction seeks to promote participation in both recreational and active transport cycling. We evaluate cycling-related injuries resulting in hospital admission across the Midland Region of New Zealand to establish injury trends.

Method: A retrospective review of anonymised prospectively-collected trauma registry data from 1 June 2012 to 31 July 2016 in the Midland Region.

Improving patient experience and outcomes following serious injury.

Aim: To explore injured patients' experiences of care to identify areas for improvement in routine service delivery from surgical teams in the transition from inpatient to community-based care.

Methods: Qualitative study drawing on 17 in-depth, semi-structured interviews, conducted from 1 October 2017 to 31 November 2017, with trauma patients (and patient-nominated key support people and health or social care professionals) registered by the Midland Trauma System Registry (New Zealand).

Results: All patient respondents had been under the primary care of surgical sub-specialty teams at Waikato Hospital rather than the specialised trauma service that primarily cares for patients with major multi-system trauma.

Psychiatric comorbidities in adult survivors of major trauma: findings from the Midland Trauma Registry.

INTRODUCTION Information for primary care providers about the outcomes of adult survivors of major medical trauma in the first year of recovery is not widely available. In particular, risks of impairment across multiple domains of functioning are poorly understood. AIM To determine the extent to which adults' experience impaired health-related quality of life (QoL), symptoms of post-traumatic stress disorder, depression, chronic pain and harmful alcohol use during the year following major trauma, and to identify factors associated with outcomes.

Equine-related injuries requiring hospitalisation in the Midland Region of New Zealand: a continuous five-year review.

Aim: To examine the pattern and outcomes of equine-related injuries for hospitalised patients in the Midland Region of New Zealand over a five-year period.

Method: A retrospective review of all patients admitted to hospitals within the Midland region of New Zealand with an injury date 1 January 2012-31 December 2016, as a direct result of equine-related trauma.

Results: Seven hundred and one patients were admitted due to equine-related injuries, 6.