© 2002 the Emergency Medicine Journal
EDITORIAL
Trauma care
Trauma care in England and Wales: Is this as good as it gets?
University of Manchester, Eccles Old Road, Salford M6 8HD, UK
Correspondence to:
Correspondence to:
Dr F E Lecky;
flecky@fs1.ho.man.ac.uk
Outcome has plateaued since 1994 but varies significantly at Trust level
| The first 150 words of the full text of this article appear below. |
This edition publishes an analysis from the TARN database suggesting that the case mix fatality for major trauma patients reaching hospital alive has not improved in England and Wales since 1994 even though a 40% reduction occurred in the preceding five years (1989–94). This lack of change in outcome occurred in parallel with a plateau in the level of consultant involvement in the most severely injured patients.1 Two important issues arise from this observational study. The first concerns the validity of the analysis and the second if the analysis is valid, the response of emergency physicians.
The TARN sensitivity analysis has adjusted the observed lack of change in outcome for most potential weaknesses in the data, this did not change the main results. Furthermore, there are very few if any data in international literature that have commented in trends in trauma outcome after 1995 therefore it is possible
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