NSW Trauma Minimum Data Set
2004 Annual Report
NSW DEPARTMENT OF HEALTH
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© NSW Department of Health 2005
SHPN (NITIM) 050136
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Further copies of this document can be downloaded from the
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October 2005
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
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
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.
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
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.
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 5
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health6
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
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health8
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)
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health10
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
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)
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health12
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 13
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health14
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
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
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 17
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health18
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
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health20
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 21
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health22
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 23
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health24
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 25
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
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 27
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
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 29
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health30
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 31
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
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
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health34
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 35
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health36
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 37
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health38
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 39
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%
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.
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%
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health42
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%
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 43
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health44
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
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health46
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 47
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health48
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%
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 49
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health50
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%
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 51
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health52
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%
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 53
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health54
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%
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 55
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health56
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%
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 57
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health58
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 59
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health60
Individual trauma service summaries
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%
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 61
Individual trauma service summaries
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health62
Individual trauma service summaries
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
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 63
Individual trauma service summaries
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
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health64
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%
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 65
Individual trauma service summaries
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
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)
Appendix 1
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.
Index of figures
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
Index of figures
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health70
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
Index of figures
NSW Health NSW Trauma Minimum Data Set – 2004 Annual Report 71
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
Index of figures
NSW Trauma Minimum Data Set – 2004 Annual Report NSW Health72
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
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
Index of tables
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
Index of tables
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
Index of tables
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
SHPN (NITIM) 050136
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