Background Head injury remains a leading cause of death and disability worldwide but advances in trauma systems, pre-hospital care, and critical care have led to improvements in survival.
Aims Compare isolated head injury mortality in England/Wales with Victoria, Australia.
Methods Population-based, isolated head injury admissions data were available for July 2005 to June 2006. To enable better risk-adjustment, severe isolated head injury (AIS severity >3) data were obtained for the same period from the trauma registries for England/Wales (TARN) and Victoria (VSTR).
Results In 2005–2006, there were 7155 isolated head injury admissions in England/Wales and 1217 in Victoria. The in-hospital mortality was 12% for England/Wales and 9% for Victoria. Adjusting for key confounders, the odds of death in England/Wales were higher (AOR 2.0, 95 CI 1.6 to 2.5). 699 severe isolated head injuries were captured by the VSTR, and 575 by TARN over the 12-month period. The in-hospital mortality was 23% for TARN and 17% for VSTR. After adjusting for key confounders, severely isolated head injury patients were more likely to die in England/Wales than Victoria (AOR 1.6, 95% CI 1.1 to 2.3). 72% of TARN cases were managed at a neurosurgical centre compared to 87% of VSTR cases.
Conclusion Death following hospitalisation for an isolated head injury was higher for England/Wales when compared to Victoria, Australia. Differences in the rate of care at neurosurgical centres appeared to be a key explanatory factor.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.