The experiences and attitudes of general practitioners and hospital staff towards prehospital thrombolysis in a rural community

Doherty, Donna; Dowling, John; Wright, P.J.; Cuddihy, J.

doi:10.1007/bf03167962

Cited by 1 publication

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“…Early evidence suggested that the initiation of traffic laws involving demerit or penalty points dramatically reduced total number of fatalities on the roads in some countries [ 4 , 5 ]. However, this benefit was not sustained [ 4 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

The Journey from Traffic Offender to Severe Road Trauma Victim: Destiny or Preventive Opportunity?

Rao

Burrell

et al. 2015

PLoS ONE

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BackgroundRoad trauma is a leading cause of death and injury in young people. Traffic offences are common, but their importance as a risk indicator for subsequent road trauma is unknown. This cohort study assessed whether severe road trauma could be predicted by a history of prior traffic offences.Methodology and Principal FindingsClinical data of all adult road trauma patients admitted to the Western Australia (WA) State Trauma Centre between 1998 and 2013 were linked to traffic offences records at the WA Department of Transport. The primary outcomes were alcohol exposure prior to road trauma, severe trauma (defined by Injury Severity Score >15), and intensive care admission (ICU) or death, analyzed by logistic regression. Traffic offences directly leading to the road trauma admissions were excluded. Of the 10,330 patients included (median age 34 years-old, 78% male), 1955 (18.9%) had alcohol-exposure before road trauma, 2415 (23.4%) had severe trauma, 1360 (13.2%) required ICU admission, and 267 (2.6%) died. Prior traffic offences were recorded in 6269 (60.7%) patients. The number of prior traffic offences was significantly associated with alcohol-related road trauma (odds ratio [OR] per offence 1.03, 95% confidence interval [CI] 1.02–1.05), severe trauma (OR 1.13, 95%CI 1.14–1.15), and ICU admission or death (OR 1.10, 95%CI 1.08–1.11). Drink-drinking, seat-belt, and use of handheld electronic device offences were specific offences strongly associated with road trauma leading to ICU admission or death—all in a ‘dose-related’ fashion. For those who recovered from road trauma after an ICU admission, there was a significant reduction in subsequent traffic offences (mean difference 1.8, 95%CI 1.5 to 2.0) and demerit points (mean difference 7.0, 95%CI 6.5 to 7.6) compared to before the trauma event.SignificancePrevious traffic offences were a significant risk factor for alcohol-related road trauma and severe road trauma leading to ICU admission or death.

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Section: Introductionmentioning

confidence: 99%

The Journey from Traffic Offender to Severe Road Trauma Victim: Destiny or Preventive Opportunity?

Rao

Burrell

et al. 2015

PLoS ONE

View full text Add to dashboard Cite

show abstract

The experiences and attitudes of general practitioners and hospital staff towards prehospital thrombolysis in a rural community

Abstract: Pre-hospital thrombolysis programmes must be continuously monitored and evaluated to identify important factors that may prevent wider use of thrombolytic treatment.

Cited by 1 publication

References 3 publications

The Journey from Traffic Offender to Severe Road Trauma Victim: Destiny or Preventive Opportunity?

The Journey from Traffic Offender to Severe Road Trauma Victim: Destiny or Preventive Opportunity?

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