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Major trauma mortality in rural and metropolitan NSW, 2009–2014: a retrospective analysis of trauma registry data

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The known Trauma systems facilitate the timely treatment of major trauma patients at specialised centres, and this approach has reduced trauma-related mortality in Australia and overseas. Trauma in rural areas, however, has been associated with higher mortality. 

The new Trauma system changes introduced to New South Wales since 2009 may be associated with a decline in crude and adjusted inpatient mortality after major trauma in rural and regional locations. 

The implications Better transfer of rural patients, retrieval networks, and improved trauma care at major trauma centres may be benefiting severely injured patients from rural and regional locations in NSW. 

Injury causes significant physical and psychological disability around the world,1,2 and cost-effective systems of care are important for optimising patient outcomes and recovery. Trauma systems facilitate the timely treatment of severely injured patients, and this approach has reduced mortality among trauma patients in several Australian states3,4 and overseas.5