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Ten years of trauma in the 'top end' of the Northern Territory, Australia: A retrospective analysis

Gowing, Christopher J., McDermott, Kathleen M., Ward, Linda M. and Martin, Bronte L. (2015). Ten years of trauma in the 'top end' of the Northern Territory, Australia: A retrospective analysis. International Emergency Nursing,23(1):17-21.

Document type: Journal Article
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IRMA ID 84473306xPUB82
Title Ten years of trauma in the 'top end' of the Northern Territory, Australia: A retrospective analysis
Author Gowing, Christopher J.
McDermott, Kathleen M.
Ward, Linda M.
Martin, Bronte L.
Journal Name International Emergency Nursing
Publication Date 2015
Volume Number 23
Issue Number 1
ISSN 1755-599X   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84920604737
Start Page 17
End Page 21
Total Pages 5
Place of Publication United Kingdom
Publisher Elsevier Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract Aim
To examine characteristics of traumatic injury in adults and children at the Royal Darwin Hospital (RDH) over a 10 year period.


A retrospective review of the RDH Trauma Registry data from 1 January 2003 to 31 December 2012, with analysis of patient demographics, mechanism of injury, Injury Severity Score (ISS), and outcome.


Two thousand seven hundred twenty-five patients with an ISS greater than or equal to 9 and met all other study inclusion criteria.


Motor vehicle crashes, assaults and falls consistently remained the three most common mechanisms of injury throughout the 10 year period. Indigenous admissions showed a significant downward trend (p = 0.009). Upward trends were noted in presentations from patients aged greater than 44 (p = 0.002), all-terrain vehicle accidents (p < 0.001), and hangings (p = 0.003). No other trends were noted to significant at a p < 0.05 level. Admitted Indigenous patients were significantly more likely to be present due to assault (p < 0.001) and female patients were more likely to present due to assault, falls and motor vehicle crashes (p < 0.01) than their counterparts.


Presentations for traumatic injury to Royal Darwin Hospital have remained in the most part, consistently stable for the period of 2003–2012. Though there were some increases/decreases in regard to specific demographics and mechanisms, few were found to be statistically significant at a p < 0.05 level.
Keywords Trauma
Northern Territory
Top end
Royal Darwin Hospital
Mechanism of injury
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Created: Tue, 26 Jul 2016, 12:49:52 CST