In a systematic review of 39 studies published up to September 2021 investigating major trauma in New Zealand, Māori men had the highest incidence of both fatal and non-fatal trauma when viewed by ethnicity. Motor vehicle crashes and falls were the most common mechanism of injury among all trauma patients across all age groups. Patients with the highest injury severity scores had the longest hospital stays. The authors concluded that further analytical studies are needed to investigate factors impacting survival from major trauma.
The thing that most caught my eye for these two papers was the importance of having an excellent registry/database. As a result, services, researchers, clinicians and whānau can monitor care and outcomes. Given our recent experience with the COVID-19 pandemic and limited ability/agility to report on it, it’s great to see the government supporting the development of a register for infectious diseases.
Independent commentary by Dr. Matire Hardwood
Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.
Research Review publications are intended for New Zealand health professionals.
Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.
