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Incidence and outcomes of major trauma in New Zealand: findings from a feasibility study of New Zealand’s first national trauma registry

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Authors:
Summary:

Findings are reported from the Outcomes after Trauma Study (OATS) investigation, which was conducted in Auckland between June 2015 and December 2016 and involved 112 adults who had survived significant physical trauma, defined as an Injury Severity Score (ISS) of ≥12. The study researchers sought to explore the feasibility of monitoring long-term disability and functional outcomes in such patient populations in New Zealand. Data were evaluable from all participants at baseline (on discharge following their injury), from 100 at 6 months and 83 at 12 months of follow-up. Most participants (72%) were male and aged <65 years (84%). The cohort was marked by a disproportionally higher number of Māori (23%) compared with their representation in Auckland’s population (10.7%). At 6 months of follow-up, 37% of the cohort were experiencing moderate disability, while 42% were categorised as having good recovery. Moderate pain was reported by 50% of the cohort at 6 months post-injury and by 52% at 12 months post-injury. A little over half (51%) reported problems with their usual activities at 6 months’ follow-up.

Comment:
Registries can be useful, particularly in terms of understanding and addressing inequities in risks, processes and outcomes. We have them for ‘diseases’ (e.g. the Cancer Register) and trauma/injury registries have been lauded in resource-poor nations of similar size to Aotearoa. Any benefit for Māori will require accurate ethnicity data and Māori governance.
Reference: N Z Med J 2019;132(1494):26-40
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.

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