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Incidence and outcomes of major trauma assaults: a population-based study in Victoria

O'Mullane, Phebe A., Mikocka-Walus, Antonina A., Gabbe, Belinda J. and Cameron, Peter A. 2009, Incidence and outcomes of major trauma assaults: a population-based study in Victoria, Medical journal of Australia, vol. 190, no. 3, pp. 129-132.

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Title Incidence and outcomes of major trauma assaults: a population-based study in Victoria
Author(s) O'Mullane, Phebe A.
Mikocka-Walus, Antonina A.ORCID iD for Mikocka-Walus, Antonina A. orcid.org/0000-0003-4864-3956
Gabbe, Belinda J.
Cameron, Peter A.
Journal name Medical journal of Australia
Volume number 190
Issue number 3
Start page 129
End page 132
Total pages 4
Publisher Australasian Medical Publishing Company
Place of publication Sydney, N.S.W.
Publication date 2009-02-02
ISSN 0025-729X
1326-5377
Keyword(s) Adolescent
Adult
Aged
Confidence Intervals
Female
Glasgow Coma Scale
Hospital Mortality
Humans
Incidence
Injury Severity Score
Male
Middle Aged
Prospective Studies
Registries
Risk
Surveys and Questionnaires
Treatment Outcome
Victoria
Violence
Wounds and Injuries
Young Adult
Summary OBJECTIVE: To describe the incidence and outcomes of assault resulting in serious injury in Victoria.

DESIGN AND SETTING: Analysis of population-based data from the Victorian State Trauma Registry for assaults between 1 July 2001 and 30 June 2007. MAIN

OUTCOME MEASURES: Overall trends in the rate of assault-related major trauma, inhospital mortality, and functional outcomes 6 months after injury as measured by the Extended Glasgow Outcome Scale.

RESULTS: The rate of assault-related major trauma rose significantly over the 6-year study period (incidence rate ratio [IRR], 1.21 [95% CI, 1.16-1.26]), particularly for blunt assault (IRR, 1.33 [95% CI, 1.26-1.41]). There were 803 admissions for major trauma related to assault: 484 (60%) were for blunt trauma and 319 (40%) for penetrating trauma. Most patients were young men. Compared with penetrating trauma, blunt trauma was associated with more severe injury; 396 patients (82%) with blunt trauma had serious head injuries, and 102 (24%) of these required inpatient rehabilitation. A higher percentage of patients with penetrating trauma died in hospital compared with those with blunt trauma (35 [11%] v 23 [5%]; P = 0.001). Follow-up at 6 months showed that only 19% of respondents (42 patients) had made a complete recovery; outcomes at 6 months were worse for patients with blunt trauma than for those with penetrating trauma.

CONCLUSIONS: The incidence of assault resulting in severe trauma rose significantly between 2001-02 and 2006-07, mostly due to a rise in assault resulting in blunt trauma. The increase in incidence, the young age of the victims, and the potential for high burden of injury and poor outcome, combined with the preventable nature of assault, highlight the importance of developing effective assault-prevention strategies.
Language eng
Field of Research 111706 Epidemiology
111716 Preventive Medicine
1117 Public Health And Health Services
1103 Clinical Sciences
Socio Economic Objective 920412 Preventive Medicine
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2009, Medical Journal of Australia
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30090886

Document type: Journal Article
Collections: School of Psychology
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.