Patterns of on-scene and healthcare system trauma deaths in the Western Cape of South Africa. World

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dc.contributor.authorFinn, Julia en_ZA
dc.contributor.authorDixon, Julia M. en_ZA
dc.contributor.authorMoreira, Fabio en_ZA
dc.contributor.authorHerbst, Celeste en_ZA
dc.contributor.authorBhaumik, Smitha en_ZA
dc.contributor.authorFleischer, Chelsie L. en_ZA
dc.contributor.authorStassen, Willem en_ZA
dc.contributor.authorBeaty, Brenda en_ZA
dc.contributor.authorDenise, Lourens, en_ZA
dc.contributor.authorVerster, Janette en_ZA
dc.contributor.authorFosdick, Bailey en_ZA
dc.contributor.authorLategan, Hendrick J. en_ZA
dc.contributor.authorde Vries, Shaheem en_ZA
dc.contributor.authorUren, Grace en_ZA
dc.contributor.authorWylie, Craig en_ZA
dc.contributor.authorSteyn, Elmin en_ZA
dc.contributor.authorGeduld, Heike en_ZA
dc.contributor.authorMould‐Millman, Nee‐Kofi en_ZA
dc.date.accessioned2025-04-02T10:02:32Zen_ZA
dc.date.available2025-04-02T10:02:32Zen_ZA
dc.date.issued2024-02en_ZA
dc.descriptionCITATION: Finn, J. et al. 2024. Patterns of on‐scene and healthcare system trauma deaths in the Western Cape of South Africa. World Journal of Surgery 48(2):11 pages. doi.10.1002/wjs.12043en_ZA
dc.descriptionThe original publication is available at: https://onlinelibrary.wiley.comen_ZA
dc.description.abstractABSTRACT: Background Injuries account for 8% or 4.4 million deaths annually worldwide, with 90% of injury deaths occurring in low- and middle-income countries. Inter-personal violence and road traffic injuries account for most injury deaths in South Africa, with rates among the highest globally. Understanding the location, timing, and factors of trauma deaths can identify opportunities to strengthen care. Methods This is a retrospective cross-sectional secondary analysis of trauma deaths from 2021 to 2022 in the Western Cape of South Africa. Healthcare system trauma deaths were identified from a multicenter study paired with a dataset for on-scene (i.e., prior to ambulance or hospital) trauma deaths in the same jurisdictions. We describe locations, timing, injury factors, and cause of death. We assess associations between those factors. Results There were 2418 deaths, predominantly young men, with most (2274, 94.0%) occurring on-scene. The most frequent mechanism of injury for all deaths was firearms (32.6%), followed by road traffic collisions (17.8%). On-scene deaths (33.2%) were significantly more likely to be injured by firearms compared to healthcare system deaths (23.6%) (p-value <0.01). Most healthcare system deaths within 4–24 h of injury occurred in a hospital emergency center. Among healthcare system decedents, half died in the emergency unit. Conclusions We identified a large burden of deaths from interpersonal violence and road traffic collisions, mostly on-scene. In addition to primary prevention, shortening delays to care can improve mortality outcomes especially for deaths occurring within 4–24 h in emergency centers.en_ZA
dc.description.urihttps://onlinelibrary.wiley.com/doi/epdf/10.1002/wjs.12043en_ZA
dc.description.versionPublisher’s versionen_ZA
dc.format.extent11 pagesen_ZA
dc.identifier.citationFinn, J. et al. 2024. Patterns of on‐scene and healthcare system trauma deaths in the Western Cape of South Africa. World Journal of Surgery 48(2):11 pages. doi.10.1002/wjs.12043en_ZA
dc.identifier.doi10.1002/wjs.12043en_ZA
dc.identifier.issn0364-2313 (print)en_ZA
dc.identifier.issn1432-2323 (online)en_ZA
dc.identifier.orcid0000-0003-4303-6903en_ZA
dc.identifier.urihttps://scholar.sun.ac.za/handle/10019.1/131838en_ZA
dc.language.isoenen_ZA
dc.publisherJohn Wiley & Sons Ltden_ZA
dc.subject.lcshEmergency medical servicesen_ZA
dc.subject.lcshTrauma centersen_ZA
dc.subject.lcshAccidentsen_ZA
dc.subject.lcshEmergency medical personnelen_ZA
dc.subject.lcshMortalityen_ZA
dc.titlePatterns of on-scene and healthcare system trauma deaths in the Western Cape of South Africa. Worlden_ZA
dc.typeArticleen_ZA
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