This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (202)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

The Orange County Experience

John G. West, MD; Richard H. Cales, MD; Alan B. Gazzaniga, MD

Arch Surg. 1983;118(6):740-744.

Abstract
• Prior to the designation of a trauma system in Orange County, Calif, 73% of the in-hospital non-CNS deaths secondary to motor vehicular trauma were judged by the autopsy method to have been preventable. In June 1980, a regional system of trauma care with designated trauma centers was established in Orange County. We used the autopsy method to evaluate the first year's experience with this new system and compared the results with previous studies in Orange County for 1974, San Francisco County in 1974, and Orange County in 1978-1979. The results indicate a severe reduction in the number of deaths judged preventable. In addition, a more aggressive approach to the traumatized patient was noted as indicated by an increased percentage of patients who received appropriate surgical intervention.

(Arch Surg 1983;118:740-744)

Author Affiliations
From St Joseph Hospital, Orange, Calif (Dr West); Anaheim (Calif) Memorial Hospital (Dr Cales); and the University of California, Irvine (Dr Gazzaniga).

Footnotes
Accepted for publication Oct 26, 1982.

Reprint requests to 1201 W LaVeta Ave, No. 307, Orange, CA 92668 (Dr West).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Registry based trauma outcome: perspective of a developing country
Zafar et al.
Emerg. Med. J. 2002;19:391-394.
ABSTRACT | FULL TEXT  

Initial Management of Trauma by a Trauma Team: Effect on Timeliness of Care in a Teaching Hospital
Dodek et al.
American Journal of Medical Quality 2000;15:3-8.
ABSTRACT  

Consensus Report for Regionalization of Services for Critically Ill or Injured Children
American Academy of Pediatrics, Committee on Pedia and American College of Critical Care Medicine and Soc
Pediatrics 2000;105:152-155.
ABSTRACT | FULL TEXT  

The Impact of Regionalization on a Surgery Program in the Canadian Health Care System
Hamilton et al.
Arch Surg 1997;132:605-610.
ABSTRACT  

Relationship between the Volume of Total Hip Replacements Performed by Providers and the Rates of Postoperative Complications in the State of Washington
KREDER et al.
JBJS 1997;79:485-94.
ABSTRACT | FULL TEXT  

Progress in the Development of Trauma Systems in the United States: Results of a National Survey
Bazzoli et al.
JAMA 1995;273:395-401.
ABSTRACT  

Trauma Systems: A Model for Regionalized Care
Trunkey
JAMA 1995;273:421-422.
ABSTRACT  

The Impact of a Dedicated Trauma Program on Outcome in Severely Injured Patients
Demetriades et al.
Arch Surg 1995;130:216-220.
ABSTRACT  

Future Shock
Trunkey
Arch Surg 1992;127:653-658.
ABSTRACT  

Recidivism in an Urban Trauma Center
Smith et al.
Arch Surg 1992;127:668-670.
ABSTRACT  

Improvement in Outcome From Trauma Center Care
Champion et al.
Arch Surg 1992;127:333-338.
ABSTRACT  

Trauma Experience of a Rural Hospital
Zulick et al.
Arch Surg 1991;126:1427-1430.
ABSTRACT  

Why Surgeons Prefer Not to Care for Trauma Patients
Esposito et al.
Arch Surg 1991;126:292-297.
ABSTRACT  

Is There a Rationale for Regionalizing Organ Transplantation Services?
Sloan et al.
Journal of Health Politics, Policy and Law 1989;14:115-167.
ABSTRACT  

Trauma Systems: Current Status--Future Challenges
West et al.
JAMA 1988;259:3597-3600.
ABSTRACT  

Preventable Trauma Deaths: A Review of Trauma Care Systems Development
Cales and Trunkey
JAMA 1985;254:1059-1063.
ABSTRACT