Optimizing Trauma Systems: A Geospatial Analysis of the Victorian State Trauma System
Authors' conclusion
We have developed a robust and data-driven approach to optimizing trauma systems.
Study context
- Population
- Major trauma patients in Victoria, Australia, 2016 to 2018
- Participants
- 8,327 patients · 138 trauma receiving hospitals
- Outcome
- Optimal configuration of the Victorian State Trauma System (proportion transported directly to a major trauma service)
Methodological detailsMixed Integer Linear Programming algorithm, 156 simulations, statewide trauma registry data, Drive and flight times calculated to each of 138 trauma receiving hospitals
- Mixed Integer Linear Programming algorithm
- 156 simulations
- Statewide trauma registry data
- Drive and flight times calculated to each of 138 trauma receiving hospitals
Main finding
As reported in the abstract
Transport directly to a major trauma service (MTS)
Transported directly to an major trauma service (MTS) (all patients, observed)
58%
Adult patients transported directly to an MTS across simulations
66% to 90%
Pediatric MTS assigned across all simulations
1
Observational data: associations, not effects.
Original publication
Optimizing Trauma Systems: A Geospatial Analysis of the Victorian State Trauma System. Ann Surg. Published 10 January 2023. doi:10.
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