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    Immediate impact of 'penalty points legislation' on acute hospital trauma services.

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    Authors
    Lenehan, Brian
    Street, John
    Barry, Kieran
    Mullan, George
    Affiliation
    Department of Trauma and Orthopaedics, Cork University Hospital, Cork, Ireland., brian@blenehan.com
    Issue Date
    2012-02-03T15:06:52Z
    MeSH
    Accidents, Traffic/prevention & control/*statistics & numerical data
    Automobile Driving/*legislation & jurisprudence
    Emergency Medical Services
    Humans
    Ireland/epidemiology
    Length of Stay
    Prospective Studies
    Wounds and Injuries/epidemiology
    
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    Citation
    Injury. 2005 Aug;36(8):912-6.
    Journal
    Injury
    URI
    http://hdl.handle.net/10147/208900
    DOI
    10.1016/j.injury.2005.03.008
    PubMed ID
    15998514
    Abstract
    Road traffic accident (RTA) related mortality and injury may be reduced by up to 40% with the introduction of 'road safety' legislation. Little is known regarding changes in pattern of injury and overall resource impact on acute trauma services. This prospective study examines RTA related admissions, injuries sustained and resultant sub-speciality operative workload in a Level 1 Trauma Centre during the 12 months immediately prior to and following the introduction of 'penalty points' legislation. Eight hundred and twenty RTA related admissions were identified over the 24-month period from 01/11/2001 to 31/10/2003. There was a 36.7% decrease in RTA related admissions subsequent to the introduction of new legislation. Bed occupancy was almost halved. However, the relative Orthopaedic workload increased from 34% to 41% with a 10% increase in relative bed occupancy. The pattern of orthopaedic injury was significantly altered with a >50% absolute reduction in high velocity injuries. Curiously, there was no change in the absolute number of spinal fractures seen. This favourable early Irish experience of 'penalty points' legislation mirrors that of worldwide published literature. Our findings demonstrate that the injury reduction effects were primarily enjoyed by non-orthopaedic sub-specialities. Such findings mandate consideration when allocating vital resources to sub-specialities within busy trauma units.
    Language
    eng
    ISSN
    0020-1383 (Print)
    0020-1383 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.injury.2005.03.008
    Scopus Count
    Collections
    Cork University Hospital

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