{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:21:42Z","timestamp":1790709702607,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T00:00:00Z","timestamp":1686873600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The Victorian State Trauma System recommends that all major trauma patients receive definitive care at a major trauma service (MTS). The aim of the present study was to assess the outcomes of patients with major trauma after near\u2010hangings who received definitive management at an MTS compared to a non\u2010MTS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a registry\u2010based cohort study of all adult (age\u2009\u226516\u2009years) patients with near\u2010hanging included in the Victorian State Trauma Registry from 1 July 2010 to 30 June 2019. Outcomes of interest were death at hospital discharge, time to death and extended Glasgow Outcome Scale (GOSE) score of 5\u20138 (favourable) at 6\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 243 patients included and 134 (55.1%) in\u2010hospital deaths. Among patients presenting to a non\u2010MTS, 24 (16.8%) were transferred to an MTS. There were 59 (47.6%) deaths at an MTS and 75 (63.0%) at a non\u2010MTS (odds ratio [OR] 0.53; 95% confidence interval [CI] 0.32\u20130.89). However, more patients were managed at a non\u2010MTS after out\u2010of\u2010hospital cardiac arrest (58.8%\n                      <jats:italic>vs<\/jats:italic>\n                      50.8%) and less patients had serious neck injury (0.8%\n                      <jats:italic>vs<\/jats:italic>\n                      11.3%). After adjustment for out\u2010of\u2010hospital cardiac arrests and serious neck injury, management at an MTS was not associated with mortality (adjusted OR [aOR] 0.61; 95% CI 0.23\u20131.65) or favourable GOSE at 6\u2009months (aOR 1.09; 95% CI 0.40\u20133.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>After major trauma sustained from near\u2010hanging, definitive management at an MTS did not offer a mortality benefit or better functional outcomes. Consistent with current practice, these findings suggest that most near\u2010hanging related major trauma patients could be managed safely at a non\u2010MTS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.14257","type":"journal-article","created":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T04:04:19Z","timestamp":1686888259000},"page":"849-854","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Definitive management of near\u2010hanging at major\n                    <i>versus<\/i>\n                    non\u2010major trauma centres"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0508-2450","authenticated-orcid":false,"given":"Biswadev","family":"Mitra","sequence":"first","affiliation":[{"name":"Emergency and Trauma Centre The Alfred Hospital  Melbourne Victoria Australia"},{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4345-3213","authenticated-orcid":false,"given":"Matthew J","family":"Maiden","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Barwon Health  Geelong Victoria Australia"},{"name":"Intensive Care Unit Royal Adelaide Hospital  Adelaide South Australia Australia"},{"name":"Discipline of Acute Care Medicine The University of Adelaide  Adelaide South Australia Australia"},{"name":"Melbourne Medical School The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6555-7358","authenticated-orcid":false,"given":"David","family":"Read","sequence":"additional","affiliation":[{"name":"Melbourne Medical School The University of Melbourne  Melbourne Victoria Australia"},{"name":"Trauma Service, The Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziad","family":"Nehme","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"},{"name":"Ambulance Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Bernard","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"},{"name":"Ambulance Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1443-557X","authenticated-orcid":false,"given":"Peter A","family":"Cameron","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Centre The Alfred Hospital  Melbourne Victoria Australia"},{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0217158"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1442-2026.1999.00314.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.2020.v110i5.13381"},{"key":"e_1_2_9_5_1","first-page":"164","article-title":"Injury after non\u2010judicial hanging","volume":"16","author":"Chikhani M","year":"2014","journal-title":"Dent. 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