Association between health system navigation factors and preventable trauma mortality in Western Cape, South Africa.
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Key Points
This study aims to investigate the relationship between health system navigation factors and preventable trauma mortality in a resource-constrained setting.
Analyzed data from the EpiC cohort study enrolling adult trauma patients in the Western Cape
Multidisciplinary expert panel assessed preventability of trauma deaths in 2024
Statistical analysis included Chi-square, Wilcoxon signed rank tests, and logistic regression.
Of 160 cases, 63 were preventable (39.4%) and 97 non-preventable (60.6%)
Median length of stay was significantly higher in preventable cases (39.7 h; p=0.0024)
Patients receiving interfacility transfers had significantly higher odds of preventable death (OR 2.94, 95% CI 1.09-7.87).
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Implication
Observational cohort study examines trauma mortality factors in adults, suggesting navigation improvements could reduce fatalities.