The Effect of Organized Systems of Trauma Care on Motor Vehicle Crash Mortality

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Abstract
In 1998, 41,480 persons died in motor vehicle crashes (MVCs) in the United States.1 While traffic crashes continue to be the single most important mechanism of injury death, mortality due to traffic crashes declined from 22.7 per 100,000 person-years in 1979 to 15.9 per 100,000 person-years in 1995.2 Many factors contributed to this decrease in mortality, including improvement in road and automotive design and the legislation of restraint laws and laws restricting drinking and driving.3 The possible contribution of organized systems of trauma care to the decrease in mortality due to crashes has not been evaluated.

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