Volume 2, Pages 13-21 (August 2018) Changing the System - Major Trauma Patients and Their Outcomes in the NHS (England) 2008–17 Christopher G. Moran,

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Volume 2, Pages 13-21 (August 2018) Changing the System - Major Trauma Patients and Their Outcomes in the NHS (England) 2008–17 Christopher G. Moran, Fiona Lecky, Omar Bouamra, Tom Lawrence, Antoinette Edwards, Maralyn Woodford, Keith Willett, Timothy J. Coats EClinicalMedicine Volume 2, Pages 13-21 (August 2018) DOI: 10.1016/j.eclinm.2018.07.001 Copyright © 2018 The Author(s) Terms and Conditions

Fig. 1 STROBE diagram identifying eligible study patients from TARN database in consistently submitting hospitals. *(Patients submitted from hospitals that began submitting after the study period commenced – these were combined with the study group in sensitivity analyses). EClinicalMedicine 2018 2, 13-21DOI: (10.1016/j.eclinm.2018.07.001) Copyright © 2018 The Author(s) Terms and Conditions

Fig. 2 Trends in odds of surviving major trauma: April 2008–March 2017. Hospitals with consistent submissions. ISS ≥ 9, missing GCS imputed. EClinicalMedicine 2018 2, 13-21DOI: (10.1016/j.eclinm.2018.07.001) Copyright © 2018 The Author(s) Terms and Conditions

Fig. 3 Trends in odds of surviving major trauma: April 2008–March 2017. All hospitals. ISS ≥ 9, missing GCS imputed. EClinicalMedicine 2018 2, 13-21DOI: (10.1016/j.eclinm.2018.07.001) Copyright © 2018 The Author(s) Terms and Conditions

Fig. 4 Interrupted times series analysis of change in excess survival rate per 100 patients (W) around intervention in financial year 2012/13. Hospitals with consistent submissions. ISS ≥ 9, missing GCS imputed. EClinicalMedicine 2018 2, 13-21DOI: (10.1016/j.eclinm.2018.07.001) Copyright © 2018 The Author(s) Terms and Conditions

Fig. 5 Interrupted times series analysis of change in excess survival rate per 100 patients (W) around intervention in financial year 2012/13. All hospitals. ISS ≥ 9, missing GCS imputed. EClinicalMedicine 2018 2, 13-21DOI: (10.1016/j.eclinm.2018.07.001) Copyright © 2018 The Author(s) Terms and Conditions