The Effect of Prehospital Transport Time on the Mortality from Traumatic Injury
| Autor: | Alan R. Dyer, Roland W. Petri, John Lumpkin |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Emergency Medical Services
medicine.medical_specialty Time Factors Emergency Nursing Injury Severity Score Trauma Centers Outcome Assessment Health Care Emergency medical services medicine Humans Registries Adverse effect Survival analysis Analysis of Variance business.industry Mortality rate Trauma center Survival Analysis Surgery Transportation of Patients Traumatic injury Anesthesia Emergency Medicine Wounds and Injuries Health Services Research Illinois Analysis of variance business |
| Zdroj: | Prehospital and Disaster Medicine. 10:24-29 |
| ISSN: | 1945-1938 1049-023X |
| DOI: | 10.1017/s1049023x00041625 |
| Popis: | Objective:To test the hypothesis that a prehospital time threshold (PhTT) exists that when exceeded, significantly increases the mortality of trauma patients transported directly from the scene of injury to a trauma center rather than to the closest hospital.Design:Review of data contained within the Illinois Trauma Registry encompassing the period from fall 1989 through spring 1991.Participants:A total of 5,215 injured persons with an Injury Severity Score (ISS) >10, cared for in an Illinois level-I or -II trauma center outside of the city of Chicago.Measurements:Injury severity expressed as ISS, scene time (ST), transport time (TrT), total emergency medical services time (TEMST), and outcome were determined for each patient. Patients were stratified into groups on the basis of ISS.Results:Patient outcomes were significantly different statistically between ISS groups (p 2). Mean ST and TEMST, but not TrT, were significantly different statistically between ISS groups (p Conclusion:No PhTT beyond which time patient transport to the closest hospital would have decreased mortality was identifiable, because no prehospital time |
| Databáze: | OpenAIRE |
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