Helicopter Transport and Blunt Trauma Mortality: A Multicenter Trial
| Autor: | Farah Cheema, Suzanne K. Wedel, Waleed Ahmed, Timothy Harrison, Stephen H. Thomas, Wende Reenstra Buras |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Poison control Wounds Nonpenetrating Critical Care and Intensive Care Medicine Logistic regression Occupational safety and health Cohort Studies Injury Severity Score Multicenter trial Outcome Assessment Health Care Epidemiology Injury prevention Odds Ratio Urban Health Services Humans Medicine Registries Child Retrospective Studies business.industry Retrospective cohort study Air Ambulances Middle Aged medicine.disease Survival Rate Blunt trauma Multivariate Analysis Emergency medicine Regression Analysis Female Surgery Medical emergency business |
| Zdroj: | Journal of Trauma and Acute Care Surgery. 52:136-145 |
| ISSN: | 0022-5282 |
| DOI: | 10.1097/00005373-200201000-00023 |
| Popis: | Despite many studies addressing potential impact of helicopter transport on trauma mortality, debate as to the efficacy of air transport continues.This retrospective study combined trauma registry data from five urban Level I adult and pediatric centers. Logistic regression assessed effect of helicopter transport on mortality while adjusting for age, sex, transport year, receiving hospital, prehospital level of care (Advanced Life Support vs. Basic Life Support), ISS, and mission type (scene vs. interfacility).The study database comprised 16,699 patients. Crude mortality for Air (9.4%) was 3.4 times (95% CI, 2.9-4.0, p0.001) that of Ground (3.0%) patients. In adjusted analysis, helicopter transport was found to be associated with a significant mortality reduction (odds ratio, 0.76; 95% CI, 0.59-0.98; p = 0.031).The results of this study are consistent with an association between helicopter transport mode and increased survival in blunt trauma patients. |
| Databáze: | OpenAIRE |
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