Pre-hospital transport times and survival for Hypotensive patients with penetrating thoracic trauma
| Autor: | David J. Straus, Ogo Agubuzu, Carol R Schermer, Mamta Swaroop, Thomas J. Esposito, Marie Crandall |
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| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
business.industry Mortality rate lcsh:Medical emergencies. Critical care. Intensive care. First aid Retrospective cohort study lcsh:RC86-88.9 Emergency department medicine.disease Logistic regression pre-hospital transport time Surgery Golden Hour Blood pressure Emergency medicine Emergency Medicine Golden hour (medicine) Medicine Injury Severity Score Original Article urban trauma systems penetrating trauma mortality business Penetrating trauma |
| Zdroj: | Journal of Emergencies, Trauma, and Shock Journal of Emergencies, Trauma and Shock, Vol 6, Iss 1, Pp 16-20 (2013) |
| ISSN: | 0974-2700 |
| DOI: | 10.4103/0974-2700.106320 |
| Popis: | Background: Achieving definitive care within the Golden Hour by minimizing response times is a consistent goal of regional trauma systems . This study hypothesizes that in urban Level I Trauma Centers, shorter pre-hospital times would predict outcomes in penetrating thoracic injuries. Materials and Methods: A retrospective cohort study was performed using a statewide trauma registry for the years 1999-2003 . Total pre-hospital times were measured for urban victims of penetrating thoracic trauma. Crude and adjusted mortality rates were compared by pre-hospital time using STATA statistical software. Results: During the study period, 908 patients presented to the hospital after penetrating thoracic trauma, with 79% surviving . Patients with higher injury severity scores (ISS) were transported more quickly. Injury severity scores (ISS) ≥16 and emergency department (ED) hypotension (systolic blood pressure, SBP |
| Databáze: | OpenAIRE |
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