Helicopter and ground emergency medical services transportation to hospital after major trauma in England: a comparative cohort study

Autor: Tim Coats, Keith Willett, Omar Bouamra, David Lockey, Oliver Beaumont, Dhushy Surendra Kumar
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Trauma Surgery & Acute Care Open, Vol 5, Iss 1 (2020)
Druh dokumentu: article
ISSN: 2020-0005
2397-5776
DOI: 10.1136/tsaco-2020-000508
Popis: Background The utilization of helicopter emergency medical services (HEMS) in modern trauma systems has been a source of debate for many years. This study set to establish the true impact of HEMS in England on survival for patients with major trauma.Methods A comparative cohort design using prospectively recorded data from the UK Trauma Audit and Research Network registry. 279 107 patients were identified between January 2012 and March 2017. The primary outcome measure was risk adjusted in-hospital mortality within propensity score matched cohorts using logistic regression analysis. Subset analyses were performed for subjects with prehospital Glasgow Coma Scale 29 and systolic blood pressure
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