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10.3390/ijerph13020236

http://scihub22266oqcxt.onion/10.3390/ijerph13020236
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suck abstract from ncbi


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pmid26907318
      Int+J+Environ+Res+Public+Health 2016 ; 13 (2 ): 236
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  • Characteristics and Outcomes of Patients Injured in Road Traffic Crashes and Transported by Emergency Medical Services #MMPMID26907318
  • Huang CY ; Rau CS ; Chuang JF ; Kuo PJ ; Hsu SY ; Chen YC ; Hsieh HY ; Hsieh CH
  • Int J Environ Res Public Health 2016[Feb]; 13 (2 ): 236 PMID26907318 show ga
  • To investigate the injury characteristics and mortality of patients transported by emergency medical services (EMS) and hospitalized for trauma following a road traffic crash, data obtained from the Trauma Registry System were retrospectively reviewed for trauma admissions between 1 January 2009 and 31 December 2013 in a Level I trauma center. Of 16,548 registered patients, 3978 and 1440 patients injured in road traffic crashes were transported to the emergency department by EMS and non-EMS, respectively. Patients transported by EMS had lower Glasgow coma scale (GCS) scores and worse hemodynamic measures. Compared to patients transported by non-EMS, more patients transported by EMS required procedures (intubation, chest tube insertion, and blood transfusion) at the emergency department. They also sustained a higher injury severity, as measured by the injury severity score (ISS) and the new injury severity score (NISS). Lastly, in-hospital mortality was higher among the EMS than the non-EMS group (1.8% vs. 0.3%, respectively; p < 0.001). However, we found no statistically significant difference in the adjusted odds ratio (AOR) for mortality among patients transported by EMS after adjustment for ISS (AOR 4.9, 95% CI 0.33-2.26), indicating that the higher incidence of mortality was likely attributed to the patients' higher injury severity. In addition, after propensity score matching, logistic regression of 58 well-matched pairs did not show a significant influence of transportation by EMS on mortality (OR: 0.578, 95% CI: 0.132-2.541 p = 0.468).
  • |*Emergency Medical Services [MESH]
  • |*Transportation of Patients [MESH]
  • |*Wounds and Injuries [MESH]
  • |Accidents, Traffic/*mortality [MESH]
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Child [MESH]
  • |Child, Preschool [MESH]
  • |Female [MESH]
  • |Hospital Mortality [MESH]
  • |Humans [MESH]
  • |Infant [MESH]
  • |Injury Severity Score [MESH]
  • |Logistic Models [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Odds Ratio [MESH]
  • |Outcome Assessment, Health Care/*methods [MESH]
  • |Propensity Score [MESH]
  • |Registries [MESH]
  • |Retrospective Studies [MESH]
  • |Trauma Centers [MESH]


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