Abstract
Background: Prehospital emergency medical services (EMS) play a major role in any trauma system. However, there is very little information regarding the role of prehospital emergency care in trauma. To investigate this issue, we compared the outcome of severely injured patients transported by paramedics (EMS group) with the outcome of those transported by friends, relatives, bystanders, or police (non-EMS group). Design: We compared 4856 EMS patients with 926 non-EMS patients. General linear model analysis was performed to test the hypothesis that hospital mortality is the same in EMS and non-EMS cases, controlling for the following confounding factors, which are not affected by mode of transportation: age, gender, mechanism of injury, cause of injury, Injury Severity Score (ISS), and severe head injury. Crude, specific, and adjusted mortality rates and relative risks were also derived for the EMS and non-EMS groups. Setting: Large, urban, academic level 1 trauma center. Patients: All patients meeting the criteria for major trauma. Results: The two groups were similar with regard to mechanism of injury and the need for surgery or intensive care unit admission. The crude mortality rate was 9.3% in the EMS group and 4.0% in the non-EMS group (relative risk, 2.32; P
| Original language | English |
|---|---|
| Pages (from-to) | 133-138 |
| Number of pages | 6 |
| Journal | Archives of Surgery |
| Volume | 131 |
| Issue number | 2 |
| State | Published - Feb 1996 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Surgery
Cite this
Paramedic vs private transportation of trauma patients : Effect on outcome. / Demetriades, Demetrios; Chan, Linda; Cornwell, Edward; Belzberg, Howard; Berne, Thomas V.; Asensio, Juan A.; Chan, Dennis; Eckstein, Mark; Alo, Kathy.
In: Archives of Surgery, Vol. 131, No. 2, 02.1996, p. 133-138.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Paramedic vs private transportation of trauma patients
T2 - Effect on outcome
AU - Demetriades, Demetrios
AU - Chan, Linda
AU - Cornwell, Edward
AU - Belzberg, Howard
AU - Berne, Thomas V.
AU - Asensio, Juan A.
AU - Chan, Dennis
AU - Eckstein, Mark
AU - Alo, Kathy
PY - 1996/2
Y1 - 1996/2
N2 - Background: Prehospital emergency medical services (EMS) play a major role in any trauma system. However, there is very little information regarding the role of prehospital emergency care in trauma. To investigate this issue, we compared the outcome of severely injured patients transported by paramedics (EMS group) with the outcome of those transported by friends, relatives, bystanders, or police (non-EMS group). Design: We compared 4856 EMS patients with 926 non-EMS patients. General linear model analysis was performed to test the hypothesis that hospital mortality is the same in EMS and non-EMS cases, controlling for the following confounding factors, which are not affected by mode of transportation: age, gender, mechanism of injury, cause of injury, Injury Severity Score (ISS), and severe head injury. Crude, specific, and adjusted mortality rates and relative risks were also derived for the EMS and non-EMS groups. Setting: Large, urban, academic level 1 trauma center. Patients: All patients meeting the criteria for major trauma. Results: The two groups were similar with regard to mechanism of injury and the need for surgery or intensive care unit admission. The crude mortality rate was 9.3% in the EMS group and 4.0% in the non-EMS group (relative risk, 2.32; P
AB - Background: Prehospital emergency medical services (EMS) play a major role in any trauma system. However, there is very little information regarding the role of prehospital emergency care in trauma. To investigate this issue, we compared the outcome of severely injured patients transported by paramedics (EMS group) with the outcome of those transported by friends, relatives, bystanders, or police (non-EMS group). Design: We compared 4856 EMS patients with 926 non-EMS patients. General linear model analysis was performed to test the hypothesis that hospital mortality is the same in EMS and non-EMS cases, controlling for the following confounding factors, which are not affected by mode of transportation: age, gender, mechanism of injury, cause of injury, Injury Severity Score (ISS), and severe head injury. Crude, specific, and adjusted mortality rates and relative risks were also derived for the EMS and non-EMS groups. Setting: Large, urban, academic level 1 trauma center. Patients: All patients meeting the criteria for major trauma. Results: The two groups were similar with regard to mechanism of injury and the need for surgery or intensive care unit admission. The crude mortality rate was 9.3% in the EMS group and 4.0% in the non-EMS group (relative risk, 2.32; P
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M3 - Article
C2 - 8611068
AN - SCOPUS:0030039778
VL - 131
SP - 133
EP - 138
JO - JAMA Surgery
JF - JAMA Surgery
SN - 2168-6254
IS - 2
ER -