Paramedic vs private transportation of trauma patients: Effect on outcome

Demetrios Demetriades, Linda Chan, Edward Cornwell, Howard Belzberg, Thomas V. Berne, Juan A. Asensio, Dennis Chan, Mark Eckstein, Kathy Alo

Research output: Contribution to journalArticle

148 Citations (Scopus)

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 languageEnglish
Pages (from-to)133-138
Number of pages6
JournalArchives of Surgery
Volume131
Issue number2
StatePublished - Feb 1996
Externally publishedYes

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Transportation of Patients
Allied Health Personnel
Emergency Medical Services
Wounds and Injuries
Injury Severity Score
Mortality
Trauma Centers
Police
Hospital Mortality
Craniocerebral Trauma
Intensive Care Units
Linear Models

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Demetriades, D., Chan, L., Cornwell, E., Belzberg, H., Berne, T. V., Asensio, J. A., ... Alo, K. (1996). Paramedic vs private transportation of trauma patients: Effect on outcome. Archives of Surgery, 131(2), 133-138.

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 journalArticle

Demetriades, D, Chan, L, Cornwell, E, Belzberg, H, Berne, TV, Asensio, JA, Chan, D, Eckstein, M & Alo, K 1996, 'Paramedic vs private transportation of trauma patients: Effect on outcome', Archives of Surgery, vol. 131, no. 2, pp. 133-138.
Demetriades D, Chan L, Cornwell E, Belzberg H, Berne TV, Asensio JA et al. Paramedic vs private transportation of trauma patients: Effect on outcome. Archives of Surgery. 1996 Feb;131(2):133-138.
Demetriades, Demetrios ; Chan, Linda ; Cornwell, Edward ; Belzberg, Howard ; Berne, Thomas V. ; Asensio, Juan A. ; Chan, Dennis ; Eckstein, Mark ; Alo, Kathy. / Paramedic vs private transportation of trauma patients : Effect on outcome. In: Archives of Surgery. 1996 ; Vol. 131, No. 2. pp. 133-138.
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