Analysis of pre-hospital rescue times on mortality in trauma patients in a Scandinavian urban setting
MOHAMMAD BAGHER, ALI LU ; Todorova, Lizbet LU ; Andersson, Lina ; Wingren, Carl Johan LU ; Ottosson, Anders LU ; Wangefjord, Sakarias LU and Acosta, Stefan LU
(2017)
In Trauma
19(1).
p.28-34
- Abstract
- Objective: To analyze if pre-hospital rescue times were associated with mortality in a trauma cohort arriving by ambulance to hospital in a Scandinavian urban setting. Methods: Between 2011 and 2013, individuals and pre-hospital rescue times were identified in Emergency Medical Dispatcher Centre, hospital, and forensic records in red alarm trauma. Major trauma was defined as a New InjurySeverity Score (NISS)>15. Results: Overall, 89% of 378 trauma patients received hospital care within 60 min; 51% had a response time of 8 min, and 95% had response time within 20 min. The on-scene time (p<0.05) and total pre-hospital time (p<0.05) were longer for patients 65 years, in comparison with patients <65 years. The patients with... (More)
- Objective: To analyze if pre-hospital rescue times were associated with mortality in a trauma cohort arriving by ambulance to hospital in a Scandinavian urban setting. Methods: Between 2011 and 2013, individuals and pre-hospital rescue times were identified in Emergency Medical Dispatcher Centre, hospital, and forensic records in red alarm trauma. Major trauma was defined as a New InjurySeverity Score (NISS)>15. Results: Overall, 89% of 378 trauma patients received hospital care within 60 min; 51% had a response time of 8 min, and 95% had response time within 20 min. The on-scene time (p<0.05) and total pre-hospital time (p<0.05) were longer for patients 65 years, in comparison with patients <65 years. The patients with penetrating trauma had shorter on-scene time (p<0.01), total pre-hospital time (p<0.01), and shorter transport distance from trauma scene to hospital (p¼0.004), compared to those with blunt trauma. Patients with NISS>15 were found to have the same pre-hospital rescue times as those with NISS15. There was a trend that the occurrence of gunshots was associatedwith increased mortality (p¼0.074). When entering age, NISS, penetrating versus blunt injury, response time, and on-scene time in a multivariate regression analysis, age (p<0.001), NISS (p<0.001), and penetrating injury (p=0.009) remained as independent factors associated with mortality and a trend for shorter on-scene time (p=0.093). Conclusions: Pre-hospital rescue times had less impact on mortality than injury severity, age, and penetrating trauma. Even though penetrating traumas were associated with shorter on-scene time and shorter transport distance to hospital, mortality was increased in this Scandinavian urban setting. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/ce398bb7-4202-46c8-b62d-b9627842aeea
- author
- MOHAMMAD BAGHER, ALI
LU
; Todorova, Lizbet
LU
; Andersson, Lina
; Wingren, Carl Johan
LU
; Ottosson, Anders
LU
; Wangefjord, Sakarias
LU
and Acosta, Stefan
LU
- organization
- publishing date
- 2017-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Trauma, prehospital akutsjukvård
- in
- Trauma
- volume
- 19
- issue
- 1
- pages
- 7 pages
- publisher
- SAGE Publications
- external identifiers
-
- scopus:85009822116
- wos:000394101900004
- ISSN
- 1460-4086
- DOI
- 10.1177/1460408616649217
- language
- English
- LU publication?
- yes
- additional info
- DOI: 10.1177/1460408616649217
- id
- ce398bb7-4202-46c8-b62d-b9627842aeea
- date added to LUP
- 2016-08-12 09:42:19
- date last changed
- 2022-04-24 17:00:33
@article{ce398bb7-4202-46c8-b62d-b9627842aeea,
abstract = {{Objective: To analyze if pre-hospital rescue times were associated with mortality in a trauma cohort arriving by ambulance to hospital in a Scandinavian urban setting. Methods: Between 2011 and 2013, individuals and pre-hospital rescue times were identified in Emergency Medical Dispatcher Centre, hospital, and forensic records in red alarm trauma. Major trauma was defined as a New InjurySeverity Score (NISS)>15. Results: Overall, 89% of 378 trauma patients received hospital care within 60 min; 51% had a response time of 8 min, and 95% had response time within 20 min. The on-scene time (p<0.05) and total pre-hospital time (p<0.05) were longer for patients 65 years, in comparison with patients <65 years. The patients with penetrating trauma had shorter on-scene time (p<0.01), total pre-hospital time (p<0.01), and shorter transport distance from trauma scene to hospital (p¼0.004), compared to those with blunt trauma. Patients with NISS>15 were found to have the same pre-hospital rescue times as those with NISS15. There was a trend that the occurrence of gunshots was associatedwith increased mortality (p¼0.074). When entering age, NISS, penetrating versus blunt injury, response time, and on-scene time in a multivariate regression analysis, age (p<0.001), NISS (p<0.001), and penetrating injury (p=0.009) remained as independent factors associated with mortality and a trend for shorter on-scene time (p=0.093). Conclusions: Pre-hospital rescue times had less impact on mortality than injury severity, age, and penetrating trauma. Even though penetrating traumas were associated with shorter on-scene time and shorter transport distance to hospital, mortality was increased in this Scandinavian urban setting.}},
author = {{MOHAMMAD BAGHER, ALI and Todorova, Lizbet and Andersson, Lina and Wingren, Carl Johan and Ottosson, Anders and Wangefjord, Sakarias and Acosta, Stefan}},
issn = {{1460-4086}},
keywords = {{Trauma; prehospital akutsjukvård}},
language = {{eng}},
number = {{1}},
pages = {{28--34}},
publisher = {{SAGE Publications}},
series = {{Trauma}},
title = {{Analysis of pre-hospital rescue times on mortality in trauma patients in a Scandinavian urban setting}},
url = {{http://dx.doi.org/10.1177/1460408616649217}},
doi = {{10.1177/1460408616649217}},
volume = {{19}},
year = {{2017}},
}