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IMPACT OF ON-SITE CARE, PREHOSPITAL TIME, AND LEVEL OF IN-HOSPITAL CARE ON SURVIVAL IN SEVERELY INJURED PATIENTS
Abstract
A sample of 360 severely injured patients was selected from a cohort of 8007 trauma victims followed prospectively from the time of injury to death or discharge. A case referent study was used to test the association between on-site care, total prehospital time, and level of care at the receiving hospital with short-term survival. Multiple logistic regression analyses showed that use of Advanced Life Support (ALS) at the scene was not associated with survival, whereas treatment at a level I compatible hospital was associated with a 38% reduction in the odds of dying, which approached statistical significance. Total prehospital time over 60 minutes was associated with a statistically significant adjusted relative odds of dying (OR = 3.0). The results of this study support the need for regionalization of trauma care and fail to show a benefit associated with ALS.
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Cited by
A systematic review of the impact of volume of surgery and specialization on patient outcome
Chowdhury, M. M., Dagash, H., & Pierro, A. (2007) · British Journal of Surgery · doi:10.1002/bjs.5714 · Cited by 608
Trauma Care Regionalization: A Process-Outcome Evaluation
Sampalis, J. S., Denis, R., Lavoie, A., Frechette, P., Boukas, S., Nikolis, A., Benoit, D., Fleiszer, D., Brown, R., Churchill-Smith, M., et al. (1999) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/00005373-199904000-00004 · Cited by 408
Self-citationEffect of Prehospital Advanced Life Support on Outcomes of Major Trauma Patients
Eckstein, M., Chan, L., Schneir, A., & Palmer, R. (2000) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/00005373-200004000-00010 · Cited by 242
Severity-adjusted mortality in trauma patients transported by police
Band, R. A., Salhi, R. A., Holena, D. N., Powell, E., Branas, C. C., & Carr, B. G. (2014) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2013.11.008 · Cited by 101
Metadata
- Authors
- Sampalis, J. S., Lavoie, A., Williams, J. I., Mulder, D. S., & Kalina, M.
- Venue
- The Journal of Trauma: Injury, Infection, and Critical Care
- Published
- 1993-02
- Volume
- 34
- Issue
- 2
- Pages
- 252-261
- ISSN
- 0022-5282 (ISSN-L)
- OpenAlex
- W1974803587
- Cited by
- 327
- References
- 0
- FWCI
- 9.69
- Type
- journal article
- Language
- en
- Open access
- closed
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- The paper
- Sampalis, J. S., Lavoie, A., Williams, J. I., Mulder, D. S., & Kalina, M. (1993). IMPACT OF ON-SITE CARE, PREHOSPITAL TIME, AND LEVEL OF IN-HOSPITAL CARE ON SURVIVAL IN SEVERELY INJURED PATIENTS. The Journal of Trauma: Injury, Infection, and Critical Care. https://doi.org/10.1097/00005373-199302000-00014
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
