Prehospital care and in-hospital mortality of trauma patients in Iran

Paravar, M. and Hosseinpour, M. and Mohammadzadeh, M. and Mirzadeh, A.S. (2014) Prehospital care and in-hospital mortality of trauma patients in Iran. Prehospital and Disaster Medicine, 29 (5). pp. 473-477.

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Abstract

Introduction The aim of this study was to determine the effect of prehospital time and advanced trauma life support interventions for trauma patients transported to an Iranian Trauma Center. Methods This study was a retrospective study of trauma victims presenting to a trauma center in central Iran by Emergency Medical Services (EMS) and hospitalized more than 24 hours. Demographic and injury characteristics were obtained, including accident location, damaged organs, injury mechanism, injury severity score, prehospital times (response, scene, and transport), interventions and in-hospital outcome. Results Two thousand patients were studied with an average age of 36.3 (SD = 20.8) years; 83.1 were male. One hundred twenty patients (6.1) died during hospitalization. The mean response time, at scene time and transport time were 6.6 (SD = 3), 11.1 (SD = 5.2) and 12.8 (SD = 9.4), respectively. There was a significant association of longer transport time to worse outcome (P =.02). There was a trend for patients with transport times >10 minutes to die (OR: 0.8; 95 CI, 0.1-6.59). Advanced Life Support (ALS) interventions were applied for patients with severe injuries (Revised Trauma Score ©7) and ALS intervention was associated with more time on scene. There was a positive association of survival with ALS interventions applied in suburban areas (P =.001). Conclusion In-hospital trauma mortality was more common for patients with severe injuries and long prehospital transport times. While more severely injured patients received ALS interventions and died, these interventions were associated with positive survival trends when conducted in suburban and out-of-city road locations with long transport times. Copyright © World Association for Disaster and Emergency Medicine 2014.

Item Type: Article
Additional Information: cited By 2
Uncontrolled Keywords: adolescent; adult; child; cross-sectional study; emergency health service; epidemiology; female; hospitalization; human; injury scale; Iran; male; middle aged; mortality; multiple trauma; retrospective study; socioeconomics; statistics and numerical data; young adult, Adolescent; Adult; Child; Cross-Sectional Studies; Emergency Medical Services; Female; Hospitalization; Humans; Injury Severity Score; Iran; Male; Middle Aged; Mortality; Multiple Trauma; Retrospective Studies; Socioeconomic Factors; Young Adult
Subjects: Health Professions
Divisions: Faculty of Medicine > Clinical Sciences > Department of Surgery
Depositing User: editor . 2
Date Deposited: 05 Mar 2017 20:13
Last Modified: 05 Mar 2017 20:13
URI: http://eprints.kaums.ac.ir/id/eprint/472

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