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Analysis of pre-hos...
Analysis of pre-hospital rescue times on mortality in trauma patients in a Scandinavian urban setting
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- MOHAMMAD BAGHER, ALI (author)
- Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Vaskulära sjukdomar - kliniska studier,Surgery,Lund University Research Groups,Vascular Diseases - Clinical Research,Skåne University Hospital
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- Todorova, Lizbet (author)
- Region Skåne
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- Andersson, Lina (author)
- Skåne University Hospital
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- Wingren, Carl Johan (author)
- Lund University,Lunds universitet,Rättsmedicin,Forskargrupper vid Lunds universitet,Forensic Medicine,Lund University Research Groups,Swedish National Board of Forensic Medicine, Lund
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- Ottosson, Anders (author)
- Lund University,Lunds universitet,Rättsmedicin,Forskargrupper vid Lunds universitet,Forensic Medicine,Lund University Research Groups,Swedish National Board of Forensic Medicine, Lund
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- Wangefjord, Sakarias (author)
- Lund University,Lunds universitet,Tumörmikromiljö,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Tumor microenvironment,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Acosta, Stefan (author)
- Lund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups,Skåne University Hospital
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(creator_code:org_t)
- 2016-06-23
- 2017
- English 7 s.
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In: Trauma. - : SAGE Publications. - 1460-4086 .- 1477-0350. ; 19:1, s. 28-34
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Abstract
Subject headings
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Trauma
- prehospital akutsjukvård
Publication and Content Type
- art (subject category)
- ref (subject category)
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