The effect of transport mode on mortality following isolated penetrating torso Trauma

Prehospital interventions may increase the time to definitive care. Compared to ground ambulance, we hypothesize improved mortality for patients with isolated, penetrating torso injuries transported via private vehicle. We reviewed the National Trauma Data Bank (2017–2021) for adults with isolated,...

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Veröffentlicht in:The American journal of surgery 2023-10, Vol.226 (4), p.542-547
Hauptverfasser: Atkins, Kathryn, Schneider, Andrew, Gallaher, Jared, Charles, Anthony
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Sprache:eng
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Zusammenfassung:Prehospital interventions may increase the time to definitive care. Compared to ground ambulance, we hypothesize improved mortality for patients with isolated, penetrating torso injuries transported via private vehicle. We reviewed the National Trauma Data Bank (2017–2021) for adults with isolated, penetrating torso injuries stratified by mechanism (stabbing vs. firearm) and transport mode (private vehicle vs. ground ambulance). We performed a multivariable logistic regression to estimate the effect of transport mode on mortality. 48,444 patients met our inclusion criteria. Patients transported by ambulance, injured by stabbing (n = 26,633) and by firearm (n = 21,811) had adjusted odds ratios of 1.81 (95%CI 1.05–3.14, p = 0.03) and 1.66 (95%CI 1.32–2.09,p 
ISSN:0002-9610
1879-1883
1879-1883
DOI:10.1016/j.amjsurg.2023.06.033