Acute pre‐hospital medicine: Perspectives of an emergency medicine fellow and critical care paramedic

Dehn, Anja; Snedden, Prudence

doi:10.1111/1742-6723.13574

Cited by 2 publications

(1 citation statement)

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“…Maximum age-adjusted SI was based on published normal ranges compiled from two pediatric textbooks and the U.S. Department of Health and Human Services Pediatric Basic and Advanced Life Support Guidelines. 16 17 We collected data on patients’ demographics (country of residence, age, and sex), injury characteristics (intentionality, place of injury, activity at the time of injury, and mechanism of injury), prehospital care (EMS use, fluid resuscitation, and immobilization), ED and hospital care (injury area and vital signs at ED arrival including SBP, HR, and Glasgow Coma Scale), and New Injury Severity Score (NISS). NISS was defined as the sum of the squares of the Abbreviated Injury Scale score in each of the patient’s three most severely injured body region and clinical outcomes at the time of hospital discharge.…”

Section: Methodsmentioning

confidence: 99%

Pediatric Age-Adjusted Shock Index as a Predictor of Mortality by Sex Disparity in Pediatric Trauma: A Pan-Asian Trauma Outcome Study

Jung

Ryu

et al. 2023

Yonsei Med J

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Purpose There has been no report of sex-specific, pediatric age-adjusted shock index (PASI) for pediatric trauma patients in previous studies. We aimed to determine the association between the PASI and in-hospital mortality of pediatric trauma patients and whether this association differs depending on sex. Materials and Methods This is a prospective, multinational, and multicenter cohort study using the Pan-Asian Trauma Outcome Study (PATOS) registry in the Asia-Pacific region, conducted in pediatric patients who visited the participating hospitals. The main exposure of our study was abnormal (elevated) PASI measured in an emergency department. The main outcome was in-hospital mortality. We performed a multivariable logistic regression analysis to estimate the association between abnormal PASI and study outcomes after adjusting for potential confounders. An interaction analysis between PASI and sex was also conducted. Results Of 6280 pediatric trauma patients, 10.9% (686) of the patients had abnormal PASI. In multivariable logistic regression analysis, abnormal PASI was significantly associated with increased in-hospital mortality [adjusted odds ratios (aOR), 1.74; 95% confidence interval (CI), 1.13–2.47]. Abnormal PASI had interaction effects with sex for in-hospital mortality (aOR, 1.86; 95% CI, 1.19–2.91 and aOR, 1.38; 95% CI, 0.58–2.99 for male and female, respectively) ( p <0.01). Conclusion Abnormal PASI is associated with increased in-hospital mortality in pediatric trauma patients. The prediction power of PASI for in-hospital mortality was maintained only in male patients.

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Section: Methodsmentioning

confidence: 99%