Outcomes of trauma patients: Direct transport versus transfer after stabilisation at another hospital

Hsiao, Kuang-Yu; Lin, Li-Mei; Chou, Meng-Hua; Chen, Cheng-Chueh; Lee, Hwa-Chan; Foo, Ning‐Ping; Shiao, Chi-Jei; Chen, I‐Chuan; Hsiao, C. C.; Chen, Kaihua

doi:10.1016/j.injury.2012.01.004

Cited by 14 publications

(12 citation statements)

References 17 publications

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“…Most previous studies have shown the same-level falls to be more common than elevated falls (falls from height) in line with the results of our study (21, 22). Traffic injuries by heavy vehicles, bicycles and motorbikes were common types of injuries in this studies that were in line with other studies (20, 23). Most traffic accidents were pedestrian accidents that were consistent with previous study results (24, 25).…”

Section: Discussionsupporting

confidence: 93%

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Trauma-related Therapeutic Procedures at Shohada Trauma Center in Tabriz

Bazargani¹,

Azami-Aghdash²,

Ziapour³

et al. 2013

Trauma Mon

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BackgroundTo decrease the burden of injuries it is essential to have an overview of trauma patterns and its management at regional trauma centers.ObjectivesThe aim of this study was to investigate some patterns of trauma and trauma-related therapeutic interventions at our trauma center.Materials and MethodsIn a cross-sectional study, 19530 trauma cases admitted to the emergency department and hospital wards of Shohada University Hospital during 2007-2008 were assessed.ResultsOf the 19530 trauma cases, 14960(76.7%) were males. Mean (SD) of age was 31(19.9) years. The elderly aged 65 and above, comprised 10% (1953) of the participants; while 44 were infants. Falls and traffic injuries were the most common cause of injuries among trauma patients. Most of the mortalities were men comprising 74% of the 57 deaths. Reduction of fractures and dislocations were the most common types of operations among trauma patients.ConclusionsYoung men form the target group for possible interventions to decrease the burden of trauma following falls and traffic accidents.

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Section: Discussionsupporting

confidence: 93%

“…Falls due to slipping comprised the major cause of injury in our study while other Iranian studies showed different results (16, 20). This can be due to the fact that Shohada hospital is known for having famous orthopedic surgeons and orthopedic problems that are more common in falls were referred to this center.…”

Section: Discussioncontrasting

confidence: 58%

Trauma-related Therapeutic Procedures at Shohada Trauma Center in Tabriz

Bazargani¹,

Azami-Aghdash²,

Ziapour³

et al. 2013

Trauma Mon

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show abstract

“…Accordingly, such patients may be entered and analysed with the wrong group because the breathalyser results would not have been noted in the medical records; however, in our experience, such patients are rare. In addition, the lack of exact time from the injury to an alcohol test may result in a bias of the acquired data; however, according to Taiwan government data from January 2009 to June 2009, the average transport time was about 12 min26 and from our yet published study, which demonstrated that the mean transport time of the patients transported by emergency medical service (EMS) to our hospital was 18.3±7.9 min, the bias may be minimal. Finally, the lack of clear and strict indication for performing a brain CT examination in these intoxicated patients by the on-duty physicians in the emergency department may result in some bias in this study.…”

Section: Discussionmentioning

confidence: 84%

Alcohol-related hospitalisations of trauma patients in Southern Taiwan: a cross-sectional study based on a trauma registry system

et al. 2014

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ObjectivesTo provide an overview of the demographic characteristics of patients with positive blood alcohol concentration (BAC) and to investigate the performance of brain CT scans in these patients.DesignCross-sectional study.SettingTaiwan.Participants2192 patients who had undergone a test for blood alcohol of 13 233 patients registered in the Trauma Registry System between 1 January 2009 and 31 December 2012. A BAC level of 50 mg/dL was defined as the cut-off value. Detailed information was retrieved from the patients with positive BAC (n=793) and was compared with information from those with a negative BAC (n=1399).Main outcome measuresGlasgow Coma Scale (GCS) and Injury Severity Score (ISS) as well as the performance and findings of obtained brain CT scans.ResultsPatients with positive BAC had a higher rate of face injury, but a lower GCS score, a lower rate of head and neck injury, a lower ISS and New Injury Severity Score. Alcohol use was associated with a shorter length of hospital stay (8.6 vs 11.4 days, p=0.000) in patients with an ISS of <16. Of 496 patients with positive BAC who underwent brain CT, 164 (33.1%) showed positive findings on CT scan. In contrast, of 891 patients with negative BAC who underwent brain CT, 389 (43.7%) had positive findings on CT scan. The lower percentage of positive CT scan findings in patients with positive BAC was particularly evident in patients with an ISS <16 (18.0% vs 28.8%, p=0.001).ConclusionsPatients who consumed alcohol tended to have a low GCS score and injuries that were less severe. However, given the significantly low percentage of positive findings, brain CT might be overused in these patients with less severe injuries.

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“…[2] Hsiao et al . (Taiwan)[3] conducted a prospective observational study (January–December, 2010) in a much smaller sample size (231 major trauma patients, of which 75 were transfer patients) and found no difference in survival between the trauma patients directly transported to their hospital and those transferred for further management, after stabilization at another hospital. In Taiwan, the prehospital care services provide only basic and noninvasive care, namely, oxygen support, immobilization, and basic life support as needed, and only a small percentage of patients receive advanced airway management, fluid resuscitation, or medications.…”

mentioning

confidence: 99%

“…In Taiwan, the prehospital care services provide only basic and noninvasive care, namely, oxygen support, immobilization, and basic life support as needed, and only a small percentage of patients receive advanced airway management, fluid resuscitation, or medications. [3] Davies and Chesters[4] have reviewed the state-of-the-art prehospital care services available to major trauma patients in the UK (including air ambulances) and have highlighted that the skills of the trauma team or the paramedic personnel, at the site of the accident, are the most important factor that determines the outcome of major trauma patients. They have also stressed that the trauma team should have access to local or national guidelines to take an informed decision whether or not to directly transfer the patient to the major trauma center (bypassing a nearer primary facility hospital).…”

mentioning

confidence: 99%

Major trauma

Valentino

2017

Journal of Postgraduate Medicine

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Outcomes of trauma patients: Direct transport versus transfer after stabilisation at another hospital

Cited by 14 publications

References 17 publications

Trauma-related Therapeutic Procedures at Shohada Trauma Center in Tabriz

Trauma-related Therapeutic Procedures at Shohada Trauma Center in Tabriz

Alcohol-related hospitalisations of trauma patients in Southern Taiwan: a cross-sectional study based on a trauma registry system

Major trauma

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