Prehospital time and mortality in polytrauma patients: a retrospective
analysis
Dublin Core
Title
Prehospital time and mortality in polytrauma patients: a retrospective
analysis
analysis
Subject
Prehospital time, Polytrauma patients, Mortality
Description
Background: The time from injury to treatment is considered as one of the major determinants for patient
outcome after trauma. Previous studies already attempted to investigate the correlation between prehospital time
and trauma patient outcome. However, the outcome for severely injured patients is not clear yet, as little data is
available from prehospital systems with both Emergency Medical Services (EMS) and physician staffed Helicopter
Emergency Medical Services (HEMS). Therefore, the aim was to investigate the association between prehospital time
and mortality in polytrauma patients in a Dutch level I trauma center.
Methods: A retrospective study was performed using data derived from the Dutch trauma registry of the National
Network for Acute Care from Amsterdam UMC location VUmc over a 2-year period. Severely injured polytrauma
patients (Injury Severity Score (ISS) ≥ 16), who were treated on-scene by EMS or both EMS and HEMS and
transported to our level I trauma center, were included. Patient characteristics, prehospital time, comorbidity,
mechanism of injury, type of injury, HEMS assistance, prehospital Glasgow Coma Score and ISS were analyzed using
logistic regression analysis. The outcome measure was in-hospital mortality.
Results: In total, 342 polytrauma patients were included in the analysis. The total mortality rate was 25.7% (n = 88).
Similar mean prehospital times were found between the surviving and non-surviving patient groups, 45.3 min (SD
14.4) and 44.9 min (SD 13.2) respectively (p = 0.819). The confounder-adjusted analysis revealed no significant
association between prehospital time and mortality (p = 0.156).
Conclusion: This analysis found no association between prehospital time and mortality in polytrauma patients.
Future research is recommended to explore factors of influence on prehospital time and mortality.
outcome after trauma. Previous studies already attempted to investigate the correlation between prehospital time
and trauma patient outcome. However, the outcome for severely injured patients is not clear yet, as little data is
available from prehospital systems with both Emergency Medical Services (EMS) and physician staffed Helicopter
Emergency Medical Services (HEMS). Therefore, the aim was to investigate the association between prehospital time
and mortality in polytrauma patients in a Dutch level I trauma center.
Methods: A retrospective study was performed using data derived from the Dutch trauma registry of the National
Network for Acute Care from Amsterdam UMC location VUmc over a 2-year period. Severely injured polytrauma
patients (Injury Severity Score (ISS) ≥ 16), who were treated on-scene by EMS or both EMS and HEMS and
transported to our level I trauma center, were included. Patient characteristics, prehospital time, comorbidity,
mechanism of injury, type of injury, HEMS assistance, prehospital Glasgow Coma Score and ISS were analyzed using
logistic regression analysis. The outcome measure was in-hospital mortality.
Results: In total, 342 polytrauma patients were included in the analysis. The total mortality rate was 25.7% (n = 88).
Similar mean prehospital times were found between the surviving and non-surviving patient groups, 45.3 min (SD
14.4) and 44.9 min (SD 13.2) respectively (p = 0.819). The confounder-adjusted analysis revealed no significant
association between prehospital time and mortality (p = 0.156).
Conclusion: This analysis found no association between prehospital time and mortality in polytrauma patients.
Future research is recommended to explore factors of influence on prehospital time and mortality.
Creator
E. Berkeveld, Z. Popal, P. Schober, W. P. Zuidema, F. W. Bloemers and G. F. Giannakopoulos
Publisher
BMC Emergency Medicine
Date
(2021) 21:78
Contributor
Fajar bagus W
Format
PDF
Language
Indonesia
Type
Text
Files
Collection
Citation
E. Berkeveld, Z. Popal, P. Schober, W. P. Zuidema, F. W. Bloemers and G. F. Giannakopoulos, “Prehospital time and mortality in polytrauma patients: a retrospective
analysis,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/3865.
analysis,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/3865.