Direct Trauma Center Access by Helicopter Emergency Medical Services is Associated With Improved Survival After Severe Injury
Main finding · SurvivalResult — go to the resultAOR for survival 2.78 95% CI 2.24–3.44Authors' conclusion
Direct trauma center access is a mechanism driving the survival benefit of helicopter transport.
Study context
- Population
- Scene patients ≥16 years with positive physiological or anatomic triage criteria, PTOS 2000–2017
- Participants
- 36,830 patients
- Exposure
- Direct helicopter vs non-trauma center (NTC) ground transport
- Outcome
- Survival
Methodological detailspropensity-score matched, registry (PTOS 2000-2017)
- Propensity-score matched
- Registry (PTOS 2000-2017)
Main finding
As reported in the abstract
AOR for survival
2.78
95% CI 2.24–3.44
P < 0.01
Direct helicopter vs NTC ground + transfer
aOR for survival 2.78 (95% CI 2.24–3.44); P < 0.01
Observational data: associations, not effects.
Further findings
| Outcome | aOR for survival (CI) | P value | |
|---|---|---|---|
| Survival by triage criterion (subgroup)Direct helicopter vs NTC ground + transfer · GCS≤13 | 1.71 (1.22–2.41) | P < 0.01 | |
| Survival by triage criterion (subgroup)Direct helicopter vs NTC ground + transfer · hypotension | 2.56 (1.39–4.71) | P < 0.01 | |
| Survival by triage criterion (subgroup)Direct helicopter vs NTC ground + transfer · abnormal respiratory rate | 2.30 (1.36–3.89) | P < 0.01 | |
| Survival by triage criterion (subgroup)Direct helicopter vs NTC ground + transfer · paralysis | 8.01 (2.03–31.69) | P < 0.01 | |
| Survival by triage criterion (subgroup)Direct helicopter vs NTC ground + transfer · hemothorax/pneumothorax | 2.34 (1.36–4.05) | P < 0.01 | |
| Survival by triage criterion (subgroup)Direct helicopter vs NTC ground + transfer · multisystem trauma | 2.29 (1.08–4.84) | P = 0.03 | |
| 0.050.21520AOR for survival (log scale) |
Original publication
Direct Trauma Center Access by Helicopter Emergency Medical Services is Associated With Improved Survival After Severe Injury. Ann Surg. Published 3 February 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →