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Impact of emergency medical helicopter transport directly to a university hospital trauma center on mortality of severe blunt trauma patients until discharge
- Source :
- Critical Care, Critical Care, 2012, 16 (5), pp.R170, Critical Care, BioMed Central, 2012, 16 (5), pp.R170, Critical Care, BioMed Central, 2012, 16 (5), pp.R170. ⟨10.1186/cc11647⟩, Critical Care, BioMed Central, 2012, 16 (5), pp.R170. 〈10.1186/cc11647〉, Critical Care, 2012, 16 (5), pp.R170. ⟨10.1186/cc11647⟩
- Publication Year :
- 2012
- Publisher :
- HAL CCSD, 2012.
-
Abstract
- International audience; IntroductionThe benefits of transporting severely injured patients by helicopter remain controversial. This study aimed to analyze the impact on mortality of helicopter compared to ground transport directly from the scene to a University hospital trauma center.MethodsThe French Intensive Care Research for Severe Trauma cohort study enrolled 2,703 patients with severe blunt trauma requiring admission to University hospital intensive care units within 72 hours. Pre-hospital and hospital clinical data, including the mode of transport, (helicopter (HMICU) versus ground (GMICU), both with medical teams), were recorded. The analysis was restricted to patients admitted directly from the scene to a University hospital trauma center. The main endpoint was mortality until ICU discharge.ResultsOf the 1,958 patients analyzed, 74% were transported by GMICU, 26% by HMICU. Median injury severity score (ISS) was 26 (interquartile range (IQR) 19 to 34) for HMICU patients and 25 (IQR 18 to 34) for GMICU patients. Compared to GMICU, HMICU patients had a higher median time frame before hospital admission and were more intensively treated in the pre-hospital phase. Crude mortality until hospital discharge was the same regardless of pre-hospital mode of transport. After adjustment for initial status, the risk of death was significantly lower (odds ratio (OR): 0.68, 95% confidence interval (CI) 0.47 to 0.98, P = 0.035) for HMICU compared with GMICU. This result did not change after further adjustment for ISS and overall surgical procedures.ConclusionsThis study suggests a beneficial impact of helicopter transport on mortality in severe blunt trauma. Whether this association could be due to better management in the pre-hospital phase needs to be more thoroughly assessed.
- Subjects :
- Adult
Male
medicine.medical_specialty
[SDV.MHEP.PHY] Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO]
[SDV]Life Sciences [q-bio]
Wounds, Nonpenetrating
Critical Care and Intensive Care Medicine
Cohort Studies
Hospitals, University
pre-hospital care
03 medical and health sciences
Young Adult
0302 clinical medicine
Injury Severity Score
Trauma Centers
Interquartile range
Intensive care
[SDV.MHEP.PHY]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO]
Medicine
Humans
030212 general & internal medicine
Prospective Studies
Prospective cohort study
[ SDV ] Life Sciences [q-bio]
business.industry
[ SDV.MHEP.PHY ] Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO]
Research
Trauma center
030208 emergency & critical care medicine
Odds ratio
Air Ambulances
Middle Aged
mortality
Patient Discharge
Transportation of Patients
Blunt trauma
helicopter transport
Emergency medicine
Female
business
severe trauma patients
Cohort study
Subjects
Details
- Language :
- English
- ISSN :
- 13648535 and 1466609X
- Database :
- OpenAIRE
- Journal :
- Critical Care, Critical Care, 2012, 16 (5), pp.R170, Critical Care, BioMed Central, 2012, 16 (5), pp.R170, Critical Care, BioMed Central, 2012, 16 (5), pp.R170. ⟨10.1186/cc11647⟩, Critical Care, BioMed Central, 2012, 16 (5), pp.R170. 〈10.1186/cc11647〉, Critical Care, 2012, 16 (5), pp.R170. ⟨10.1186/cc11647⟩
- Accession number :
- edsair.doi.dedup.....278fc2beb0c876f32f762bb0bb126d51