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J Trauma. 1993 Feb;34(2):252-61.

Impact of on-site care, prehospital time, and level of in-hospital care on survival in severely injured patients.

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1
Department of Surgery, McGill University, Montreal, Quebec, Canada.

Abstract

A sample of 360 severely injured patients was selected from a cohort of 8007 trauma victims followed prospectively from the time of injury to death or discharge. A case referent study was used to test the association between on-site care, total prehospital time, and level of care at the receiving hospital with short-term survival. Multiple logistic regression analyses showed that use of Advanced Life Support (ALS) at the scene was not associated with survival, whereas treatment at a level I compatible hospital was associated with a 38% reduction in the odds of dying, which approached statistical significance. Total prehospital time over 60 minutes was associated with a statistically significant adjusted relative odds of dying (OR = 3.0). The results of this study support the need for regionalization of trauma care and fail to show a benefit associated with ALS.

PMID:
8459466
[Indexed for MEDLINE]
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