@article{ref1,
title="Injury mortality following the loss of air medical support for rural interhospital transport",
journal="Academic emergency medicine",
year="2002",
author="Mann, N. Clay and Pinkney, Kerrie A. and Price, Daniel D. and Rowland, Donna J. and Arthur, Melanie and Hedges, Jerris R. and Mullins, Richard J.",
volume="9",
number="7",
pages="694-698",
abstract="OBJECTIVES: This study evaluated variation in mortality among interfacility transfers three years before and after discontinuation of a rotor-wing transport service. METHODS: A retrospective cohort assessment was conducted among severely injured patients transferred from four rural hospitals to a single tertiary center in regions with continued versus discontinued rotor-wing service. Thirty-day mortality following discharge from the receiving tertiary facility served as the primary outcome measure. RESULTS: Discontinuation of rotor-wing transport decreased interfacility transfers and increased transfer time. Transferred patients were four times more likely to die after (compared with before) rotor-wing service was discontinued (p = 0.05). No difference was noted in the region with continued rotor-wing service [odds ratio (OR) = 0.53, p = 0.47]. CONCLUSIONS: Injury mortality increased with loss of air transport for interfacility transfer in a rural area.<p /><p>Language: en</p>",
language="en",
issn="1069-6563",
doi="",
url="http://dx.doi.org/"
}