@article{ref1,
title="Characteristics and outcomes of patients injured in road traffic crashes and transported by emergency medical services",
journal="International journal of environmental research and public health",
year="2016",
author="Huang, Chun-Ying and Rau, Cheng-Shyuan and Chuang, Jung-Fang and Kuo, Pao-Jen and Hsu, Shiun-Yuan and Chen, Yi-Chun and Hsieh, Hsiao-Yun and Hsieh, Ching-Hua",
volume="13",
number="2",
pages="e13020236-e13020236",
abstract="To investigate the injury characteristics and mortality of patients transported by emergency medical services (EMS) and hospitalized for trauma following a road traffic crash, data obtained from the Trauma Registry System were retrospectively reviewed for trauma admissions between 1 January 2009 and 31 December 2013 in a Level I trauma center. Of 16,548 registered patients, 3978 and 1440 patients injured in road traffic crashes were transported to the emergency department by EMS and non-EMS, respectively. Patients transported by EMS had lower Glasgow coma scale (GCS) scores and worse hemodynamic measures. Compared to patients transported by non-EMS, more patients transported by EMS required procedures (intubation, chest tube insertion, and blood transfusion) at the emergency department. They also sustained a higher injury severity, as measured by the injury severity score (ISS) and the new injury severity score (NISS). Lastly, in-hospital mortality was higher among the EMS than the non-EMS group (1.8% vs. 0.3%, respectively; p < 0.001). However, we found no statistically significant difference in the adjusted odds ratio (AOR) for mortality among patients transported by EMS after adjustment for ISS (AOR 4.9, 95% CI 0.33-2.26), indicating that the higher incidence of mortality was likely attributed to the patients' higher injury severity. In addition, after propensity score matching, logistic regression of 58 well-matched pairs did not show a significant influence of transportation by EMS on mortality (OR: 0.578, 95% CI: 0.132-2.541 p = 0.468).<p /> <p>Language: en</p>",
language="en",
issn="1661-7827",
doi="10.3390/ijerph13020236",
url="http://dx.doi.org/10.3390/ijerph13020236"
}