@article{ref1,
title="The effect of transport mode on mortality following isolated penetrating torso trauma",
journal="American journal of surgery",
year="2023",
author="Charles, Anthony and Gallaher, Jared and Schneider, Andrew and Atkins, Kathryn",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Prehospital interventions may increase the time to definitive care. Compared to ground ambulance, we hypothesize improved mortality for patients with isolated, penetrating torso injuries transported via private vehicle. <br><br>METHODS: We reviewed the National Trauma Data Bank (2017-2021) for adults with isolated, penetrating torso injuries stratified by mechanism (stabbing vs. firearm) and transport mode (private vehicle vs. ground ambulance). We performed a multivariable logistic regression to estimate the effect of transport mode on mortality. <br><br>RESULTS: 48,444 patients met our inclusion criteria. Patients transported by ambulance, injured by stabbing (n = 26,633) and by firearm (n = 21,811) had adjusted odds ratios of 1.81 (95%CI 1.05-3.14, p = 0.03) and 1.66 (95%CI 1.32-2.09,p < 0.001) respectively for mortality compared to private vehicle transport. <br><br>CONCLUSION: Patients with penetrating torso injuries have nearly twice the odds of mortality when transported by ground ambulance than private vehicles, despite injury severity. The &quot;scoop and run&quot; strategy may confer a survival benefit in this population.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2023.06.033",
url="http://dx.doi.org/10.1016/j.amjsurg.2023.06.033"
}