TY  - JOUR
PY  - 2020//
TI  - Prognostic factors in trauma patients transported by physician-staffed helicopter in Japan: an investigation based on the Japan Trauma Data Bank
JO  - Air Medical Journal
A1  - Yanagawa, Youichi
A1  - Omori, Kazuhiko
A1  - Muramatsu, Ken-Ichi
A1  - Kushida, Yoshihiro
A1  - Ikegami, Saya
A1  - Nagasawa, Hiroki
A1  - Nishio, Ryota
A1  - Takeuchi, Ikuto
A1  - Jitsuiki, Kei
A1  - Ohsaka, Hiromichi
A1  - Oode, Yasumasa
SP  - 494
EP  - 497
VL  - 39
IS  - 6
N2  - OBJECTIVE: We retrospectively investigated prognostic factors for patients evacuated by the physician-staffed helicopter emergency medical service using the Japan Trauma Data Bank.     METHODS: The study period was from January 2004 to May 2019. The subjects were divided into 2 groups according to the outcome: the survival group and the fatal group.     RESULTS: A total of 19,370 patients were enrolled as subjects. There were 17,080 patients in the survival group and 2,290 in the fatal group. In a multivariate analysis of factors that showed statistical significance in a univariate analysis, the Revised Trauma Score, age, Injury Severity Score, Maximum Abbreviated Injury Scale (MAX-AIS) for the upper extremity (negative), year of helicopter dispatch, Japan Coma Scale, MAX-AIS for the head, MAX-AIS for the abdomen/pelvis, and MAX-AIS for the spine were identified as significant predictors of a fatal outcome.     CONCLUSION: This is the first report to investigate the prognostic factors of patients evacuated by helicopter emergency medical service using the Japan Trauma Data Bank. The results suggest that physiological abnormality, age, traumatic anatomic abnormality (other than upper extremity abnormality), and year of helicopter dispatch may be prognostic factors.<p />  <p>Language: en</p>
LA  - en
SN  - 1067-991X
UR  - http://dx.doi.org/10.1016/j.amj.2020.07.011
ID  - ref1
ER  -