ArticleThe American journal of emergency medicine2013
Characteristics and outcomes of injured patients presenting by private vehicle in a state trauma system.
Article in The American journal of emergency medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Trends in Varying Modes of Hospital Arrival: What Determines the Ideal Mode of Transportation?Cureus · 2025Article
- Prehospital transportation of severe penetrating trauma victims in Sweden during the past decade: a police business?Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Traumatic Brain Injury Cases' Mortality Predictors, Association, and Outcomes in the Emergency Department at a Tertiary Healthcare Center in Saudi Arabia.Asian journal of neurosurgery · 2022Article
- Article
- Prehospital Trauma Scene and Transport Times for Pediatric and Adult Patients.The western journal of emergency medicine · 2020Article
- A National Analysis of Pediatric Trauma Care Utilization and Outcomes in the United States.Pediatric emergency care · 2019Article
- The association between hospital arrival time, transport method, prehospital time intervals, and in-hospital mortality in trauma patients presenting to Khayelitsha Hospital, Cape Town.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2018Article
- Outcomes of Emergency Medical Service Usage in Severe Road Traffic Injury during Thai Holidays.The western journal of emergency medicine · 2018Article
- The Pennsylvania Trauma Outcomes Study Risk-Adjusted Mortality Model: Results of a Statewide Benchmarking Program.The American surgeon · 2017Article
- Undertriage of Trauma-Related Deaths in U.S. Emergency Departments.The western journal of emergency medicine · 2016Article
- Effect of private versus emergency medical systems transportation in trauma patients in a mostly physician based system- a retrospective multicenter study based on the TraumaRegister DGU®.Scandinavian journal of trauma, resuscitation and emergency medicine · 2016Article
- Characteristics and Outcomes of Patients Injured in Road Traffic Crashes and Transported by Emergency Medical Services.International journal of environmental research and public health · 2016Article
- Does temporary location of ambulances ("fluid deployment") affect response times and patient outcome?International journal of emergency medicine · 2015Article
- Can Medical Decision-making at the Scene by EMS Staff Reduce the Number of Unnecessary Ambulance Transportations, but Still Be Safe?PLoS currents · 2015Article
- Severity-adjusted mortality in trauma patients transported by police.Annals of emergency medicine · 2014Article
- Association between the mode of transport and in-hospital medical complications in trauma patients: findings from a level-I trauma center in Saudi Arabia.Annals of Saudi medicineArticle
- Patient Characteristics and Temporal Trends in Police Transport of Blunt Trauma Patients: A Multicenter Retrospective Cohort Study.Prehospital emergency careArticle
- Increased mortality in adult patients with trauma transfused with blood components compared with whole blood.Journal of trauma nursing : the official journal of the Society of Trauma NursesArticle
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Authors and funding
6 authors.
Funding
Abstract
backgroundPrevious studies have demonstrated lower mortality among patients transported to single urban trauma centers by private vehicle (PV) compared with Emergency Medical Services (EMS). We sought to describe the characteristics and outcomes of injured patients transported by PV in a state trauma system compared to patients transported by EMS.
methodsWe performed a retrospective cohort study of state trauma registry data for patients admitted to all Pennsylvania trauma centers over 5 years (1/2003 to 12/2007). Our primary exposure of interest was prehospital mode of transport and our primary outcome of interest was in-hospital mortality. Unadjusted analyses were performed as were adjusted analyses controlling for injury severity. Data are presented as percents, odds ratios (ORs), and 95% confidence intervals.
resultsOf the 91132 patients analyzed, 9.6% were transported to the emergency department by PV and 90.4% by EMS. Overall Injury Severity Score (ISS) was 13.3 ± 11.0 (ISS for EMS 13.7 ± 11.3, PV 9.2 ± 7.1, P < .001), and 6.6% of patients died (EMS 7.1%, PV 1.5%, P < .001). After adjusting for injury severity, patients transported by EMS were more likely to die than PV patients (OR 1.9 [95% CI 1.5-2.4]). This effect persisted in blunt, penetrating, advanced life support, and basic life support subgroups, but not in the severely injured (ISS >15, ISS >25) subgroups.
conclusionsNearly 10% of injured patients arrive at trauma centers by private vehicle. Transport of injured patients by EMS was associated with higher mortality than PV transport. This may reflect the effects of prehospital time, prehospital interventions, or other confounders.
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