ArticleCritical care (London, England)2012
Impact of emergency medical helicopter transport directly to a university hospital trauma center on mortality of severe blunt trauma patients until discharge.
Article in Critical care (London, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Helicopter emergency medical services for adults with major trauma.The Cochrane database of systematic reviews · 2015Pooled it
- Pre-hospital blood product transfusion and calcium management in the United Kingdom: a multicentre service evaluation.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Outcome of non-traumatic coma in a tertiary referral hospital in Cameroon.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- What clinical crew competencies and qualifications are required for helicopter emergency medical services? A review of the literature.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Review
- Streamlining pre- and intra-hospital care for patients with severe trauma: a white paper from the European Critical Care Foundation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Review
- A novel method of non-clinical dispatch is associated with a higher rate of critical Helicopter Emergency Medical Service intervention.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Observational
- Impact of prehospital medical evacuation (MEDEVAC) transport time on combat mortality in patients with non-compressible torso injury and traumatic amputations: a retrospective study.Military Medical Research · 2018Article
- Clinical predictors of outcomes in patients undergoing emergency air medical transport from Kinmen to Taiwan.Medicine · 2017Article
- Short-term outcome and differences between rural and urban trauma patients treated by mobile intensive care units in Northern Finland: a retrospective analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2015Observational
- [Interdisciplinary management of trauma patients : Update 3 years after implementation of the S3 guidelines on treatment of patients with severe and multiple injuries].Der Anaesthesist · 2014Review
- Year in review 2012: Critical Care--Out-of-hospital cardiac arrest and trauma.Critical care (London, England) · 2013Article
- Determinants of helicopter benefit for the transport of severe trauma patients.Critical care (London, England) · 2013Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe benefits of transporting severely injured patients by helicopter remain controversial. This study aimed to analyze the impact on mortality of helicopter compared to ground transport directly from the scene to a University hospital trauma center.
methodsThe French Intensive Care Research for Severe Trauma cohort study enrolled 2,703 patients with severe blunt trauma requiring admission to University hospital intensive care units within 72 hours. Pre-hospital and hospital clinical data, including the mode of transport, (helicopter (HMICU) versus ground (GMICU), both with medical teams), were recorded. The analysis was restricted to patients admitted directly from the scene to a University hospital trauma center. The main endpoint was mortality until ICU discharge.
resultsOf the 1,958 patients analyzed, 74% were transported by GMICU, 26% by HMICU. Median injury severity score (ISS) was 26 (interquartile range (IQR) 19 to 34) for HMICU patients and 25 (IQR 18 to 34) for GMICU patients. Compared to GMICU, HMICU patients had a higher median time frame before hospital admission and were more intensively treated in the pre-hospital phase. Crude mortality until hospital discharge was the same regardless of pre-hospital mode of transport. After adjustment for initial status, the risk of death was significantly lower (odds ratio (OR): 0.68, 95% confidence interval (CI) 0.47 to 0.98, P = 0.035) for HMICU compared with GMICU. This result did not change after further adjustment for ISS and overall surgical procedures.
conclusionsThis study suggests a beneficial impact of helicopter transport on mortality in severe blunt trauma. Whether this association could be due to better management in the pre-hospital phase needs to be more thoroughly assessed.
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