ArticleAnnals of emergency medicine2014
Severity-adjusted mortality in trauma patients transported by police.
Article in Annals of emergency medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Guidelines for Enhanced Recovery After Trauma and Intensive Care (ERATIC): Enhanced Recovery After Surgery (ERAS) and International Association for Trauma Surgery and Intensive Care (IATSIC) Society Recommendations: Part 3: Trauma Ethics and Systems Aspects.World journal of surgery · 2025Guideline
- Profiling and outcomes of medically indigent patients in Southwest China: a single-center retrospective case series survey study.International journal for equity in health · 2026Article
- Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest.JAMA surgery · 2025Article
- Unveiling the Unseen: Documenting and Analyzing Nonfatal Shootings by Police.American journal of public health · 2024Article
- The effect of transport mode on mortality following isolated penetrating torso Trauma.American journal of surgery · 2023Review
- 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
- How do current police practices impact trauma care in the prehospital setting? A scoping review.Journal of the American College of Emergency Physicians open · 2023Article
- Post-Crash First Response by Traffic Police in Nepal: A Feasibility Study.International journal of environmental research and public health · 2022Article
- Article
- Association of Police Transport With Survival Among Patients With Penetrating Trauma in Philadelphia, Pennsylvania.JAMA network open · 2021Article
- Factors associated with police shooting mortality: A focus on race and a plea for more comprehensive data.PloS one · 2021Article
- Article
- Beyond survival: the broader consequences of prehospital transport by police for penetrating trauma.Trauma surgery & acute care open · 2020Article
- Novel policing techniques decrease gun-violence and the cost to the healthcare system.Preventive medicine reports · 2019Article
- Traffic police officers' experience of post-crash care to road traffic injury victims: a qualitative study in Tanzania".BMC emergency medicine · 2019Article
- Provision of post-crash first aid by traffic police in Dar es Salaam, Tanzania: a cross-sectional survey.BMC emergency medicine · 2018Article
- 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
- A safe haven for the injured? Urban trauma care at the intersection of healthcare, law enforcement, and race.Social science & medicine (1982) · 2018Article
- Article
- The Pennsylvania Trauma Outcomes Study Risk-Adjusted Mortality Model: Results of a Statewide Benchmarking Program.The American surgeon · 2017Article
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6 authors.
Funding
Abstract
STUDY
objectiveTwo decades ago, Philadelphia began allowing police transport of patients with penetrating trauma. We conduct a large, multiyear, citywide analysis of this policy. We examine the association between mode of out-of-hospital transport (police department versus emergency medical services [EMS]) and mortality among patients with penetrating trauma in Philadelphia.
methodsThis is a retrospective cohort study of trauma registry data. Patients who sustained any proximal penetrating trauma and presented to any Level I or II trauma center in Philadelphia between January 1, 2003, and December 31, 2007, were included. Analyses were conducted with logistic regression models and were adjusted for injury severity with the Trauma and Injury Severity Score and for case mix with a modified Charlson index.
resultsFour thousand one hundred twenty-two subjects were identified. Overall mortality was 27.4%. In unadjusted analyses, patients transported by police were more likely to die than patients transported by ambulance (29.8% versus 26.5%; OR 1.18; 95% confidence interval [CI] 1.00 to 1.39). In adjusted models, no significant difference was observed in overall mortality between the police department and EMS groups (odds ratio [OR] 0.78; 95% CI 0.61 to 1.01). In subgroup analysis, patients with severe injury (Injury Severity Score >15) (OR 0.73; 95% CI 0.59 to 0.90), patients with gunshot wounds (OR 0.70; 95% CI 0.53 to 0.94), and patients with stab wounds (OR 0.19; 95% CI 0.08 to 0.45) were more likely to survive if transported by police.
conclusionWe found no significant overall difference in adjusted mortality between patients transported by the police department compared with EMS but found increased adjusted survival among 3 key subgroups of patients transported by police. This practice may augment traditional care.
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