ArticleAnnals of surgery2016
Development and Validation of the Air Medical Prehospital Triage Score for Helicopter Transport of Trauma Patients.
Article in Annals of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 54 citations in OpenAlex.
- Assessment of clinical and logistical contribution in a Norwegian helicopter emergency medical service using integrated data: a retrospective observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
- Establishing a Consensus-Based Definition of Air Medical Transport Need for Rural Patients After Injury: Results from a Delphi Survey.Prehospital emergency care · 2026Article
- How many minutes matter: Association between time saved with air medical transport and survival in trauma patients.The journal of trauma and acute care surgery · 2025Article
- Investigating the barriers to air medical services in accidents and disasters in Iran and suggesting solutions: a qualitative study.BMC research notes · 2024Article
- Assessing and Addressing Model Trustworthiness Trade-offs in Trauma Triage.International journal of artificial intelligence tools : architectures, languages, algorithms · 2024Article
- Advanced interventions in the pre-hospital resuscitation of patients with non-compressible haemorrhage after penetrating injuries.Critical care (London, England) · 2022Review
- Locating trauma centers considering patient safety.Health care management science · 2022Article
- Comparative Study on the Outcome of Stroke Patients Transferred by Doctor Helicopters and Ground Ambulances in South Korea: A Retrospective Controlled Study.Emergency medicine international · 2020Article
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- External validation of the Air Medical Prehospital Triage score for identifying trauma patients likely to benefit from scene helicopter transport.The journal of trauma and acute care surgery · 2017Article
- Helicopters and injured kids: Improved survival with scene air medical transport in the pediatric trauma population.The journal of trauma and acute care surgery · 2016Article
- Characteristics of scene trauma patients discharged within 24-hours of air medical transport.International journal of critical illness and injury scienceArticle
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThe aim of this study was to develop and internally validate a triage score that can identify trauma patients at the scene who would potentially benefit from helicopter emergency medical services (HEMS). SUMMARY BACKGROUND DATA: Although survival benefits have been shown at the population level, identification of patients most likely to benefit from HEMS transport is imperative to justify the risks and cost of this intervention.
methodsRetrospective cohort study of subjects undergoing scene HEMS or ground emergency medical services (GEMS) in the National Trauma Databank (2007-2012). Data were split into training and validation sets. Subjects were grouped by triage criteria in the training set and regression used to determine which criteria had a survival benefit associated with HEMS. Points were assigned to these criteria to develop the Air Medical Prehospital Triage (AMPT) score. The score was applied in the validation set to determine whether subjects triaged to HEMS had a survival benefit when actually transported by helicopter.
resultsThere were 2,086,137 subjects included. Criteria identified for inclusion in the AMPT score included GCS <14, respiratory rate <10 or >29, flail chest, hemo/pneumothorax, paralysis, and multisystem trauma. The optimal cutoff for triage to HEMS was ≥2 points. In subjects triaged to HEMS, actual transport by HEMS was associated with an increased odds of survival (AOR 1.28; 95% confidence interval [CI] 1.21-1.36, P < 0.01). In subjects triaged to GEMS, actual transport mode was not associated with survival (AOR 1.04; 95% CI 0.97-1.11, P = 0.20).
conclusionsThe AMPT score identifies patients with improved survival following HEMS transport and should be considered in air medical triage protocols.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.