ArticleInternational journal of environmental research and public health2016
Characteristics and Outcomes of Patients Injured in Road Traffic Crashes and Transported by Emergency Medical Services.
Article in International journal of environmental research and public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 17 citations in OpenAlex.
- An Exploratory Study on Injury Patterns and Clinical Characteristics of Sports-Related Oral and Maxillofacial Trauma: A Single-Center Retrospective Study.Craniomaxillofacial trauma & reconstruction · 2026Article
- Effectiveness of road safety interventions: An evidence and gap map.Campbell systematic reviews · 2024Article
- A Retrospective Cohort Study on the Clinical Characteristics of Patients with Surgical Blunt Bowel and/or Mesenteric Injuries among Motorcyclists and Car Occupants.Healthcare (Basel, Switzerland) · 2022Article
- Prediction of mortality in severely injured patients with facial bone fractures.Oral and maxillofacial surgery · 2022Article
- Comparing Outcomes between Major Trauma Patients Transferred from a Different Hospital and Patients Transported Directly to Trauma Centers: A Retrospective Analysis with Propensity Score Matching Analysis.Emergency medicine international · 2022Article
- Survival Rates and Factors Related to the Survival of Traffic Accident Patients Transported by Emergency Medical Services.Open access emergency medicine : OAEM · 2021Article
- Helicopter Emergency Medical Service (HEMS) Response in Rural Areas in Poland: Retrospective Study.International journal of environmental research and public health · 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
- Effect of Hypothermia in the Emergency Department on the Outcome of Trauma Patients: A Cross-Sectional Analysis.International journal of environmental research and public health · 2018Article
- Outcomes of Emergency Medical Service Usage in Severe Road Traffic Injury during Thai Holidays.The western journal of emergency medicine · 2018Article
- Effect of Age on Glasgow Coma Scale in Patients with Moderate and Severe Traumatic Brain Injury: An Approach with Propensity Score-Matched Population.International journal of environmental research and public health · 2017Article
- Post-traumatic acute kidney injury: a cross-sectional study of trauma patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2016Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
To investigate the injury characteristics and mortality of patients transported by emergency medical services (EMS) and hospitalized for trauma following a road traffic crash, data obtained from the Trauma Registry System were retrospectively reviewed for trauma admissions between 1 January 2009 and 31 December 2013 in a Level I trauma center. Of 16,548 registered patients, 3978 and 1440 patients injured in road traffic crashes were transported to the emergency department by EMS and non-EMS, respectively. Patients transported by EMS had lower Glasgow coma scale (GCS) scores and worse hemodynamic measures. Compared to patients transported by non-EMS, more patients transported by EMS required procedures (intubation, chest tube insertion, and blood transfusion) at the emergency department. They also sustained a higher injury severity, as measured by the injury severity score (ISS) and the new injury severity score (NISS). Lastly, in-hospital mortality was higher among the EMS than the non-EMS group (1.8% vs. 0.3%, respectively; p < 0.001). However, we found no statistically significant difference in the adjusted odds ratio (AOR) for mortality among patients transported by EMS after adjustment for ISS (AOR 4.9, 95% CI 0.33-2.26), indicating that the higher incidence of mortality was likely attributed to the patients' higher injury severity. In addition, after propensity score matching, logistic regression of 58 well-matched pairs did not show a significant influence of transportation by EMS on mortality (OR: 0.578, 95% CI: 0.132-2.541 p = 0.468).
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