ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2018
The association between hospital arrival time, transport method, prehospital time intervals, and in-hospital mortality in trauma patients presenting to Khayelitsha Hospital, Cape Town.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Explosive Weapons Trauma Care Collective (EXTRACCT) Clinical Practice Guideline: Transfer of Critically Injured Casualties.World journal of surgery · 2026Guideline
- Mobile triage units for abdominal trauma in sub-Saharan Africa: current evidence, implementation barriers, and strategies for scale-up.Annals of medicine and surgery (2012) · 2026Review
- Asymptomatic penetrating neck injuries: Course and outcome following CT angiography and oesophagography.SA journal of radiology · 2026Article
- Bystander interventions and their impact on road injury outcomes: a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Review
- The Suitability of the South African Triage Scale (SATS) in Triaging Patients With Penetrating Neck Injuries at a High-Level Trauma Center, in the Western Cape, South Africa.World journal of surgery · 2025Observational
- Tri-modal Distribution of Trauma Deaths in a Resource-Limited Setting: Perception Versus Reality.World journal of surgery · 2023Article
- Relationship Between Prehospital Time and 24-h Mortality in Road Traffic-Injured Patients in Laos.World journal of surgery · 2022Observational
- Patterns and Predictors of Timely Presentation and Outcomes of Polytrauma Patients Referred to the Emergency Department of a Tertiary Hospital in Tanzania.Emergency medicine international · 2022Article
- Trauma patients at the Helderberg District Hospital emergency centre, South Africa: A descriptive study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Epidemiology of prehospital trauma deaths in Malawi: A retrospective cohort study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Police Transportation Following Vehicular Trauma and Risk of Mortality in a Resource-Limited Setting.World journal of surgery · 2021Article
- The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Association between traumatic brain injury (TBI) patterns and mortality: a retrospective case-control study.F1000Research · 2021Article
- A scoping review of worldwide studies evaluating the effects of prehospital time on trauma outcomes.International journal of emergency medicine · 2020Article
- Health system factors associated with post-trauma mortality at the prehospital care level in Africa: a scoping review.Trauma surgery & acute care open · 2020Article
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5 authors.
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Abstract
introductionTrauma is a leading cause of unnatural death and disability in South Africa. The aim of the study was to determine whether method of transport, hospital arrival time or prehospital transport time intervals were associated with in-hospital mortality among trauma patients presenting to Khayelitsha Hospital, a district-level hospital on the outskirts of Cape Town, South Africa.
methodsThe Khayelitsha Hospital Emergency Centre database was retrospectively analysed for trauma-related patients presenting to the resuscitation area between 1 November 2014 and 30 April 2015. Missing data and additional variables were collected by means of a chart review. Eligible patients' folders were scrutinised for hospital arrival time, transport time intervals, transport method and in-hospital mortality. Descriptive statistics were presented for all variables. Categorical data were analysed using the Fisher's Exact test and Chi-square, continuous data by logistic regression and the Mann Whitney test. A confidence interval of 95% was used to describe variance and a p-value of <0.05 was deemed significant.
resultsThe majority of patients were 19-44 year old males (n = 427, 80.3%) and penetrating trauma the most frequent mechanism of injury (n = 343, 64.5%). In total, 258 (48.5%) patients arrived with their own transport, 254 (47.7%) by ambulance and 20 (3.8%) by the police service. The arrival of trauma patients peaked during the weekend, and was especially noticeable between midnight and six a.m. In-hospital mortality (n = 18, 3.4%) was not significantly affected by transport method (p = 0.26), hospital arrival time (p = 0.22) or prehospital transport time intervals (all p-values >0.09). DISCUSSION: Method of transport, hospital arrival time and prehospital transport time intervals did not have a substantially measurable effect on in-hospital mortality. More studies with larger samples are suggested due to the small event rate.
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