ArticlePloS one2019
Direct transport vs secondary transfer to level I trauma centers in a French exclusive trauma system: Impact on mortality and determinants of triage on road-traffic victims.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Severe trauma care: advances and future directions in diagnostic and therapeutic techniques and information technology support.Medical review (2021) · 2026Article
- Impact of Admission Route on In-Hospital Mortality in Patients with Traumatic Brain Injury: A Retrospective Observational Study of a Single Major Trauma Center in South Korea.Journal of clinical medicine · 2026Article
- Impact of severe splenic trauma and its management on the occurrence of infections in intensive care unit.Trauma surgery & acute care open · 2025Article
- Trauma systems in high socioeconomic index countries in 2050.Critical care (London, England) · 2024Review
- Blood coagulation test abnormalities in trauma patients detected by sonorheometry: a retrospective cohort study.Research and practice in thrombosis and haemostasis · 2023Article
- Do direct admissions to trauma centers have a survival benefit compared to inter-hospital transfers in severe trauma?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Evaluation of the interhospital patient transfer after implementation of a regionalized trauma care system (TraumaNetzwerk DGUFrontiers in medicine · 2023Article
- Association of Early Norepinephrine Administration With 24-Hour Mortality Among Patients With Blunt Trauma and Hemorrhagic Shock.JAMA network open · 2022Observational
- Primary admission and secondary transfer of trauma patients to Dutch level I and level II trauma centers: predictors and outcomes.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Impact of platelet transfusion on outcomes in trauma patients.Critical care (London, England) · 2022Observational
- Factors Associated with 24-Hour Clinical Outcome of Emergency Patients; a Cohort Study.Archives of academic emergency medicine · 2022Article
- Identifying trauma patients with benefit from direct transportation to Level-1 trauma centers.BMC emergency medicine · 2021Observational
- Impact of the SARS-COV-2 outbreak on epidemiology and management of major traumain France: a registry-based study (the COVITRAUMA study).Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Observational
- Observational
- Epidemiology of Traumatic Spinal Cord Injury in the Netherlands: Emergency Medical Service, Hospital, and Functional Outcomes.Topics in spinal cord injury rehabilitation · 2020Article
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTransporting a severely injured patient directly to a trauma center (TC) is consensually considered optimal. Nevertheless, disagreement persists regarding the association between secondary transfer status and outcome. The aim of the study was to compare adjusted mortality between road traffic trauma patients directly or secondarily transported to a level 1 trauma center (TC) in an exclusive French trauma system with a physician staffed prehospital emergency medical system (EMS).
methodsA retrospective cohort study was performed using 2015-2017 data from a regional trauma registry (Traumabase®), an administrative database on road-traffic accidents and prehospital-EMS records. Multivariate logistic regression models were computed to determine the role of the modality of admission on mortality and to identify factors associated with secondary transfer. The primary outcome was day-30 mortality. Results: During the study period, 121.955 victims of road-traffic accident were recorded among which 4412 trauma patients were admitted in the level 1 regional TCs, 4031 directly and 381 secondarily transferred from lower levels facilities. No significant association between all-cause 30-day mortality and the type of transport was observed (Odds ratio 0.80, 95% confidence interval (CI) [0.3-1.9]) when adjusted for potential confounders. Patients secondarily transferred were older, with low-energy mechanism and presented higher head and abdominal injury scores. Among all 947 death, 43 (4.5%) occurred in lower-level facilities. The population-based undertriage leading to death was 0.15%, 95%CI [0.12-0.19].
conclusionIn an exclusive trauma system with physician staffed prehospital care, road-traffic victims secondarily transferred to a TC do not have an increased mortality when compared to directly transported patients.
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