ArticleThe American journal of emergency medicine2021
Examining emergency medical services' prehospital transport times for trauma patients during COVID-19.
Article in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Impact of COVID-19 pandemic on trauma mortality patients: A retrospective observational study in an Iranian level 1 trauma center.Health science reports · 2024Article
- Clinical Research in Prehospital Care: Current and Future Challenges.Clinics and practice · 2023Review
- Time indices of pre-hospital EMS missions before and during the COVID-19 pandemic: a cross-sectional study in Iran.BMC emergency medicine · 2023Article
- Lasting Effects of COVID-19 Pandemic on Prehospital Emergency Medical Service Missions.Open access emergency medicine : OAEM · 2023Article
- Impact of the First and Second Wave of the SARS-CoV-2 Pandemic on Severe Trauma and the Care Structures in the German TraumaNetzwerk DGUJournal of clinical medicine · 2022Article
- Impact of the SARS-CoV-2 pandemic on trauma care: a nationwide observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- Effect of Designating Emergency Medical Centers for Critical Care on Emergency Medical Service Systems during the COVID-19 Pandemic: A Retrospective Observational Study.Journal of clinical medicine · 2022Article
- The Impact of the Coronavirus Disease 2019 (Covid-19) Pandemic on the Use of Emergency Medical Services System in Bangkok, Thailand.Open access emergency medicine : OAEM · 2022Article
- Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review.Open access emergency medicine : OAEM · 2022Review
- Impact of coronavirus disease 2019 on the mortality of patients who received emergency transportation: a population-based cross-sectional study.Acute medicine & surgeryArticle
- Influence of coronavirus disease 2019 case surges on prehospital emergency medical service for patients with trauma in Kobe, Japan.Acute medicine & surgeryArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLonger prehospital times were associated with increased odds for survival in trauma patients. The purpose of this study was to determine how the COVID-19 pandemic affected emergency medical services (EMS) prehospital times for trauma patients.
methodsThis retrospective cohort study compared trauma patients transported via EMS to six US level I trauma centers admitted 1/1/19-12/31/19 (2019) and 3/16/20-6/30/20 (COVID-19). Outcomes included: total EMS pre-hospital time (dispatch to hospital arrival), injury to dispatch time, response time (dispatch to scene arrival), on-scene time (scene arrival to scene departure), and transportation time (scene departure to hospital arrival). Fisher's exact, chi-squared, or Kruskal-Wallis tests were used, alpha = 0.05. All times are presented as median (IQR) minutes.
resultsThere were 9400 trauma patients transported by EMS: 79% in 2019 and 21% during the COVID-19 pandemic. Patients were similar in demographics and transportation mode. Emergency room deaths were also similar between 2019 and COVID-19 [0.6% vs. 0.9%, p = 0.13].There were no differences between 2019 and during COVID-19 for total EMS prehospital time [44 (33, 63) vs. 43 (33, 62), p = 0.12], time from injury to dispatch [16 (6, 55) vs. 16 (7, 77), p = 0.41], response time [7 (5, 12) for both groups, p = 0.27], or on-scene time [16 (12-22) vs. 17 (12,22), p = 0.31]. Compared to 2019, transportation time was significantly shorter during COVID-19 [18 (13, 28) vs. 17 (12, 26), p = 0.01].
conclusionThe median transportation time for trauma patients was marginally significantly shorter during COVID-19; otherwise, EMS prehospital times were not significantly affected by the COVID-19 pandemic.
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