ArticleAnaesthesia2021
Impact of a physician - critical care practitioner pre-hospital service in Wales on trauma survival: a retrospective analysis of linked registry data.
Article in Anaesthesia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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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, 1 synthesis or guideline pooled it.
- Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically Ill and injured patients: a systematic review and meta-analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Pooled it
- Physician-staffed prehospital units for severely injured patients in the Stockholm trauma system - is there a survival benefit?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Helicopter Emergency Medical Services attendance is associated with favourable survival outcomes in major trauma: derivation and internal validation of prediction models in a regional trauma system.Emergency medicine journal : EMJ · 2026Observational
- Regional retrospective observational analysis of the impact of enhanced care teams on trauma morbidity and mortality outcomes.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- Prehospital critical care dispatch: a scoping review (PHASE).Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Article
- Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically ill and injured patients: the 'science' explained.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Potential for advances in data linkage and data science to support injury prevention research.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2024Article
- Patient Outcomes in Helicopter Emergency Medical Service Documentaries and on Air Ambulance Websites.Cureus · 2024Article
- The association between geospatial and temporal factors and pre-hospital response to major trauma: a retrospective cohort study in the North of England.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Overcoming distance: an exploration of current practices of government and charity-funded critical care transport and retrieval organizations.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Review
- Pre-hospital and retrieval medicine in Scotland: a retrospective cohort study of the workload and outcomes of the emergency medical retrieval service in the first decade of national coverage.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Article
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7 authors.
Funding
Abstract
The Emergency Medical Retrieval and Transfer Service for Wales launched in 2015. This service delivers senior pre-hospital doctors and advanced critical care practitioners to the scene of time-critical life- and limb-threatening incidents to provide advanced decision-making and pre-hospital clinical care. The impact of the service on 30-day mortality was evaluated retrospectively using a data linkage system. The study included patients who sustained moderate-to-severe blunt traumatic injuries (injury severity score ≥ 9) between 27 April 2015 and 30 November 2018. The association between pre-hospital management by the Emergency Medical Retrieval and Transfer Service and 30-day mortality was assessed using multivariable logistic regression. In total, data from 4035 patients were analysed, of which 412 (10%) were treated by the Emergency Medical Retrieval and Transfer Service. A greater proportion of patients treated by the Emergency Medical Retrieval and Transfer Service had an injury severity score ≥ 16 and Glasgow coma scale ≤ 12 (288 (70%) vs. 1435 (40%) and 126 (31%) vs. 325 (9%), respectively). The unadjusted 30-day mortality rate was 11.7% for patients managed by the Emergency Medical Retrieval and Transfer Service compared with 9.6% for patients managed by standard pre-hospital care services. However, after adjustment for differences in case-mix, the 30-day mortality rate for patients treated by the Emergency Medical Retrieval and Transfer Service was 37% lower (adjusted odds ratio 0.63 (95%CI 0.41-0.97); p = 0.037). The introduction of an emergency medical retrieval service was associated with a reduction in 30-day mortality for patients with blunt traumatic injury.
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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.