Evidence map›Paper›PMID 34170960›Full record

Trial reportPloS one2021

Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.

Lindy M Reynolds, Vijitha De Silva, Shayna Clancy, Anjni Joiner, Catherine A Staton, Truls Østbye

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Lindy M ReynoldsDuke Global Health Institute, Duke University, Durham, NC, United States of America.ORCID 0000-0002-2478-8547
Vijitha De SilvaDuke Global Health Institute, Duke University, Durham, NC, United States of America.
Shayna ClancyDepartment of Family Medicine and Community Health, Duke University School of Medicine, Durham, NC, United States of America.
Anjni JoinerDuke Global Health Institute, Duke University, Durham, NC, United States of America.ORCID 0000-0002-8907-182X
Catherine A StatonDuke Global Health Institute, Duke University, Durham, NC, United States of America.
Truls ØstbyeDuke Global Health Institute, Duke University, Durham, NC, United States of America.
Duke University · USUniversity of Ruhuna · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInjuries account for about 13% of all registered deaths in Sri Lanka and are the leading cause of admission to public hospitals. Prehospital trauma care is new to Sri Lanka, and in 2016, a free ambulance service was launched in the Western and Southern provinces.

objectiveThe aim of this study was to identify the proportion of admitted injury patients at a tertiary hospital who used an ambulance to get to the first health facility and examine patient demographics, injury event, and injury type as predictors of ambulance transport.

methodsA cross-sectional survey was administered to 405 patients who were admitted to the emergency trauma center at Teaching Hospital Karapitiya (THK) in Galle, Sri Lanka. Descriptive statistics were tabulated to summarize prehospital transportation variables. Logistic regression models were created to examine predictors of ambulance transport, and ArcGIS Pro was used to calculate the distance between injury location and first facility and THK.

resultsThe proportion of patients with injuries who used an ambulance to get to the first health facility was 20.5%. Factors that were significantly associated with ambulance use were older age, injury mechanism, alcohol use prior to injury, location type, open wound, abrasion, and chest/abdomen injury. Distance from injury location to THK or nearest health facility were not significantly associated with ambulance transport to the first health facility.

conclusionAmong lower acuity injury patients in southern Sri Lanka, 20.5% traveled in an ambulance to the first health facility, while over half used a tuk tuk. Older age and injuries at home were associated with lower odds of ambulance transport. Future studies on predictors of ambulance transport should include patients with more severe injuries, gather detailed data on care provided while in transport and examine the association between prehospital care and clinical outcomes.

Indexed as

AmbulancesHospitalizationSurveys and QuestionnairesTertiary Care CentersTrauma CentersWounds and InjuriesAdolescentAdultAgedAged, 80 and overAge FactorsCross-Sectional StudiesFemaleHumansMaleMiddle Aged

Identifiers

PMID34170960
PMCPMC8232418
OpenAlexW3175734986

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.