ArticleBMC emergency medicine2021
Prehospital time and mortality in polytrauma patients: a retrospective analysis.
Article in BMC emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Article
- Association between total prehospital time and early mortality in patients with severe torso trauma: a retrospective study at an urban Emergency and Critical Care Center.International journal of emergency medicine · 2026Article
- Association between prehospital time and mortality in severe trauma: a restricted cubic spline analysis from a physician-staffed helicopter emergency medical service.BMC emergency medicine · 2026Article
- Does a physician's base specialty influence on‑scene efficiency? A four‑year analysis of 11,315 missions from five Austrian physician‑staffed HEMS bases.BMC emergency medicine · 2026Article
- Prehospital time intervals for trauma patients according to population density levels in Sweden; a national retrospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- TraumaFlow-development of a workflow-based clinical decision support system for the management of severe trauma cases.International journal of computer assisted radiology and surgery · 2024Article
- Prehospital time and mortality in pediatric trauma.Pediatric surgery international · 2024Article
- Article
- Attempted Suicide Is Independently Associated with Increased In-Hospital Mortality and Hospital Length of Stay among Injured Patients at Community Tertiary Hospital in Japan: A Retrospective Study with Propensity Score Matching Analysis.International journal of environmental research and public health · 2024Article
- Factors influencing on-scene time in a physician-staffed helicopter emergency medical service (HEMS): a retrospective observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Observational
- Decision support by machine learning systems for acute management of severely injured patients: A systematic review.Frontiers in surgery · 2022Review
- Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Head Injury: a Single-Center Retrospective Study.Applied bionics and biomechanics · 2022Article
- The Pathophysiology and Management of Hemorrhagic Shock in the Polytrauma Patient.Journal of clinical medicine · 2021Review
- Severe trauma patients requiring undelayable combined cranial and extracranial surgery: A scoping review of an emerging concept.Journal of neurosciences in rural practiceArticle
- A Systematic Literature Review of Trauma Systems: An Operations Management Perspective.Advances in rehabilitation science and practiceReview
- Association of Scene Time with Mortality in Major Traumatic Injuries Arrived by Emergency Medical Service.Journal of emergencies, trauma, and shockArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe time from injury to treatment is considered as one of the major determinants for patient outcome after trauma. Previous studies already attempted to investigate the correlation between prehospital time and trauma patient outcome. However, the outcome for severely injured patients is not clear yet, as little data is available from prehospital systems with both Emergency Medical Services (EMS) and physician staffed Helicopter Emergency Medical Services (HEMS). Therefore, the aim was to investigate the association between prehospital time and mortality in polytrauma patients in a Dutch level I trauma center.
methodsA retrospective study was performed using data derived from the Dutch trauma registry of the National Network for Acute Care from Amsterdam UMC location VUmc over a 2-year period. Severely injured polytrauma patients (Injury Severity Score (ISS) ≥ 16), who were treated on-scene by EMS or both EMS and HEMS and transported to our level I trauma center, were included. Patient characteristics, prehospital time, comorbidity, mechanism of injury, type of injury, HEMS assistance, prehospital Glasgow Coma Score and ISS were analyzed using logistic regression analysis. The outcome measure was in-hospital mortality.
resultsIn total, 342 polytrauma patients were included in the analysis. The total mortality rate was 25.7% (n = 88). Similar mean prehospital times were found between the surviving and non-surviving patient groups, 45.3 min (SD 14.4) and 44.9 min (SD 13.2) respectively (p = 0.819). The confounder-adjusted analysis revealed no significant association between prehospital time and mortality (p = 0.156).
conclusionThis analysis found no association between prehospital time and mortality in polytrauma patients. Future research is recommended to explore factors of influence on prehospital time and mortality.
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