Evidence map›Paper›PMID 41958611›Full record

ArticleJMA journal2026

Factors Associated with Prolonged Prehospital On-Site Time in Adult Trauma Patients: A Nationwide Observational Study in Japan.

Shunichi Otaka, Takuyo Chiba, Takamichi Nakajima, Takashi Shiga

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Article in JMA journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Shunichi OtakaInternational University of Health and Welfare Narita Hospital, Chiba, Japan.
Takuyo ChibaInternational University of Health and Welfare Narita Hospital, Chiba, Japan.
Takamichi NakajimaInternational University of Health and Welfare Narita Hospital, Chiba, Japan.
Takashi ShigaInternational University of Health and Welfare Narita Hospital, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Time elapsed since trauma onset is a critical determinant of prognosis in trauma patients. However, factors behind prolonged prehospital on-site time remain unclear. This study aimed to identify associated factors in trauma cases. Methods: Using a nationwide Japanese database, adults who experienced trauma and were treated between January 2004 and May 2019 were identified. Multivariable logistic regression with multiple imputations for missing data was performed to compare characteristics of patients with shorter and longer prehospital on-site times. Results: Data from 150,215 patients were included. Multivariable logistic regression with multiple imputations for missing data revealed that longer prehospital on-site time was associated with younger age, male sex (odds ratio [OR] 1.14; 95% confidence interval [CI] 1.11-1.16), weekends and holidays (OR, 1.06; 95% CI, 1.03-1.08), alcohol consumption (OR, 1.31; 95% CI, 1.26-1.36), fall (OR, 1.07; 95% CI, 1.05-1.10), other blunt trauma (OR, 1.12; 95% CI, 1.07-1.18), suicide (OR, 1.20; 95% CI, 1.13-1.27), violence (OR, 1.33; 95% CI, 1.20-1.46), hypotension (OR, 1.15; 95% CI, 1.09-1.22), higher Revised Trauma Score (OR, 1.21; 95% CI, 1.20-1.23), Abbreviated Injury Scale (AIS) category 6 (spine) ≥ 3 (OR, 1.21; 95% CI, 1.17-1.25), AIS category 7 (upper extremities) ≥ 3 (OR, 1.15; 95% CI, 1.10-1.21), immobilization (OR, 1.25; 95% CI, 1.22-1.28), intravenous line placement (OR, 1.27; 95% CI, 1.17-1.37), intubation (OR, 1.44; 95% CI, 1.26-1.64), mental disease (OR, 1.07; 95% CI, 1.02-1.13), chronic kidney disease undergoing hemodialysis (OR, 1.12; 95% CI, 1.03-1.22), and malignancy (OR, 1.11; 95% CI, 1.04-1.18). Conclusions: Several factors associated with prolonged prehospital on-site time were identified. Interventions targeting these factors may help shorten prehospital on-site time.

Indexed as

databaseprehospitaltrauma

Identifiers

PMID41958611
PMCPMC13058748

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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.