ArticleJournal of emergencies, trauma, and shock
The Ideal Trauma Transport Modality: Helicopter or Ground Ambulance? A Systematic Review and Meta-analysis.
Article in Journal of emergencies, trauma, and shock. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- What's New in Emergencies Trauma and Shock - The Helicopter Paradox in Trauma Care: Does Faster Transport Necessarily Improve Survival?Journal of emergencies, trauma, and shockArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Trauma-related mortality remains a global concern, causing ~ 5 million deaths annually. Helicopter emergency medical services (HEMS) enable rapid transport to difficult-to-reach areas, potentially benefiting critical trauma patients. However, the survival advantage of HEMS over ground emergency medical services (GEMS) remains unclear. This systematic review evaluates the impact of HEMS versus GEMS on in-hospital trauma mortality. Methods: A literature search (2014-2024) identified studies reporting trauma patient survival and emergency medical service (EMS) transport modality. Inclusion/exclusion screening used Rayyan and multiple reviewers. Secondary inter-facility and nontrauma transports were excluded. The primary outcome was in-hospital mortality, with additional analyses of injury severity score (ISS), Glasgow Coma Scale (GCS), and regional differences. Analysis was done using an inverse variance weighting method. Results: Of 628 articles, 29 were included, covering 3,101,673 patients (602,068 HEMS, 3,158,152 GEMS). HEMS was linked to higher in-hospital mortality (odds ratio [OR] = 1.27; 95% confidence interval, 1.05-1.53; Conclusion: Despite its advantages, HEMS was associated with higher trauma mortality, suggesting selective use based on patient and regional factors. Further research should refine transport criteria.
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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.