Identifying trauma patients with benefit from direct transportation to Level-1 trauma centers.

ABSTRACT:

Background

Prehospital triage protocols typically try to select patients with Injury Severity Score (ISS) above 15 for direct transportation to a Level-1 trauma center. However, ISS does not necessarily discriminate between patients who benefit from immediate care at Level-1 trauma centers. The aim of this study was to assess which patients benefit from direct transportation to Level-1 trauma centers.

Methods

We used the American National Trauma Data Bank (NTDB), a retrospective observational cohort. All adult patients (ISS > 3) between 2015 and 2016 were included. Patients who were self-presenting or had isolated limb injury were excluded. We used logistic regression to assess the association of direct transportation to Level-1 trauma centers with in-hospital mortality adju

SUBMITTER: Sewalt CA 

PROVIDER: S-EPMC8344140 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature