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Relationship Between Prehospital Time and 24-h Mortality in Road Traffic-Injured Patients in Laos.


ABSTRACT:

Background

Road traffic injury has long been regarded as a "time-dependent disease." However, shortening the prehospital time might not improve the outcome in developing countries given the current quality of in-hospital care. We aimed to examine the relationship between the prehospital time and 24-h mortality among road traffic victims in Laos.

Methods

A prospective observational study was conducted using the trauma registry data on traffic-injured patients who were transported by ambulance to a trauma center in the capital city of Laos from May 2018 to April 2019. The analysis focused on patients with non-mild conditions, whose outcomes could be affected by the prehospital time. To examine the relationship between a prehospital time of <60 min and 24-h mortality, a generalized estimating equation model was used incorporating the inverse probability weights utilizing the propensity score for the prehospital time.

Results

Of 701 patients, 73% were men, 91% were riding 2- or 3-wheel motor vehicles during the crash, and 68% had a prehospital time of <60 min. A total of 35 patients died within 24 h after the crash. Compared with those who survived, individuals who died tended to have head and torso injuries. The proportions of 24-h mortality were 4.7% and 5.4% in patients whose prehospital time was <60 min and ≥60 min, respectively. No significant relationship was found between the prehospital time and 24-h mortality.

Conclusion

A shorter prehospital time was not associated with the 24-h survival among road traffic victims in Laos.

SUBMITTER: Suzuki T 

PROVIDER: S-EPMC8885552 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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Publications

Relationship Between Prehospital Time and 24-h Mortality in Road Traffic-Injured Patients in Laos.

Suzuki Takaaki T   Phonesavanh Oulaivanh O   Thongsna Snong S   Inoue Yoshiaki Y   Ichikawa Masao M  

World journal of surgery 20220118 4


<h4>Background</h4>Road traffic injury has long been regarded as a "time-dependent disease." However, shortening the prehospital time might not improve the outcome in developing countries given the current quality of in-hospital care. We aimed to examine the relationship between the prehospital time and 24-h mortality among road traffic victims in Laos.<h4>Methods</h4>A prospective observational study was conducted using the trauma registry data on traffic-injured patients who were transported b  ...[more]

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