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首页> 外文期刊>Journal of Family and Community Medicine >Effect of private versus emergency medical systems transportation in motor vehicle accident victims: Trauma Center Experience in Saudi Arabia
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Effect of private versus emergency medical systems transportation in motor vehicle accident victims: Trauma Center Experience in Saudi Arabia

机译：私人与紧急医疗系统运输对机动车事故受害者的影响：沙特阿拉伯创伤中心的经验

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Objective: To assess the effect of the mode of transportation of trauma patients (emergency medical service [EMS] vs. non-EMS) on their final clinical outcome in terms of mortality and length of hospital stay. Materials And Methods: A retrospective study included all patients who were involved in motor vehicle crashes, and who were transferred immediately to an emergency department of a trauma care center from December 2008 to December 2012. Patients were classified into two groups: those brought through EMS and those brought by non-EMS (private transport). Information on demographic characteristics including age and gender was recorded and medical data such as blood pressure, pulse, oxygen saturation, temperature, initial Glasgow Coma Score (GCS), saturation, temperature, initial Glasgow Coma Score (GCS), injury severity score (ISS), and final outcome (discharged or expired) were obtained. Descriptive statistics, mean and standard deviation (SD) were computed for continuous variables and statistical significance was tested by t-test or Mann-Whitney U-test. Categorical variables were described by frequency distribution and percentages; Chi-square or Fisher's exact test as appropriate were employed to test for statistical significance. Logistics regression was performed with mortality as dependent variable and mode of transport and all demographic and prehospital variables as independent variables. A general linear model analysis was performed to test whether the mode of transport was significant to length of hospital stay in EMS and non-EMS clients. Results: Out of 308 patients identified during the study period, 232 were transported through EMS and 76 through non-EMS. The two groups were similar with regard to mortality and length of stay. The crude mortality rate was 30.6% (95% confidence interval [CI]: 24.64-36.53) in the EMS group and 28.9% (95% CI: 18.44-38.76) in the non-EMS group (p = 0.785). The average length of hospital stay was 9 days (interquartile range [IQR] = 8, 95% CI: 7.3-10.1) for the EMS group and 8 days (IQR = 9.5, 95% CI: 6.7-10.9) for the non-EMS group (p = 0.803). Multivariate analysis showed that of the study variables, only the injury severity score (ISS) and Glasgow coma score (GCS) were significant to mortality (p p Conclusions: There was no significant difference between the EMS and non-EMS groups as they relate to mortality and length of stay in hospital. However, the mortality and length of hospital stay was statistically significant to ISS and GCS.
机译：目的：从死亡率和住院时间的角度评估创伤患者的运输方式（急诊医疗服务[EMS]与非EMS）对他们最终临床结局的影响。资料和方法：一项回顾性研究纳入了所有与机动车碰撞有关的患者，并将这些患者从2008年12月至2012年12月立即转移到创伤护理中心的急诊科。患者分为两类：通过EMS带来的患者以及非EMS（私人运输）带来的运输。记录包括年龄和性别在内的人口统计特征信息，并记录医学数据，例如血压，脉搏，氧饱和度，温度，初始格拉斯哥昏迷评分（GCS），饱和度，温度，初始格拉斯哥昏迷评分（GCS），损伤严重程度评分（ISS ），并获得最终结果（出院或过期）。计算连续变量的描述性统计量，均值和标准差（SD），并通过t检验或Mann-Whitney U检验检验统计学显着性。分类变量通过频率分布和百分比来描述;采用卡方检验或费舍尔精确检验作为检验统计学意义的方法。后勤回归以死亡率为因变量，以运输方式和所有人口统计学及院前变量为自变量进行。进行了一般线性模型分析，以测试运输方式对于EMS和非EMS客户的住院时间是否很重要。结果：在研究期间确定的308例患者中，有232例通过EMS转运，76例通过非EMS转运。两组在死亡率和住院时间方面相似。 EMS组的总死亡率为30.6％（95％置信区间[CI]：24.64-36.53），非EMS组的总死亡率为28.9％（95％CI：18.44-38.76）（p = 0.785）。 EMS组的平均住院时间为9天（四分位间距[IQR] = 8，95％CI：7.3-10.1），非EMS组的平均住院时间为8天（IQR = 9.5，95％CI：6.7-10.9）。 EMS组（p = 0.803）。多变量分析表明，在研究变量中，只有损伤严重度评分（ISS）和格拉斯哥昏迷评分（GCS）对死亡率具有重要意义（pp结论：EMS组和非EMS组之间在死亡率方面没有显着差异和住院时间，但对ISS和GCS而言，死亡率和住院时间有统计学意义。

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