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首页> 外文期刊>Prehospital emergency care >Outcomes of blunt trauma victims transported by HEMS from rural and urban scenes.
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Outcomes of blunt trauma victims transported by HEMS from rural and urban scenes.

机译：HEMS从农村和城市现场运送的钝伤受害者的结果。

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OBJECTIVE: Mortality differences exist between victims of urban and rural trauma; however, it is unknown if these differences persist in those patients who survive to HEMS transport. This study examined the in-hospital mortality, length of hospital stay, and discharge status of adult blunt trauma victims transported by HEMS from rural and urban scenes to regional trauma centers. METHODS: Retrospective review of all adult (age >/= 15) HEMS transports in 2001; 271 urban and 141 rural blunt trauma patients were identified from HEMS transport records and the trauma registries at three level one trauma centers. Demographic data, scene and hospital interventions, as well as discharge status of the two groups were examined. RESULTS: Total mileage [27 +/- 12 vs. 119 +/- 64, p < 0.001], total flight times (minutes) [30 +/- 10 vs. 79 +/- 40, p < 0.001], and scene times (minutes) [16 +/- 8 vs. 21 +/- 14, p < 0.001] were significantly longer for rural flights. There were no significant differences between the groups with regard to age, gender, receiving hospital, and initial HEMS vitals. Injury Severity Score, ICU length of stay (LOS), total hospital LOS, and hospital mortality did not differ between the two groups. After controlling for age, gender, and ISS, there were no significant mortality differences between the two groups (p = 0.074). CONCLUSIONS: Despite longer flight and scene times for rural patients, adjusted in-hospital mortality rates were similar for patients transported from urban and rural scenes. Factors prior to HEMS arrival may contribute to increased mortality rates of rural blunt trauma victims documented nationally.
机译：目的：城乡创伤受害者之间存在死亡率差异;然而，尚不清楚这些差异是否在那些存活于HEMS转运的患者中仍然存在。这项研究检查了由HEMS从农村和城市现场转移到区域创伤中心的成人钝性创伤受害者的住院死亡率，住院时间和出院状态。方法：回顾性分析2001年所有成人（≥15岁）的HEMS运输;从HEMS运输记录和三个一级创伤中心的创伤登记处中识别出271名城市钝性创伤患者和141名农村钝性创伤患者。检查了两组的人口统计学数据，现场和医院干预措施以及出院情况。结果：总里程[27 +/- 12对119 +/- 64，p <0.001]，总飞行时间（分钟）[30 +/- 10对79 +/- 40，p <0.001]和场景乡村航班的飞行时间（分钟）[16 +/- 8 vs. 21 +/- 14，p <0.001]明显更长。两组之间在年龄，性别，住院和最初的HEMS生命指标方面无显着差异。两组的损伤严重程度评分，ICU住院时间（LOS），总住院LOS和医院死亡率没有差异。在控制了年龄，性别和国际空间站之后，两组之间的死亡率没有显着差异（p = 0.074）。结论：尽管农村患者的飞行时间和现场时间更长，但从城市和农村现场运送的患者调整后的院内死亡率相似。 HEMS到达之前的因素可能会导致全国范围内记录的农村钝伤受害者的死亡率上升。

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