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首页> 外文期刊>Canadian journal of surgery: Journal canadien de chirurgie >Retrospective review of injury severity, interventions and outcomes among helicopter and nonhelicopter transport patients at a Level 1 urban trauma centre
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Retrospective review of injury severity, interventions and outcomes among helicopter and nonhelicopter transport patients at a Level 1 urban trauma centre

机译：回顾性评估一级城市创伤中心直升机和非直升机运输患者的伤害严重程度，干预措施和结果

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Background: Air ambulance transport for injured patients is vitally important given increasing patient volumes, the limited number of trauma centres and inadequate subspecialty coverage in nontrauma hospitals. Air ambulance services have been shown to improve patient outcomes compared with ground transport in select circumstances. Our primary goal was to compare injuries, interventions and outcomes in patients transported by helicopter versus nonhelicopter transport. Methods: We performed a retrospective 10-year review of 14 440 patients transported to an urban Level 1 trauma centre by helicopter or by other means. We compared injury severity, interventions and mortality between the groups. Results: Patients transported by helicopter had higher median injury severity scores (ISS), regardless of penetrating or blunt injury, and were more likely to have Glasgow Coma Scale scores less than 8, require airway control, receive blood transfusions and require admission to the intensive care unit or operating room than patients transported by other means. Helicopter transport was associated with reduced overall mortality (odds ratio 0.41, 95% confidence interval 0.33-0.39). Patients transported by other methods were more likely to die in the emergency department. The mean ISS, regardless of transport method, rose from 12.3 to 15.1 (p = 0.011) during our study period. Conclusion: Patients transported by helicopter to an urban trauma centre were more severely injured, required more interventions and had improved survival than those arriving by other means of transport.
机译：背景：鉴于患者数量的增加，创伤中心的数量有限以及非创伤医院的专科覆盖不足，伤员的空中救护车运输至关重要。在某些情况下，空中救护服务已证明与地面运输相比可以改善患者的预后。我们的主要目标是比较直升机和非直升机运输患者的伤害，干预措施和结果。方法：我们对14 440名通过直升飞机或其他方式转移到城市1级创伤中心的患者进行了为期10年的回顾性研究。我们比较了两组之间的损伤严重程度，干预措施和死亡率。结果：无论是穿透伤还是钝伤，乘坐直升飞机运送的患者均具有较高的中位伤害严重度评分（ISS），并且格拉斯哥昏迷量表评分低于8的可能性更高，需要气道控制，需要输血并且需要接受重症监护护理单位或手术室要比患者通过其他方式运输。直升机运输与降低整体死亡率相关（赔率比0.41，95％置信区间0.33-0.39）。通过其他方法转运的患者更有可能在急诊室死亡。在研究期间，无论采用哪种运输方式，平均ISS均从12.3升至15.1（p = 0.011）。结论：与通过其他运输方式到达的患者相比，通过直升机运输到城市创伤中心的患者受了更重的伤害，需要更多的干预措施并改善了生存率。

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