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Characteristics and Outcomes of Patients Injured in Road Traffic Crashes and Transported by Emergency Medical Services

Author

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  • Chun-Ying Huang

    (Department of Trauma Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan
    These authors contributed equally to this work.)

  • Cheng-Shyuan Rau

    (Department of Neurosurgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan
    These authors contributed equally to this work.)

  • Jung-Fang Chuang

    (Department of Trauma Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan)

  • Pao-Jen Kuo

    (Department of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan)

  • Shiun-Yuan Hsu

    (Department of Trauma Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan)

  • Yi-Chun Chen

    (Department of Trauma Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan)

  • Hsiao-Yun Hsieh

    (Department of Trauma Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan)

  • Ching-Hua Hsieh

    (Department of Trauma Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan)

Abstract

To investigate the injury characteristics and mortality of patients transported by emergency medical services (EMS) and hospitalized for trauma following a road traffic crash, data obtained from the Trauma Registry System were retrospectively reviewed for trauma admissions between 1 January 2009 and 31 December 2013 in a Level I trauma center. Of 16,548 registered patients, 3978 and 1440 patients injured in road traffic crashes were transported to the emergency department by EMS and non-EMS, respectively. Patients transported by EMS had lower Glasgow coma scale (GCS) scores and worse hemodynamic measures. Compared to patients transported by non-EMS, more patients transported by EMS required procedures (intubation, chest tube insertion, and blood transfusion) at the emergency department. They also sustained a higher injury severity, as measured by the injury severity score (ISS) and the new injury severity score (NISS). Lastly, in-hospital mortality was higher among the EMS than the non-EMS group (1.8% vs. 0.3%, respectively; p < 0.001). However, we found no statistically significant difference in the adjusted odds ratio (AOR) for mortality among patients transported by EMS after adjustment for ISS (AOR 4.9, 95% CI 0.33–2.26), indicating that the higher incidence of mortality was likely attributed to the patients’ higher injury severity. In addition, after propensity score matching, logistic regression of 58 well-matched pairs did not show a significant influence of transportation by EMS on mortality (OR: 0.578, 95% CI: 0.132–2.541 p = 0.468).

Suggested Citation

  • Chun-Ying Huang & Cheng-Shyuan Rau & Jung-Fang Chuang & Pao-Jen Kuo & Shiun-Yuan Hsu & Yi-Chun Chen & Hsiao-Yun Hsieh & Ching-Hua Hsieh, 2016. "Characteristics and Outcomes of Patients Injured in Road Traffic Crashes and Transported by Emergency Medical Services," IJERPH, MDPI, vol. 13(2), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:2:p:236-:d:64140
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    Citations

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    Cited by:

    1. Patryk Rzońca & Stanisław Paweł Świeżewski & Rakesh Jalali & Joanna Gotlib & Robert Gałązkowski, 2019. "Helicopter Emergency Medical Service (HEMS) Response in Rural Areas in Poland: Retrospective Study," IJERPH, MDPI, vol. 16(9), pages 1-12, April.
    2. Cheng-Shyuan Rau & Shao-Chun Wu & Yi-Chun Chen & Peng-Chen Chien & Hsiao-Yun Hsieh & Pao-Jen Kuo & Ching-Hua Hsieh, 2017. "Effect of Age on Glasgow Coma Scale in Patients with Moderate and Severe Traumatic Brain Injury: An Approach with Propensity Score-Matched Population," IJERPH, MDPI, vol. 14(11), pages 1-12, November.
    3. Ting-Min Hsieh & Pao-Jen Kuo & Shiun-Yuan Hsu & Peng-Chen Chien & Hsiao-Yun Hsieh & Ching-Hua Hsieh, 2018. "Effect of Hypothermia in the Emergency Department on the Outcome of Trauma Patients: A Cross-Sectional Analysis," IJERPH, MDPI, vol. 15(8), pages 1-11, August.

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