A sample of 360 severely injured patients was selected from a cohort of 8007 trauma victims followed prospectively from the time of injury to death or discharge.
A case referent study was used to test the association between on-site care, total prehospital time, and level of care at the receiving hospital with short-term survival.
Multiple logistic regression analyses showed that use of Advanced Life Support (ALS) at the scene was not associated with survival, whereas treatment at a level I compatible hospital waS associated with a 38% reduction in the odds of dying, which approached statistical significance.
Total prehospital time over 60 minutes was associated with a statistically significant adjusted relative odds of dying (OR=3.0).
Mots-clés Pascal : Traumatisme, Réanimation, Traitement, Homme, Période préhospitalière, Survie, Admission hopital, Urgence, Hôpital, Polytraumatisme
Mots-clés Pascal anglais : Trauma, Resuscitation, Treatment, Human, Prehospital period, Survival, Hospital admission, Emergency, Hospital, Multiple injury
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0437725
Code Inist : 002B16K. Création : 199406.