Prehospital Trauma Scene and Transport Times for Pediatric and Adult Patients
Prehospital Trauma Scene and Transport Times for Pediatric and Adult Patients
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DOI：
10.5811/westjem.2019.11.44597
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发表时间：
2020-03-01
影响因子：
3.1
通讯作者：
Stopyra, Jason P.
中科院分区：
文献类型：
--
作者：
Ashburn, Nicklaus P.;Hendley, Nella W.;Stopyra, Jason P.
引言：院外时间的增加与创伤的不良结局相关。稀疏的文献存在比较院前现场和运输时间管理间隔之间的成人和小儿创伤患者。国家紧急医疗服务指南建议创伤现场时间少于10分钟。本研究的目的是检查院前的时间间隔在成人和儿童trauma patients.Methods：我们进行了一项回顾性队列研究的钝性和穿透性创伤患者在北卡罗来纳州的五个县的地区使用院前记录。我们纳入了2013年至2018年期间由地面救护车直接从现场运送紧急交通到I级或II级创伤中心的患者。我们将儿科患者定义为16岁以下的患者。城市化是控制使用医疗保险和医疗补助中心的救护车费用表。我们进行了描述性统计和线性混合效应回归modeling.Results：共2179条记录符合研究标准，其中2077条用于分析。平均现场时间为14.2分钟（95%置信区间[CI]，13.9-14.5），35.3%（n = 733）的遭遇者现场时间为10分钟或更短。平均运输时间为17.5分钟（95% CI，17.0-17.9）。线性混合效应回归显示，儿童患者的场景时间较短（p
Introduction: Increased out-of-hospital time is associated with worse outcomes in trauma. Sparse literature exists comparing prehospital scene and transport time management intervals between adult and pediatric trauma patients. National Emergency Medical Services guidelines recommend that trauma scene time be less than 10 minutes. The objective of this study was to examine prehospital time intervals in adult and pediatric trauma patients.Methods: We performed a retrospective cohort study of blunt and penetrating trauma patients in a five-county region in North Carolina using prehospital records. We included patients who were transported emergency traffic directly from the scene by ground ambulance to a Level I or Level IItrauma center between 2013-2018. We defined pediatric patients as those less than 16 years old. Urbanicity was controlled for using the Centers for Medicare and Medicaid's Ambulance Fee Schedule. We performed descriptive statistics and linear mixed-effects regression modeling.Results: A total of 2179 records met the study criteria, of which 2077 were used in the analysis. Mean scene time was 14.2 minutes (95% confidence interval [CI], 13.9-14.5) and 35.3% (n = 733) of encounters had a scene time of 10 minutes or less. Mean transport time was 17.5 minutes (95% Cl, 17.0-17.9). Linear mixed-effects regression revealed that scene times were shorter for pediatric patients (p