A critical analysis of on-scene helicopter transport on survival in a statewide trauma system
A critical analysis of on-scene helicopter transport on survival in a statewide trauma system
复制标题
DOI：
10.1097/00005373-199807000-00029
复制
发表时间：
1998-07-01
影响因子：
--
通讯作者：
Spott, MA
中科院分区：
文献类型：
--
作者：
Brathwaite, CEM;Rosko, M;Spott, MA
背景：最近，关于直升机在创伤护理中的有效性的问题被提出。我们进行了一项回顾性研究，以评估现场直升机运输对全州创伤系统创伤后生存的影响。方法：数据来自全州创伤登记，在28个经认证的创伤中心接受治疗的162,730名患者。比较直升机和陆路运送的ALS患者(15,938人和6,473人)，排除医院间转运和没有ALS的运送，采用单因素方差分析和Logistic回归分析进行统计分析。结果：直升机运送的患者明显更年轻(p<；0.01)，损伤更严重，血压更低。Logistic回归分析显示，在调整了其他危险因素后，直升机运输不会影响估计的生存几率。结论：当可以接触ALS地面小组时，重新评估直升机分流和运输标准的成本效益可能是合理的。
Background: Recently, questions have been raised regarding the effectiveness of helicopters in trauma care. We conducted a retrospective study to evaluate the effect of on-scene helicopter transport on survival after trauma in a statewide trauma system.Methods: Data were obtained from a statewide trauma registry of 162,730 patients treated at 28 accredited trauma centers. Patients transported from the scene by helicopter (15,938) were compared with those transported by ground with advanced life support (ALS) (6,473), Interhospital transfers and transports without ALS were excluded, Statistical analysis was performed using one-way analysis of variance and logistic regression.Results: Patients transported by helicopter were significantly (p < 0.01) younger, were more seriously injured, and had lower blood pressure. They were also more likely to be male and to have systolic blood pressure < 90 mm Hg, Logistic regression analysis revealed that when adjusting for other risk factors, transportation by helicopter did not affect the estimated odds of survival.Conclusion: A reappraisal of the cost-effectiveness of helicopter triage and transport criteria, when access to ground ALS squads is available, may be warranted.