Pre-hospital trauma care: A comparison of two healthcare systems Full Text
Indian Journal of Critical Care Medicine,

Tan XX et al. – Despite variation in pre–hospital transfer times and interventions, no significant difference was demonstrated in revised trauma score (RTS) upon arrival, or for the unadjusted mortality rates.

Methods
  • The Scottish trauma and audit group (STAG) and the German trauma registry (GTR) databases were used to compare the management and outcome of trauma patients in Scotland and Germany.
  • Severely injured patients (injury severity score (ISS)>16) were analyzed for a 3year period (2000 to 2002).
  • Patient demographics, pre-hospital interventions, ISS, revised trauma score (RTS), time from scene of injury to arrival to the emergency department (ED), 120 day mortality and standardized mortality ratios using TRISS methodology were compared.

Results
  • There were 227 patients identified from the STAG registry and 6878 patients from the GTR registry.
  • There was a significant difference in ISS (24.9 vs. 29.8, P=0.001, respectively).
  • No significant difference was observed for the RTS (P=0.2).
  • There was a significantly higher rate of pre-hospital interventions in the German group (P<0.001).
  • The mean time from an injury to arrival to the ED (73 vs. 247minutes, P=0.001) was longer for the Scottish patients.
  • There was no difference for an unadjusted mortality rate between the groups, but the standardized mortality ratio was significantly greater for the Scottish population (3.8 vs. 2.2, P=0.036).

Please login or register to follow this author.
Are you sure you want to Unfollow this Author?
► Click here to access Full Text, PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Nurse Practitioner

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Nurse Practitioner Articles

1 Vitamin D and sleep disorders Full Text Nature and Science of Sleep, August 13, 2014    Free full text    Clinical Article

2 Blood pressure in relation to coffee and caffeine consumption Current Hypertension Reports, August 8, 2014    Review Article

3 Vitamin D and the risk of dementia and Alzheimer's disease Neurology®, August 27, 2014    Clinical Article

4 Partly replacing meat protein with soy protein alters insulin resistance and blood lipids in postmenopausal women with abdominal obesity The Journal of Nutrition, July 23, 2014    Clinical Article

5 Coffee consumption and mortality from all causes, cardiovascular disease, and cancer: a dose-response meta-analysis American Journal of Epidemiology, August 26, 2014    Evidence Based Medicine    Review Article

6 Reading and listening to music increase resting energy expenditure during an indirect calorimetry test Journal of the Academy of Nutrition and Dietetics, August 29, 2014    Clinical Article

7 Nut consumption for vascular health and cognitive function Nutrition Research Reviews, July 11, 2014    Review Article

8 Regular fish consumption and age-related brain gray matter loss American Journal of Preventive Medicine, August 15, 2014    Clinical Article

9 Vitamin D and melanoma and non-melanoma skin cancer risk and prognosis: A comprehensive review and meta-analysis European Journal of Cancer, August 7, 2014    Review Article

10 Soda consumption and risk of hip fractures in postmenopausal women in the Nurses’ Health Study American Journal of Clinical Nutrition, August 18, 2014    Clinical Article

11 Nut consumption and the risk of coronary artery disease: A dose–response meta-analysis of 13 prospective studies Thrombosis Research, August 14, 2014    Clinical Article

12 Processed and unprocessed red meat consumption and hypertension in women American Journal of Clinical Nutrition, August 11, 2014    Clinical Article

13 Meta-analysis of black tea consumption and breast cancer risk: update 2013 Nutrition and Cancer, August 6, 2014    Evidence Based Medicine

14 Egg consumption is associated with increased risk of ovarian cancer: Evidence from a meta-analysis of observational studies Clinical Nutrition, August 5, 2014    Evidence Based Medicine

15 Topical ginger treatment with a compress or patch for osteoarthritis symptoms Journal of Holistic Nursing, August 20, 2014    Clinical Article
Exclusive Author Commentary

16 Impact of dairy consumption on essential hypertension: A clinical study Full Text Nutrition Journal, August 29, 2014    Free full text    Clinical Article

17 Effect of omega-3 fatty acids on kidney function after myocardial infarction: The Alpha Omega Trial Clinical Journal of the American Society of Nephrology, August 12, 2014    Clinical Article
Exclusive Author Commentary

18 Effects of a eucaloric reduced-carbohydrate diet on body composition and fat distribution in women with PCOS Metabolism, July 22, 2014    Clinical Article

19 Re-evaluating the role of antidepressants in cancer-related depression: A systematic review and meta-analysis General Hospital Psychiatry, June 3, 2014    Evidence Based Medicine

20 Psychometric properties of the Italian Yale Food Addiction Scale in overweight and obese patients Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, August 4, 2014    Clinical Article
Exclusive Author Commentary

Indexed Journals in Nurse Practitioner: Journal of the American Academy of Nurse Practitioners, Holistic Nursing Practicemore

Register now to view all the MDLinx contents (FREE)!

  • Stay current on the latest literature, research and clinical news
  • Get special communications and offers from MDLinx and our sponsors
  • Receive invitations to paid market research
View Samples and Register

Connect with us, stay current.

Receive the latest mecial news
updates for free via email

Sign up!

Subscribe to our free RSS feeds:

Get the latest news in your specialty automatically added to your newsreader or your personal My Yahoo!, Google, My MSN or My AOL page. Learn More

Close