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.
► 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 Chocolate intake and diabetes risk Clinical Nutrition, October 27, 2014    Clinical Article

2 Effects of regular consumption of different forms of almonds and hazelnuts on acceptance and blood lipids European Journal of Nutrition, December 12, 2014    Clinical Article

3 Yogurt and weight management American Journal of Clinical Nutrition, April 3, 2014    Review Article

4 Rice consumption and risk of cardiovascular disease: Results from a pooled analysis of 3 U.S. cohorts American Journal of Clinical Nutrition, December 2, 2014    Clinical Article

5 Association of daily coffee and tea consumption and metabolic syndrome: results from the Polish arm of the HAPIEE study European Journal of Nutrition, November 21, 2014    Clinical Article

6 Consumption of garlic and risk of colorectal cancer: An updated meta-analysis of prospective studies Full Text World Journal of Gastroenterology, November 18, 2014    Free full text    Evidence Based Medicine

7 Chocolate consumption and risk of diabetes mellitus in the Physicians’ Health Study American Journal of Clinical Nutrition, December 10, 2014    Review Article

8 Coffee for morning hunger pangs. An examination of coffee and caffeine on appetite, gastric emptying, and energy intake Appetite, October 17, 2014    Clinical Article

9 Dietary and pharmacologic management to prevent recurrent nephrolithiasis in adults: a clinical practice guideline from the American college of physicians Annals of Internal Medicine, November 11, 2014    Evidence Based Medicine    Clinical Article

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

11 L-carnitine ameliorated fasting-induced fatigue, hunger, and metabolic abnormalities in patients with metabolic syndrome: a randomized controlled study Full Text Nutrition Journal, December 1, 2014    Free full text    Clinical Article

12 Yoga, as a transitional platform to more active lifestyle: A 6-month pilot study in the USA Health Promotion International, December 24, 2014    Clinical Article

13 Dietary fat increases vitamin D-3 absorption Journal of the Academy of Nutrition and Dietetics, December 5, 2014    Clinical Article

14 Impact of a 6-wk olive oil supplementation in healthy adults on urinary proteomic biomarkers of coronary artery disease, chronic kidney disease, and diabetes (types 1 and 2): a randomized, parallel, controlled, double-blind study American Journal of Clinical Nutrition, December 1, 2014    Evidence Based Medicine    Clinical Article

15 Fish intake and risk of chronic obstructive pulmonary disease in 2 large U.S. cohorts American Journal of Clinical Nutrition, December 11, 2014    Clinical Article

16 Dairy product consumption and gastric cancer risk: A meta-analysis Full Text World Journal of Gastroenterology, November 14, 2014    Free full text    Evidence Based Medicine

17 Fish consumption and risk of gastrointestinal cancers: A meta-analysis of cohort studies Full Text World Journal of Gastroenterology, November 17, 2014    Free full text    Evidence Based Medicine

18 Boiled coffee consumption and the risk of prostate cancer: follow-up of 224,234 Norwegian men 20-69 years British Journal of Cancer, December 24, 2014    Clinical Article

19 Evidence for efficacy and effectiveness of changes in eating frequency for body weight management Advances in Nutrition: An International Review Journal, December 5, 2014    Review Article

20 Proton pump inhibitor treatment is associated with the severity of liver disease and increased mortality in patients with cirrhosis Alimentary Pharmacology and Therapeutics, December 24, 2014    Clinical Article

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

Make smarter career moves with less time.

Sign up for our free job placement service today and have a dedicated career consultant help locate the right physician job for you!
Click Here for more information.

Get Started Now!

Free-of-charge, no obligation.

Terms and Conditions For M3 Career Consult

By registering with the M3 Career Consult service you authorize M3 USA Corporation to represent you in your job search. The following is a summary of the terms of our service and our mutual obligations to help you find a job:

  • You designate M3 to act as your agent and represent you in your job search;
  • You will not pay us for this service
  • You will advise us of any companies or positions to which you apply or have applied;
  • You will advise us if you believe you are not capable of performing a position for which we submit you, or for which you interview;
  • You will keep all information we provide you about companies or positions strictly confidential;
  • You will promptly provide us with information we request of you;
  • You will make yourself reasonably available for phone, video and in-person conversations and interviews;
  • You will be truthful in all of your communications with us; and
  • You will advise us if anything above changes.
 

The Top Read Articles of 2014 are Now Available

Scouring thousands of peer-reviewed journals and popular press, Our Editors just released the Top Read Articles of the Year. See the Top Read List