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 >>

    Currently, there are no available articles.

Your Unread Messages in Nurse Practitioner

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

Most Popular Nurse Practitioner Articles

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