Outcomes of trauma patients: Direct transport versus transfer after stabilisation at another hospital

Kuang Yu Hsiao, Leng Chieh Lin, Meng Hua Chou, Cheng Chueh Chen, Hwa Chan Lee, Ning Ping Foo, Chi Jei Shiao, I. Chuan Chen, Cheng-Ting Hsiao, Kai Hua Chen*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

14 Scopus citations

Abstract

Background: In this study, we attempted to identify differences in the outcomes of patients with severe trauma who were directly transported to our hospital, and those who were stabilised initially at other hospitals in south-central Taiwan. Methods: We performed a prospective observational study to review the records of 231 patients with major trauma (Injury Severity Scores (ISS) >15) who visited our hospital's emergency department from January 2010 to December 2010. Among these patients, 75 were referred from other hospitals. Logistic regression was performed to assess the effects of transfer on mortality. Results: Patients in the transfer group had a shorter interval between trauma and admission to the first hospital (25.3 min vs. 28.1 min), and the average interval between the two hospital arrivals was 138.3 min. Transfer from another hospital was not significantly correlated with mortality in this study (odds ratio: 1.124, 95% confidence interval: 0.276-4.578). Conclusion: In trauma patients with ISS > 15, there is no difference in mortality between those transferred from another hospital after initial stabilisation and those who visited our emergency department directly.

Original languageEnglish
Pages (from-to)1575-1579
Number of pages5
JournalInjury Extra
Volume43
Issue number9
DOIs
StatePublished - 09 2012
Externally publishedYes

Keywords

  • Emergency department
  • Mortality
  • Outcome
  • Transport
  • Trauma

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