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Impact of interhospital transfer on outcomes for trauma patients: impact of direct versus non-direct transfer
Journal of the Korean Society of Emergency Medicine ; : 415-422, 2018.
Artigo em Coreano | WPRIM | ID: wpr-717571
ABSTRACT

OBJECTIVE:

This study compared the prognosis of patients who visited the trauma center directly (direct visit group) with those transferred from the non-trauma center (transferred group).

METHODS:

The patients, who were 18 or older with Injury Severity Score of 15 or more in the trauma center at Busan, were studied from October 2015 to October 2016. To compare the treatment time between the direct visit and transferred group, first treatment time, final treatment time, and time to visit the trauma center were examined. To compare the prognosis, this study compared the 48-hour, 7-day, and in-hospital mortality rate as well as the duration of intensive care unit (ICU) and total hospital stay. To analyze the factors affecting the outcome of transferred group, the physician's level and procedures that had been performed at the non-trauma center were examined.

RESULTS:

The mortality was similar in the direct visit and transferred group (48-hour 7.6% vs. 4.6%, P=0.111; 7-day 11.1% vs. 7.2%, P=0.89; and in-hospital 14.6% vs. 11.3%, P=0.214). The length of ICU and total hospital stay were similar in the two groups. The mortality was higher in the patients in the transferred group when using intubation, transfusion, and pressure intensifier. The intubated patients showed higher mortality according to logistic regression.

CONCLUSION:

The mortality, length of ICU, and hospital stay were similar but the time to visit the trauma center and the final treatment time were longer in transferred group. Stabilizing the patient at the near non-trauma center may be more helpful for some patients.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Prognóstico / Centros de Traumatologia / Escala de Gravidade do Ferimento / Modelos Logísticos / Mortalidade / Transferência de Pacientes / Mortalidade Hospitalar / Unidades de Terapia Intensiva / Intubação / Tempo de Internação Tipo de estudo: Estudo prognóstico / Fatores de risco Limite: Humanos Idioma: Coreano Revista: Journal of the Korean Society of Emergency Medicine Ano de publicação: 2018 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Prognóstico / Centros de Traumatologia / Escala de Gravidade do Ferimento / Modelos Logísticos / Mortalidade / Transferência de Pacientes / Mortalidade Hospitalar / Unidades de Terapia Intensiva / Intubação / Tempo de Internação Tipo de estudo: Estudo prognóstico / Fatores de risco Limite: Humanos Idioma: Coreano Revista: Journal of the Korean Society of Emergency Medicine Ano de publicação: 2018 Tipo de documento: Artigo