Comparing Outcomes between Major Trauma Patients Transferred from a Different Hospital and Patients Transported Directly to Trauma Centers: A Retrospective Analysis with Propensity Score Matching Analysis
This study aimed to explore differences in outcomes between these major trauma patients who were transferred and those directly transported to trauma centers. The medical information and outcome of 5,341 major trauma patients with an injury severity score (ISS) ≥ 16 who were hospitalized for treatme...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2022/4430962 |
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| author | Cheng-Hsi Yeh Sheng-En Chou Wei-Ti Su Ching-Hua Tsai Chun-Ying Huang Shiun-Yuan Hsu Ching-Hua Hsieh |
| author_facet | Cheng-Hsi Yeh Sheng-En Chou Wei-Ti Su Ching-Hua Tsai Chun-Ying Huang Shiun-Yuan Hsu Ching-Hua Hsieh |
| author_sort | Cheng-Hsi Yeh |
| collection | DOAJ |
| description | This study aimed to explore differences in outcomes between these major trauma patients who were transferred and those directly transported to trauma centers. The medical information and outcome of 5,341 major trauma patients with an injury severity score (ISS) ≥ 16 who were hospitalized for treatment between January 1, 2009, and December 31, 2019, were collected from the Trauma Registry System of the hospital. There were 2,386 patients who were transferred (transfer group) and 2,955 patients transported directly to trauma centers first (direct group). Regarding the outcomes, there was no significant difference in the mortality rate between patients in the transfer group and the direct group (11.1% vs. 10.5%, respectively, p=0.527). However, the patients in the transfer group had a longer hospital stay (16.8 days vs. 14.3 days, respectively, p<0.001) and higher incidence of intensive care unit (ICU) admission (74.9% vs. 70.5%, respectively, p<0.001) than those patients in the direct group. Similar results were observed in the selected 2,139 pairs of propensity score-matched patient populations, who did not present with significant differences in sex, age, comorbidities, trauma mechanisms, and ISS. This study revealed no significant difference in the mortality rate between the two groups of major trauma patients. However, the transferred patients had significantly longer hospital stays and higher rates of ICU admission than patients directly transported to trauma centers. |
| format | Article |
| id | doaj-art-3605fdeabfc4494eb648fcf2d7b368ae |
| institution | Kabale University |
| issn | 2090-2859 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-3605fdeabfc4494eb648fcf2d7b368ae2025-02-03T06:08:41ZengWileyEmergency Medicine International2090-28592022-01-01202210.1155/2022/4430962Comparing Outcomes between Major Trauma Patients Transferred from a Different Hospital and Patients Transported Directly to Trauma Centers: A Retrospective Analysis with Propensity Score Matching AnalysisCheng-Hsi Yeh0Sheng-En Chou1Wei-Ti Su2Ching-Hua Tsai3Chun-Ying Huang4Shiun-Yuan Hsu5Ching-Hua Hsieh6Department of General SurgeryDepartment of Trauma SurgeryDepartment of Trauma SurgeryDepartment of Trauma SurgeryDepartment of Trauma SurgeryDepartment of Trauma SurgeryDepartment of Trauma SurgeryThis study aimed to explore differences in outcomes between these major trauma patients who were transferred and those directly transported to trauma centers. The medical information and outcome of 5,341 major trauma patients with an injury severity score (ISS) ≥ 16 who were hospitalized for treatment between January 1, 2009, and December 31, 2019, were collected from the Trauma Registry System of the hospital. There were 2,386 patients who were transferred (transfer group) and 2,955 patients transported directly to trauma centers first (direct group). Regarding the outcomes, there was no significant difference in the mortality rate between patients in the transfer group and the direct group (11.1% vs. 10.5%, respectively, p=0.527). However, the patients in the transfer group had a longer hospital stay (16.8 days vs. 14.3 days, respectively, p<0.001) and higher incidence of intensive care unit (ICU) admission (74.9% vs. 70.5%, respectively, p<0.001) than those patients in the direct group. Similar results were observed in the selected 2,139 pairs of propensity score-matched patient populations, who did not present with significant differences in sex, age, comorbidities, trauma mechanisms, and ISS. This study revealed no significant difference in the mortality rate between the two groups of major trauma patients. However, the transferred patients had significantly longer hospital stays and higher rates of ICU admission than patients directly transported to trauma centers.http://dx.doi.org/10.1155/2022/4430962 |
| spellingShingle | Cheng-Hsi Yeh Sheng-En Chou Wei-Ti Su Ching-Hua Tsai Chun-Ying Huang Shiun-Yuan Hsu Ching-Hua Hsieh Comparing Outcomes between Major Trauma Patients Transferred from a Different Hospital and Patients Transported Directly to Trauma Centers: A Retrospective Analysis with Propensity Score Matching Analysis Emergency Medicine International |
| title | Comparing Outcomes between Major Trauma Patients Transferred from a Different Hospital and Patients Transported Directly to Trauma Centers: A Retrospective Analysis with Propensity Score Matching Analysis |
| title_full | Comparing Outcomes between Major Trauma Patients Transferred from a Different Hospital and Patients Transported Directly to Trauma Centers: A Retrospective Analysis with Propensity Score Matching Analysis |
| title_fullStr | Comparing Outcomes between Major Trauma Patients Transferred from a Different Hospital and Patients Transported Directly to Trauma Centers: A Retrospective Analysis with Propensity Score Matching Analysis |
| title_full_unstemmed | Comparing Outcomes between Major Trauma Patients Transferred from a Different Hospital and Patients Transported Directly to Trauma Centers: A Retrospective Analysis with Propensity Score Matching Analysis |
| title_short | Comparing Outcomes between Major Trauma Patients Transferred from a Different Hospital and Patients Transported Directly to Trauma Centers: A Retrospective Analysis with Propensity Score Matching Analysis |
| title_sort | comparing outcomes between major trauma patients transferred from a different hospital and patients transported directly to trauma centers a retrospective analysis with propensity score matching analysis |
| url | http://dx.doi.org/10.1155/2022/4430962 |
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