@article{ref1,
title="The usefulness of physician-staffed helicopters for managing severe abdominal trauma patients",
journal="Journal of emergencies, trauma and shock",
year="2022",
author="Jitsuiki, Kei and Nagasawa, Hiroki and Muramatsu, Ken-Ichi and Takeuchi, Ikuto and Ohsaka, Hiromichi and Ishikawa, Kouhei and Yanagawa, Youichi",
volume="15",
number="1",
pages="12-16",
abstract="INTRODUCTION: We retrospectively investigated prognostic factors for severe abdominal trauma patients evacuated by a physician-staffed helicopter emergency medical service (HEMS) and ground ambulance using the Japan Trauma Data Bank (JTDB). <br><br>METHODS: The study period was from January 2004 to May 2019. The subjects were divided into two groups, according to the type of outcome: the Mortality group, which included patients who ultimately died, and the Survival group, which included patients who obtained a survival outcome. <br><br>RESULTS: There were 2457 in the Mortality group and 11,326 in the Survival group. When variables that showed statistical significance in the univariate analysis were included in a multivariate analysis, the following variables were identified as significant positive predictors of a fatal outcome: evacuation from the scene, blunt injury, injury severity score, and age; significant negative predictors of a fatal outcome were transportation by the HEMS and revised trauma score. <br><br>CONCLUSIONS: The present study described the usefulness of the HEMS for severe abdominal trauma patients in comparison with ground ambulance transportation using the JTDB.<p /> <p>Language: en</p>",
language="en",
issn="0974-2700",
doi="10.4103/jets.jets_96_21",
url="http://dx.doi.org/10.4103/jets.jets_96_21"
}