TY  - JOUR
PY  - 2012//
TI  - Outcomes of trauma patients: Direct transport versus transfer after stabilisation at another hospital
JO  - Injury
A1  - Hsiao, Kuang-Yu
A1  - Lin, Leng-Chieh
A1  - Chou, Meng-Hua
A1  - Chen, Cheng-Chueh
A1  - Lee, Hwa-Chan
A1  - Foo, Ning-Ping
A1  - Shiao, Chi-Jei
A1  - Chen, I-Chuan
A1  - Hsiao, Cheng-Ting
A1  - Chen, Kai-Hua
SP  - 1575
EP  - 1579
VL  - 43
IS  - 9
N2  - 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 (25.3min vs. 28.1min), and the average interval between the two hospital arrivals was 138.3min. 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0020-1383
UR  - http://dx.doi.org/10.1016/j.injury.2012.01.004
ID  - ref1
ER  -