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Table 6 Patient outcome and treatment in relation to EMS assessed severity and age

From: Characteristics of a trauma population in an ambulance organisation in Sweden: results from an observational study

 

N = 5,2351

Low acuity, N = 2,3151

High acuity, N = 2,4281

p-value2

≤ 63 yrs, N = 2,6131

> 63 yrs, N = 2,5671

p-value2

Interventions/examinations (844)3

       

Fracture treatment

1,220 (27.8)

397 (21.4)

782 (33.7)

< 0.001

416 (19.9)

802 (34.9)

< 0.001

Joint dislocation treatment

222 (5.1)

58 (3.1)

159 (6.9)

< 0.001

111 (5.3)

111 (4.8)

0.5

Wound care

891 (20.3)

371 (20.0)

475 (20.5)

0.7

442 (21.2)

449 (19.6)

0.2

Wound suturing

673 (15.3)

290 (15.6)

348 (15.0)

0.6

318 (15.2)

355 (15.5)

0.8

Antibiotics

314 (7.2)

85 (4.6)

210 (9.1)

< 0.001

119 (5.7)

195 (8.5)

< 0.001

CT scan

1,760 (40.1)

595 (32.1)

1,110 (47.9)

< 0.001

786 (37.6)

972 (42.3)

0.002

X-ray

2,097 (47.8)

788 (42.5)

1,266 (54.6)

< 0.001

747 (35.8)

1,348 (58.7)

< 0.001

Other interventions/care

1,712 (39.0)

679 (36.6)

940 (40.5)

0.009

841 (40.3)

867 (37.8)

0.088

Transfusion dependent

208 (4.7)

24 (1.3)

175 (7.5)

< 0.001

27 (1.3)

181 (7.9)

< 0.001

Operation fracture

813 (18.5)

173 (9.3)

618 (26.6)

< 0.001

243 (11.6)

569 (24.8)

< 0.001

Organ dysfunction OR

56 (1.3)

6 (0.3)

39 (1.7)

< 0.001

29 (1.4)

27 (1.2)

0.5

Other complication OR

185 (4.2)

36 (1.9)

131 (5.6)

< 0.001

89 (4.3)

96 (4.2)

0.9

Admission to hospital (880)

1,910 (43.9)

518 (28.2)

1,324 (57.4)

< 0.001

568 (27.6)

1,339 (58.5)

< 0.001

ICU care (680)

117 (2.6)

14 (0.7)

88 (3.8)

< 0.001

64 (2.9)

53 (2.3)

0.2

Days of admission (1,044)

1.0 (0.0, 5.0)

0.0 (0.0, 1.0)

1.0 (0.0, 7.0)

< 0.001

0.0 (0.0, 1.0)

2.0 (0.0, 8.0)

< 0.001

Secondary transport to other hospital (890)

294 (6.8)

82 (4.5)

198 (8.6)

< 0.001

104 (5.1)

189 (8.3)

< 0.001

Discharged to (1,220)

   

< 0.001

  

< 0.001

Residential home

3,346 (83.3)

1,444 (89.2)

1,787 (79.4)

 

1,751 (95.1)

1,592 (73.4)

 

Nursing home

469 (11.7)

129 (8.0)

334 (14.8)

 

10 (0.5)

459 (21.2)

 

Other hospital/rehab clinic

129 (3.2)

36 (2.2)

86 (3.8)

 

67 (3.6)

61 (2.8)

 

Deceased in hospital

71 (1.8)

10 (0.6)

44 (2.0)

 

13 (0.7)

58 (2.7)

 

All-cause mortality (143)

       

2 day mortality

58 (1.1)

5 (0.2)

14 (0.6)

0.051

26 (1.0)

32 (1.3)

0.4

7 day mortality

94 (1.8)

12 (0.5)

40 (1.7)

< 0.001

28 (1.1)

66 (2.6)

< 0.001

30 day mortality

173 (3.4)

33 (1.5)

97 (4.1)

< 0.001

29 (1.1)

144 (5.6)

< 0.001

  1. 1n (%); Median (IQR) 2Pearson’s Chi-squared test; Wilcoxon rank sum test 3Missing data
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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

ISSN: 1757-7241