From: The forgotten cohort-lessons learned from prehospital trauma death: a retrospective cohort study
Total (n = 5534) | Life-threatening injury (n = 5191) | Fatal injury (n = 343) | Odds ratio | (95% CI) | p-value | ||||
---|---|---|---|---|---|---|---|---|---|
Mission and rescue details | |||||||||
Season of mission, n (%) | |||||||||
Winter | 1005 | [18.2] | 942 | [18.1] | 63 | [18.4] | 1.00 | (baseline) | |
Spring | 1471 | [26.6] | 1368 | [26.4] | 103 | [30.0] | 1.13 | (0.81; 1.56) | 0.474 |
Summer | 1928 | [34.8] | 1822 | [35.1] | 106 | [30.9] | 0.87 | (0.63; 1.20) | 0.396 |
Fall | 1130 | [20.4] | 1059 | [20.4] | 71 | [20.7] | 1.00 | (0.71; 1.42) | 0.989 |
WE mission, n (%) | 1783 | [32.2] | 1659 | [32.0] | 124 | [36.2] | 1.21 | (0.96; 1.51) | 0.108 |
Late/night mission (20:00–07:59), n (%) | 1188 | [21.5] | 1143 | [22.0] | 45 | [13.1] | 0.53 | (0.39; 0.74) | < 0.001 |
Winch rescue, n (%) | 353 | [6.4] | 312 | [6.0] | 41 | [12.0] | 2.12 | (1.50; 3.00) | < 0.001 |
Demographics | |||||||||
Age [years]+, med (IQR) | 49 | [27; 65] | 49 | [27; 66] | 48 | [28; 62] | 1.00 | (0.99; 1.00) | 0.445 |
Age > 65y, n (%) | 1382 | [25.0] | 1309 | [25.2] | 73 | [21.3] | 0.80 | (0.61; 1.05) | 0.104 |
Female gender, n (%) | 1447 | [26.1] | 1381 | [26.6] | 66 | [19.2] | 0.66 | (0.50; 0.87) | 0.003 |
Type of injury | |||||||||
MVC | 810 | [14.6] | 764 | [14.7] | 46 | [13.4] | 0.90 | (0.65; 1.24) | 0.507 |
MCC | 694 | [12.5] | 635 | [12.2] | 59 | [17.2] | 1.49 | (1.11; 2.00) | 0.007 |
Bike | 444 | [8.0] | 425 | [8.2] | 19 | [5.5] | 0.66 | (0.41; 1.06) | 0.083 |
CVP | 314 | [5.7] | 298 | [5.7] | 16 | [4.7] | 0.80 | (0.48; 1.34) | 0.405 |
Sky activity | 106 | [1.9] | 94 | [1.8] | 12 | [3.5] | 1.97 | (1.07; 3.62) | 0.030 |
Hiking/climbing | 190 | [3.4] | 168 | [3.2] | 22 | [6.4] | 2.05 | (1.30; 3.24) | 0.002 |
Winter sports | 237 | [4.3] | 202 | [3.9] | 35 | [10.2] | 2.81 | (1.93; 4.09) | < 0.001 |
Work-related | 690 | [12.5] | 638 | [12.3] | 52 | [15.2] | 1.28 | (0.94; 1.73) | 0.120 |
Household | 1470 | [26.6] | 1432 | [27.6] | 38 | [11.1] | 0.33 | (0.23; 0.46) | < 0.001 |
Injury characteristics | |||||||||
TBI, n (%) | 3772 | [68.2] | 3553 | [68.4] | 219 | [63.8] | 0.81 | (0.65; 1.02) | 0.077 |
Thoracic trauma, n (%) | 1642 | [29.7] | 1489 | [28.7] | 153 | [44.6] | 2.00 | (1.60; 2.50) | < 0.001 |
Abdominal trauma, n (%) | 912 | [16.5] | 836 | [16.1] | 76 | [22.2] | 1.48 | (1.14; 1.93) | 0.004 |
Pelvic trauma, n (%) | 716 | [12.9] | 670 | [12.9] | 46 | [13.4] | 1.05 | (0.76; 1.44) | 0.788 |
Upper extremity trauma, n (%) | 897 | [16.2] | 859 | [16.5] | 38 | [11.1] | 0.63 | (0.44; 0.89) | 0.008 |
Lower extremity trauma, n (%) | 1130 | [20.4] | 1063 | [20.5] | 67 | [19.5] | 0.94 | (0.72; 1.24) | 0.674 |
Durations | |||||||||
Response time* [min], med (IQR) | 19 | [15; 24] | 19 | [15; 24] | 17 | [13; 22] | 0.90 | (0.81; 1.01) | 0.076 |
On scene time* [min], med (IQR) | 28 | [22; 39] | 28 | [21; 37] | 51 | [35; 69] | 1.62 | (1.54; 1.70) | < 0.001 |