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Table 1 Baseline characteristics of the 5534 included fatal (n = 343) and non-fatal (n = 5191) missions as well as univariable logistic regression to predict fatal injuries

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

  1. CVP car versus pedestrian, GCS Glasgow Coma Scale, IQR interquartile range, MCC motorcycle crash, med median, min minutes, MVC motor vehicle crash, TBI traumatic brain injury, WE weekend
  2. +For the odds ratio: per 1 year increase
  3. *For the odds ratio: per 10 min increase