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Table 2 Differences in initial pre-hospital clinical features made by the emergency medical service between patients transported directly and indirectly to the trauma center

From: Factors correlating with delayed trauma center admission following traumatic brain injury

  

Trauma center admission

 

All patients 431(100%)

Direct 282 (65%)

Delayed 149 (35%)

p-Value

Field GCS

    

3-12

258 (60)

204 (72)

54 (36)

< 0.001

13-15

155 (36)

74 (27)

80 (54)

 

Missing

18 (4)

3 (1)

15 (10)

 

Major extra cranial injury

118 (27)

107 (38)

11 (7)

< 0.001

Unconsciousness

260 (60)

198 (70)

62 (42)

< 0.001

Pupillary light reaction

    

Normal

284 (66)

181 (64)

103 (69)

< 0.001

Abnormal

87 (20)

76 (27)

11 (7)

 

Missing

60 (14)

25 (9)

35 (24)

 

Hypoxia

87 (20)

72 (26)

15 (10)

< 0.001

Hypotension

49 (11)

47 (17)

2 (1)

< 0.001

Field blood alcohol level (‰)

    

0.0

17 (4)

13 (5)

4 (3)

0.004

< 2.3

44 (10)

28 (10)

16 (11)

 

≥ 2.3

38 (9)

15 (5)

23 (15)

 

Not tested

332 (77)

226 (80)

106 (70)

 

Median

2.0 (0.9-2.8)

1.7 (0.6-2.4)

2.3 (1.6-2.9)

0.008

Glucose (mmol/l)

7.2 (6.0-8.8)

7.2 (6.0-8.9)

7.1 (5.9-8.8)

0.773

Focal neurological sign

37 (9)

24 (9)

13 (9)

0.904

  1. Categorical variables are presented as N (%) and continuous as median (IQR).
  2. Abbreviations: GCS= Glasgow Coma Scale, EMS= Emergency Medical Service, EMS risk category A= highest risk and D= lowest risk. * Any injury that requires hospital admission within its own right.
  3. † Hypoxic insult is defined as documented 02 saturation < 90% at any time during the pre-hospital transfer.
  4. ‡ Hypotensive insult is defined as systole < 90 mmHg at any time during the pre-hospital transfer.