From: Helicopter emergency medical service dispatch in older trauma: time to reconsider the trigger?
Total | Immediate | Interrogate | Crew request | P value | |
---|---|---|---|---|---|
Demographics | n [%] | n [%] | n [%] | n [%] | |
Patients | 1321 [100] | 423 [32.0] | 575 [43.5] | 323 [24.5] | .0011 |
Age, years (n, IQR) | 75 [69–81] | 73 [68–80] | 75 [69–81] | 76 [70–82] | .6082 |
65–74 | 657 [49.7] | 226 [53.4] | 280 [48.7] | 151 [46.8] | .1571 |
75–84 | 468 [35.4] | 136 [32.1] | 218 [37.9] | 114 [35.3] | .1701 |
> 85 | 196 [14.8] | 61 [14.4] | 77 [13.4] | 58 [17.7] | .1741 |
Males | 832 [62.9] | 289 [68.3] | 354 [61.6] | 189 [58.5] | .151 |
999-dispatch time (mins, mean - 95%CI) | 18 [16.5–18.9] | 6.3 [5.7–6.9] | 15.1 [13.4–16.8] | 37.1 [34.4–39.9] | .0013 |
Mechanism | 1321 [100] | 423 [32.0] | 575 [43.5] | 323 [24.5] | .001 |
Assault [blunt] | 1 [100] | 0 [0] | 0 [0] | 1 [1.0] | .213 |
Assault [penetrating] | 13 [100] | 6 [46.1] | 3 [23.0] | 4 [30.7] | .213 |
Fall < 2 m | 120 [100] | 15 [12.5] | 43 [35.8] | 62 [51.6] | .001 |
Fall > 2 m | 388 [100] | 132 [34.0] | 144 [37.1] | 112 [28.8] | .006 |
ISH other | 10 [100] | 4 [40.0] | 4 [40.0] | 2 [20.0] | .856 |
ISH sharp | 24 [100] | 10 [41.6] | 14 [58.3] | 0 [0] | .005 |
Other | 103 [100] | 23 [22.3] | 47 [45.6] | 33 [32.0] | .49 |
RTC cyclist | 66 [100] | 24 [36.3] | 28 [42.4] | 14 [21.2] | .712 |
RTC driver | 246 [100] | 73 [29.6] | 130 [52.8] | 43 [17.4] | .002 |
RTC passenger | 103 [100] | 35 [33.9] | 51 [49.5] | 17 [16.5] | .14 |
RTC pedestrian | 212 [100] | 87 [41.0] | 98 [46.2] | 27 [12.7] | .001 |
RTC motorcyclist | 35 [100] | 14 [40.0] | 13 [37.1] | 8 [22.8] | .58 |
Presentation | |||||
TCA | 99 [7.4] | 71 [16.8] | 14 [2.4] | 14 [4.3] | .001 |
Isolated trauma | 622 [47.0] | 192 [45.4] | 266 [46.2] | 164 [50.8] | .304 |
Polytrauma | 633 [47.9] | 217 [51.3] | 266 [46.2] | 150 [46.4] | .242 |
Anatomical injury site | 4743 [100] | 1510 [31.84] | 43.28 [43.28] | 1180 [24.88] | .001 |
Head | 897 [67.9] | 307 [34.2] | 350 [39.0] | 240 [26.7] | .001 |
Neck | 162 [12.3] | 47 [29.0] | 74 [45.6] | 41 [25.3] | .683 |
Thorax | 544 [41.1] | 193 [35.4] | 229 [42.0] | 122 [22.4] | .066 |
Abdomen | 301 [22.8] | 109 [36.2] | 128 [42.5] | 64 [21.2] | .145 |
Upper arm | 172 [13.0] | 54 [31.3] | 77 [44.7] | 41 [23.8] | .95 |
Upper leg | 143 [10.8] | 36 [25.1] | 70 [48.9] | 37 [25.8] | .168 |
Transported patients | 1204 [19.1] | 341 [80.6] | 550 [95.7] | 313 [96.9] | .001 |
Carry | 407 [30.8] | 125 [29.5] | 163 [28.4] | 119 [36.8] | .022 |
Escort | 369 [27.9] | 109 [25.7] | 147 [25.6] | 113 [34.9] | .005 |
Assist | 438 [33.1] | 112 [26.44] | 243 [42.3] | 83 [25.7] | .001 |
PLE | 106 [8.0] | 77 [18.2] | 22 [3.9] | 7 [2.2] | .001 |
Unknown | 1 [0.1] | 0 [0] | 0 [0] | 1 [0.3] | .245 |
Destination | |||||
MTC | 793 [60.0] | 244 [57.7] | 324 [56.4] | 225 [69.7] | .001 |
TU | 374 [28.3] | 91 [21.5] | 202 [35.1] | 81 [25.1] | .001 |
LEH | 37 [2.8] | 6 [1.4] | 24 [4.1] | 7 [2.2] | .024 |
Unknown | 11 [0.8] | 5 [1.2] | 3 [0.5] | 3 [1.0] | .549 |