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Table 1 Patient characteristics stratified by presenting level of responsiveness (n = 920)

From: A data-driven algorithm to support the clinical decision-making of patient extrication following a road traffic collision

 

All patients (n = 920)

Alert (n = 531)

Verbal (n = 212)

Pain (n = 59)

Unresponsive (n = 118)

p-value

Demographics

 

Age, years (SD)

43 [4–99]

38 [26–60]

43 [40–46]

41 [36–46]

35 [23–54]

0.205

Male (n [%])

598 [65]

327 [62]

139 [66]

44 [75]

85 [72]

0.04

Incident Timings

 

999 to scene time (mins)

35 [26–49]

37 [28–45]

34 [18–34]

39 [66]

32 [23–44]

0.213

Time to PHEA (hh: mm: ss)

01:11:00

01:17:00

01:16:00

01:07:00

01:06:00

0.461

Mechanism Descriptor, n [%]

 

Car driver (or passenger)

730

424 [58]

166 [78]

45 [76]

85 [11]

0.007

Van driver (or passenger)

68

41 [60]

11 [5]

1 [2]

4 [6]

Pedestrian*

44

25 [57]

8 [4]

2 [3]

8 [18]

Unspecified**

78

41 [53]

27 [13]

11 [19]

21 [27]

Injury Descriptors, n [%]

Head

157 [17]

49 [9]

47 [22]

26 [44]

49 [42]

< 0.001

Chest

440 [48]

234 [44]

93 [44]

29 [49]

74 [63]

< 0.001

Abdomen

401 [43]

212 [40]

115 [54]

23 [39]

43 [36]

0.006

Presenting Physiology, n [%]

Airway

Obstructed

Partial obstruction

Managed

Maintaining own

Missing

34

55

66

753

12

0 [0]

1 [1]

0 [0]

530 [99]

0 [0]

3 [1]

1 [0.5]

207 [98]

0 [0]

31 [53]

13 [22]

15 [25]

34 [100]

18 [33]

52 [79]

2 [0.2]

< 0.001

Circulation

Cardiac arrest

Central pulse

Radial pulse

Missing

84

55

784

12

0 [0]

10 [2]

521 [66]

0 [0]

26 [12]

188 [89]

0 [0]

10 [17]

49 [83]

84 [68]

10 [8]

12 [10]

< 0.001

HEMS Interventions, n [%]***

HEMS Interventions (any)

262 [29]

48 [19]

70 [27]

54 [21]

86 [34]

< 0.001

 PHEA

124 [13]

16 [3]

45 [36]

48 [39]

16 [14]

< 0.001

 Blood product transfusion

120 [13]

15 [3]

48 [40]

16 [13]

42 [36]

< 0.001

 Thoracostomy/ies

140 [15]

17 [3]

27 [19]

23 [16]

67 [57]

< 0.001

 Resuscitative Thoracotomy

1 [< 1]

0 [0]

0 [0]

1 [100]

0 [0]

0.311

Patient Disposition and Outcome, n [%]

  

HEMS Conveyed

528 [57]

248 [47]

107 [20]

53 [10]

38 [32]

< 0.001

Pronounced Life Extinct

82 [9]

2 [< 1]

3 [4]

5 [6]

73 [62]

  1. Categorical data are reported as frequency (n) and percentage (%) and numerical data as median (IQR) or mean (SD). HEMS, Helicopter Emergency Medical Service; PHEA, Pre-hospital Emergency Anaesthesia; ISS, Injury Severity Score; TCA, Traumatic Cardiac Arrest *pedestrians includes those involved in an RTC who were trapped under (parts) of, or by a vehicle. **unspecified includes patients for which it was mentioned in the notes that they were trapped but who were unable to code into another category. ***CPR and associated interventions are not included under HEMS interventions as this is commonly provided by ground EMS, and HEMS activation is only considered in certain conditions.