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Prehospital Care and In-hospital Mortality of Trauma Patients in Iran

Published online by Cambridge University Press:  08 September 2014

Mohammad Paravar ,
Mehrdad Hosseinpour ,
Mahdi Mohammadzadeh Open the ORCID record for Mahdi Mohammadzadeh [Opens in a new window]  and
Azade Sadat Mirzadeh
Mohammad Paravar
Affiliation:
Trauma Research Center, Kashan University of Medical Sciences, Kashan, IRIran
Mehrdad Hosseinpour*
Affiliation:
Trauma Research Center, Kashan University of Medical Sciences, Kashan, IRIran
Mahdi Mohammadzadeh
Affiliation:
Trauma Research Center, Kashan University of Medical Sciences, Kashan, IRIran
Azade Sadat Mirzadeh
Affiliation:
Trauma Research Center, Kashan University of Medical Sciences, Kashan, IRIran
*
Correspondence: Mehrdad Hosseinpour, MD Trauma Research Center, Shahid Beheshti Hospital Kashan University of Medical Sciences Kashan, IR Iran E-mail Meh_hosseinpour@yahoo.com
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Abstract

Introduction

The aim of this study was to determine the effect of prehospital time and advanced trauma life support interventions for trauma patients transported to an Iranian Trauma Center.

Methods

This study was a retrospective study of trauma victims presenting to a trauma center in central Iran by Emergency Medical Services (EMS) and hospitalized more than 24 hours. Demographic and injury characteristics were obtained, including accident location, damaged organs, injury mechanism, injury severity score, prehospital times (response, scene, and transport), interventions and in-hospital outcome.

Results

Two thousand patients were studied with an average age of 36.3 (SD = 20.8) years; 83.1% were male. One hundred twenty patients (6.1%) died during hospitalization. The mean response time, at scene time and transport time were 6.6 (SD = 3), 11.1 (SD = 5.2) and 12.8 (SD = 9.4), respectively. There was a significant association of longer transport time to worse outcome (P = .02). There was a trend for patients with transport times >10 minutes to die (OR: 0.8; 95% CI, 0.1-6.59). Advanced Life Support (ALS) interventions were applied for patients with severe injuries (Revised Trauma Score ⩽7) and ALS intervention was associated with more time on scene. There was a positive association of survival with ALS interventions applied in suburban areas (P = .001).

Conclusion

In-hospital trauma mortality was more common for patients with severe injuries and long prehospital transport times. While more severely injured patients received ALS interventions and died, these interventions were associated with positive survival trends when conducted in suburban and out-of-city road locations with long transport times.

HosseinpourM, ParavarM, MohammadzadehM, MirzadehAS. Prehospital Care and In-hospital Mortality of Trauma Patients in Iran. Prehosp Disaster Med. 2014;29(5):1-5.

Keywords

emergency medicinemortalityprehospital care
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 29 , Issue 5 , October 2014 , pp. 473 - 477
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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