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Association between prehospital time and outcome of trauma patients in 4 Asian countries: A cross-national, multicenter cohort study

PLoS Medicine Oct 10, 2020

Chen CH, Shin SD, Sun JT, et al. - Researchers sought to determine whether patients with trauma can benefit from rapid transportation via ascertaining the correlation between prehospital time and outcome and examining the concept of the “golden hour” for injured patients. In this retrospective cohort study, they analyzed 24,365 trauma patients from 4 countries (645 patients from Japan, 16,476 patients from Korea, 5,358 patients from Malaysia, and 1,886 patients from Taiwan), which were transported from the scene to hospitals by emergency medical service (EMS) from January 1, 2016, to November 30, 2018, using data from the Pan-Asia Trauma Outcomes Study (PATOS) database. Findings suggest no correlation of longer prehospital time with 30-day mortality, but possibly with raised risk of poor functional outcomes in injured patients. Every 10-minute delay in total prehospital time was noted to be linked with a 6% rise in the odds of a poor functional outcome. Poor functional outcome is suggestive of severe disability in daily life, or death. Findings thereby provide further support to the concept of the “golden hour” for trauma patients during prehospital care in the studied countries.

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