Journal of Emergencies, Trauma, and Shock
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ORIGINAL ARTICLE
Year : 2022  |  Volume : 15  |  Issue : 1  |  Page : 12-16

The usefulness of physician-staffed helicopters for managing severe abdominal trauma patients


Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Tokyo, Japan

Correspondence Address:
Youichi Yanagawa
1129 Nagaoka, Izunokuni City, Shizuoka 410-2295
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jets.jets_96_21

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Introduction: We retrospectively investigated prognostic factors for severe abdominal trauma patients evacuated by a physician-staffed helicopter emergency medical service (HEMS) and ground ambulance using the Japan Trauma Data Bank (JTDB). Methods: The study period was from January 2004 to May 2019. The subjects were divided into two groups, according to the type of outcome: the Mortality group, which included patients who ultimately died, and the Survival group, which included patients who obtained a survival outcome. Results: There were 2457 in the Mortality group and 11,326 in the Survival group. When variables that showed statistical significance in the univariate analysis were included in a multivariate analysis, the following variables were identified as significant positive predictors of a fatal outcome: evacuation from the scene, blunt injury, injury severity score, and age; significant negative predictors of a fatal outcome were transportation by the HEMS and revised trauma score. Conclusions: The present study described the usefulness of the HEMS for severe abdominal trauma patients in comparison with ground ambulance transportation using the JTDB.


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