Journal of Emergencies, Trauma, and Shock

ORIGINAL ARTICLE
Year
: 2022  |  Volume : 15  |  Issue : 1  |  Page : 12--16

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


Kei Jitsuiki, Hiroki Nagasawa, Ken-Ichi Muramatsu, Ikuto Takeuchi, Hiromichi Ohsaka, Kouhei Ishikawa, Youichi Yanagawa 
 Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Tokyo, Japan

Correspondence Address:
Youichi Yanagawa
1129 Nagaoka, Izunokuni City, Shizuoka 410-2295
Japan

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.


How to cite this article:
Jitsuiki K, Nagasawa H, Muramatsu KI, Takeuchi I, Ohsaka H, Ishikawa K, Yanagawa Y. The usefulness of physician-staffed helicopters for managing severe abdominal trauma patients.J Emerg Trauma Shock 2022;15:12-16


How to cite this URL:
Jitsuiki K, Nagasawa H, Muramatsu KI, Takeuchi I, Ohsaka H, Ishikawa K, Yanagawa Y. The usefulness of physician-staffed helicopters for managing severe abdominal trauma patients. J Emerg Trauma Shock [serial online] 2022 [cited 2022 Jul 5 ];15:12-16
Available from: https://www.onlinejets.org/article.asp?issn=0974-2700;year=2022;volume=15;issue=1;spage=12;epage=16;aulast=Jitsuiki;type=0