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• W2034248997 abstract "Study objective Aeromedical crews offer an advanced level of practice and rapid transport to definitive care; however, their efficacy remains unproven. Previous studies have used relatively small sample sizes or have been unable to adequately control for the effect of other potentially influential variables. Here we explore the impact of aeromedical response in patients with moderate to severe traumatic brain injury. Methods This was a retrospective analysis using our county trauma registry. All patients with head Abbreviated Injury Score of 3 or greater were included; interfacility transfers were excluded. The impact of aeromedical response was determined using logistic regression, adjusting for age, sex, mechanism, preadmission Glasgow Coma Scale score, head Abbreviated Injury Score, Injury Severity Score, and the presence of preadmission hypotension. Propensity scores were used to account for variability in selection of patients to undergo air versus ground transport. Patients with moderate and severe traumatic brain injury, as defined by head Abbreviated Injury Score and Glasgow Coma Scale score, were compared. Finally, aeromedical patients undergoing field intubation were compared with ground patients undergoing emergency department (ED) intubation. Results A total of 10,314 patients meeting all inclusion and exclusion criteria and with complete data sets were identified and included 3,017 transported by aeromedical crews. Overall mortality was 25% in the air- and ground-transported cohorts, but outcomes were significantly better for the aeromedical patients when adjusted for age, sex, mechanism of injury, hypotension, Glasgow Coma Scale score, head Abbreviated Injury Score, and Injury Severity Score (adjusted odds ratio [OR] 1.90; 95% confidence interval [CI] 1.60 to 2.25; P<.0001). Good outcomes (discharge to home, jail, psychiatric facility, rehabilitation, or leaving against medical advice) were also higher in aeromedical patients (adjusted OR 1.36; 95% CI 1.18 to 1.58; P<.0001). The primary benefit appeared to be in more severely injured patients, as reflected by head Abbreviated Injury Score and Glasgow Coma Scale score. Improved survival was also observed for air-transported patients intubated in the field versus ground-transported patients given emergency intubation in the ED (adjusted OR 1.42; 95% CI 1.13 to 1.78; P<.001). Conclusion Here we analyze a large database of patients with moderate to severe traumatic brain injury. Aeromedical response appears to result in improved outcomes after adjustment for multiple influential factors in patients with moderate to severe traumatic brain injury. In addition, out-of-hospital intubation among air-transported patients resulted in better outcomes than ED intubation among ground-transported patients. Patients with more severe injuries appeared to derive the greatest benefit from aeromedical transport. Aeromedical crews offer an advanced level of practice and rapid transport to definitive care; however, their efficacy remains unproven. Previous studies have used relatively small sample sizes or have been unable to adequately control for the effect of other potentially influential variables. Here we explore the impact of aeromedical response in patients with moderate to severe traumatic brain injury. This was a retrospective analysis using our county trauma registry. All patients with head Abbreviated Injury Score of 3 or greater were included; interfacility transfers were excluded. The impact of aeromedical response was determined using logistic regression, adjusting for age, sex, mechanism, preadmission Glasgow Coma Scale score, head Abbreviated Injury Score, Injury Severity Score, and the presence of preadmission hypotension. Propensity scores were used to account for variability in selection of patients to undergo air versus ground transport. Patients with moderate and severe traumatic brain injury, as defined by head Abbreviated Injury Score and Glasgow Coma Scale score, were compared. Finally, aeromedical patients undergoing field intubation were compared with ground patients undergoing emergency department (ED) intubation. A total of 10,314 patients meeting all inclusion and exclusion criteria and with complete data sets were identified and included 3,017 transported by aeromedical crews. Overall mortality was 25% in the air- and ground-transported cohorts, but outcomes were significantly better for the aeromedical patients when adjusted for age, sex, mechanism of injury, hypotension, Glasgow Coma Scale score, head Abbreviated Injury Score, and Injury Severity Score (adjusted odds ratio [OR] 1.90; 95% confidence interval [CI] 1.60 to 2.25; P<.0001). Good outcomes (discharge to home, jail, psychiatric facility, rehabilitation, or leaving against medical advice) were also higher in aeromedical patients (adjusted OR 1.36; 95% CI 1.18 to 1.58; P<.0001). The primary benefit appeared to be in more severely injured patients, as reflected by head Abbreviated Injury Score and Glasgow Coma Scale score. Improved survival was also observed for air-transported patients intubated in the field versus ground-transported patients given emergency intubation in the ED (adjusted OR 1.42; 95% CI 1.13 to 1.78; P<.001). Here we analyze a large database of patients with moderate to severe traumatic brain injury. Aeromedical response appears to result in improved outcomes after adjustment for multiple influential factors in patients with moderate to severe traumatic brain injury. In addition, out-of-hospital intubation among air-transported patients resulted in better outcomes than ED intubation among ground-transported patients. Patients with more severe injuries appeared to derive the greatest benefit from aeromedical transport." @default.
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• W2034248997 date "2005-08-01" @default.
• W2034248997 modified "2023-09-26" @default.
• W2034248997 title "The Impact of Aeromedical Response to Patients With Moderate to Severe Traumatic Brain Injury" @default.
• W2034248997 cites W1693424203 @default.
• W2034248997 cites W1884879331 @default.
• W2034248997 cites W1967877741 @default.
• W2034248997 cites W1969065978 @default.
• W2034248997 cites W1970831518 @default.
• W2034248997 cites W1972149463 @default.
• W2034248997 cites W1972755584 @default.
• W2034248997 cites W1973573478 @default.
• W2034248997 cites W1975351297 @default.
• W2034248997 cites W1976727921 @default.
• W2034248997 cites W1983951854 @default.
• W2034248997 cites W1984390921 @default.
• W2034248997 cites W1987475835 @default.
• W2034248997 cites W1993449331 @default.
• W2034248997 cites W1996457056 @default.
• W2034248997 cites W1997127594 @default.
• W2034248997 cites W1999194861 @default.
• W2034248997 cites W1999464593 @default.
• W2034248997 cites W2002931682 @default.
• W2034248997 cites W2005912293 @default.
• W2034248997 cites W2008021574 @default.
• W2034248997 cites W2008397974 @default.
• W2034248997 cites W2009019517 @default.
• W2034248997 cites W2009839436 @default.
• W2034248997 cites W2010514325 @default.
• W2034248997 cites W2011851264 @default.
• W2034248997 cites W2023821056 @default.
• W2034248997 cites W2024015425 @default.
• W2034248997 cites W2030110661 @default.
• W2034248997 cites W2035348068 @default.
• W2034248997 cites W2037765838 @default.
• W2034248997 cites W2038030202 @default.
• W2034248997 cites W2038262998 @default.
• W2034248997 cites W2041032837 @default.
• W2034248997 cites W2043122075 @default.
• W2034248997 cites W2044529657 @default.
• W2034248997 cites W2045498748 @default.
• W2034248997 cites W2056820507 @default.
• W2034248997 cites W2058296167 @default.
• W2034248997 cites W2062829950 @default.
• W2034248997 cites W2064376433 @default.
• W2034248997 cites W2065007372 @default.
• W2034248997 cites W2067037309 @default.
• W2034248997 cites W2068344204 @default.
• W2034248997 cites W2069364513 @default.
• W2034248997 cites W2074204711 @default.
• W2034248997 cites W2084870326 @default.
• W2034248997 cites W2084962044 @default.
• W2034248997 cites W2087708375 @default.
• W2034248997 cites W2088488190 @default.
• W2034248997 cites W2090741004 @default.
• W2034248997 cites W2094315888 @default.
• W2034248997 cites W2094462033 @default.
• W2034248997 cites W2104752817 @default.
• W2034248997 cites W2113121611 @default.
• W2034248997 cites W2122894279 @default.
• W2034248997 cites W2126969787 @default.
• W2034248997 cites W2148857710 @default.
• W2034248997 cites W2151978421 @default.
• W2034248997 cites W2474529034 @default.
• W2034248997 cites W4249024243 @default.
• W2034248997 cites W4299847597 @default.
• W2034248997 cites W81072070 @default.
• W2034248997 doi "https://doi.org/10.1016/j.annemergmed.2005.01.024" @default.
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