FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2920912077> ?p ?o ?g. }

• W2920912077 endingPage "1022" @default.
• W2920912077 startingPage "1015" @default.
• W2920912077 abstract "BACKGROUND Trauma is a time-sensitive disease. However, recognizing which patients have time-critical injuries in the field is challenging. Many studies failed to identify an association between increasing prehospital time (PHT) and mortality due to evaluation of heterogenous trauma patients, as well as inherent survival bias from missed deaths in patients with long PHT. Our objective was to determine if a subset of existing trauma triage criteria can identify patients in whom mortality is associated with PHT. METHODS Trauma patients 16 years or older transported from the scene in the National Trauma Databank 2007 to 2015 were included. Cubic spline analysis used to identify an inflection where mortality increases to identify a marginal population in which PHT is more likely associated with mortality and exclude biased patients with long PHT. Logistic regression determined the association between mortality and PHT, adjusting for demographics, transport mode, vital signs, operative interventions, and complications. Interaction terms between existing trauma triage criteria and PHT were tested, with model stratification across triage criteria with a significant interaction to determine which criteria identify patients that have increased risk of mortality associated with increasing PHT. RESULTS Mortality risk increased in patients with total PHT of 30 minutes or less, comprising a study population of 517,863 patients. Median total PHT was 26 minutes (interquartile range, 22–28 minutes) with median Injury Severity Score of 9 (interquartile range, 4–14) and 7.4% mortality. Overall, PHT was not associated with mortality (adjusted odd ratio [AOR], 0.984 per 5-minute increase; 95% confidence interval [CI], 0.960–1.009; p = 0.20). Interaction analysis demonstrated increased mortality associated with increasing PHT for patients with systolic blood pressure less than 90 mm Hg (AOR, 1.039; 95% CI, 1.003–1.078, p = 0.04), Glasgow Coma Scale score of 8 or less (AOR, 1.047; 95% CI, 1.018–1.076; p < 0.01), or nonextremity firearm injury (AOR, 1.049; 95% CI, 1.010–1.089; p < 0.01). CONCLUSION Patients with prehospital hypotension, Glasgow Coma Scale score of 8 or less, and nonextremity firearm injury have higher mortality with increasing PHT. These patients may have time-sensitive injuries and benefit from rapid transport to definitive care. LEVEL OF EVIDENCE Prognostic/Epidemiologic III; Therapeutic/Care Management IV." @default.
• W2920912077 created "2019-03-22" @default.
• W2920912077 creator A5015404027 @default.
• W2920912077 creator A5029774861 @default.
• W2920912077 creator A5062076820 @default.
• W2920912077 creator A5063900162 @default.
• W2920912077 creator A5067313142 @default.
• W2920912077 creator A5083420537 @default.
• W2920912077 date "2019-06-01" @default.
• W2920912077 modified "2023-10-02" @default.
• W2920912077 title "Identifying patients with time-sensitive injuries: Association of mortality with increasing prehospital time" @default.
• W2920912077 cites W1840358929 @default.
• W2920912077 cites W1908633281 @default.
• W2920912077 cites W1967055632 @default.
• W2920912077 cites W1974803587 @default.
• W2920912077 cites W1988831600 @default.
• W2920912077 cites W2004110814 @default.
• W2920912077 cites W2013626048 @default.
• W2920912077 cites W2034072713 @default.
• W2920912077 cites W2038985290 @default.
• W2920912077 cites W2047098338 @default.
• W2920912077 cites W2054258120 @default.
• W2920912077 cites W2055545366 @default.
• W2920912077 cites W2064688477 @default.
• W2920912077 cites W2092590135 @default.
• W2920912077 cites W2095463603 @default.
• W2920912077 cites W2100588091 @default.
• W2920912077 cites W2106912040 @default.
• W2920912077 cites W2117254807 @default.
• W2920912077 cites W2121794924 @default.
• W2920912077 cites W2126969787 @default.
• W2920912077 cites W2160752419 @default.
• W2920912077 cites W2265910413 @default.
• W2920912077 cites W2278670038 @default.
• W2920912077 cites W2318211492 @default.
• W2920912077 cites W2539180084 @default.
• W2920912077 cites W2765324002 @default.
• W2920912077 cites W2771285381 @default.
• W2920912077 cites W2791037979 @default.
• W2920912077 cites W2803506935 @default.
• W2920912077 doi "https://doi.org/10.1097/ta.0000000000002251" @default.
• W2920912077 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31124900" @default.
• W2920912077 hasPublicationYear "2019" @default.
• W2920912077 type Work @default.
• W2920912077 sameAs 2920912077 @default.
• W2920912077 citedByCount "22" @default.
• W2920912077 countsByYear W29209120772020 @default.
• W2920912077 countsByYear W29209120772021 @default.
• W2920912077 countsByYear W29209120772022 @default.
• W2920912077 countsByYear W29209120772023 @default.
• W2920912077 crossrefType "journal-article" @default.
• W2920912077 hasAuthorship W2920912077A5015404027 @default.
• W2920912077 hasAuthorship W2920912077A5029774861 @default.
• W2920912077 hasAuthorship W2920912077A5062076820 @default.
• W2920912077 hasAuthorship W2920912077A5063900162 @default.
• W2920912077 hasAuthorship W2920912077A5067313142 @default.
• W2920912077 hasAuthorship W2920912077A5083420537 @default.
• W2920912077 hasConcept C119060515 @default.
• W2920912077 hasConcept C126322002 @default.
• W2920912077 hasConcept C141071460 @default.
• W2920912077 hasConcept C151956035 @default.
• W2920912077 hasConcept C179755657 @default.
• W2920912077 hasConcept C190385971 @default.
• W2920912077 hasConcept C194828623 @default.
• W2920912077 hasConcept C2777120189 @default.
• W2920912077 hasConcept C2777914111 @default.
• W2920912077 hasConcept C2908647359 @default.
• W2920912077 hasConcept C3017944768 @default.
• W2920912077 hasConcept C44249647 @default.
• W2920912077 hasConcept C71924100 @default.
• W2920912077 hasConcept C85004164 @default.
• W2920912077 hasConcept C99454951 @default.
• W2920912077 hasConceptScore W2920912077C119060515 @default.
• W2920912077 hasConceptScore W2920912077C126322002 @default.
• W2920912077 hasConceptScore W2920912077C141071460 @default.
• W2920912077 hasConceptScore W2920912077C151956035 @default.
• W2920912077 hasConceptScore W2920912077C179755657 @default.
• W2920912077 hasConceptScore W2920912077C190385971 @default.
• W2920912077 hasConceptScore W2920912077C194828623 @default.
• W2920912077 hasConceptScore W2920912077C2777120189 @default.
• W2920912077 hasConceptScore W2920912077C2777914111 @default.
• W2920912077 hasConceptScore W2920912077C2908647359 @default.
• W2920912077 hasConceptScore W2920912077C3017944768 @default.
• W2920912077 hasConceptScore W2920912077C44249647 @default.
• W2920912077 hasConceptScore W2920912077C71924100 @default.
• W2920912077 hasConceptScore W2920912077C85004164 @default.
• W2920912077 hasConceptScore W2920912077C99454951 @default.
• W2920912077 hasIssue "6" @default.
• W2920912077 hasLocation W29209120771 @default.
• W2920912077 hasLocation W29209120772 @default.
• W2920912077 hasOpenAccess W2920912077 @default.
• W2920912077 hasPrimaryLocation W29209120771 @default.
• W2920912077 hasRelatedWork W1983691561 @default.
• W2920912077 hasRelatedWork W2077639597 @default.
• W2920912077 hasRelatedWork W2080302263 @default.
• W2920912077 hasRelatedWork W2113489558 @default.
• W2920912077 hasRelatedWork W2127544780 @default.
• W2920912077 hasRelatedWork W2305512508 @default.

• next