Matches in SemOpenAlex for { <https://semopenalex.org/work/W4386208725> ?p ?o ?g. }
Showing items 1 to 88 of
88
with 100 items per page.
- W4386208725 abstract "Objective: Evaluate the association of annual trauma patient volume on outcomes for emergency medical services (EMS) agencies. Summary Background Data: Regionalization of trauma care saves lives. The underlying concept driving this is a volume-outcome relationship. EMS are the entry point to the trauma system, yet it is unknown if a volume-outcome relationship exists for EMS. Methods: Retrospective analysis of prospective cohort including eight trauma centers and 20 EMS air medical and metropolitan ground transport agencies. Patients 18-90 years old with injury severity scores >9 transported from scene were included. Patient and agency-level risk-adjusted regression determined the association between EMS agency trauma patient volume and mortality. Results: 33,511 were included with a median EMS agency volume of 374 patients annually (IQR 90-580). Each 50-patient increase in EMS agency volume was associated with 5% decreased odds of 6-hour mortality (aOR 0.95; 95%CI 0.92-0.99, P =0.03) and 3% decreased odds of 24-hour mortality (aOR 0.97; 95%CI 0.95-0.99, P =0.04). Pre-specified subgroup analysis showed EMS agency volume was associated with reduced odds of mortality for patients with prehospital shock, requiring prehospital airway placement, undergoing air medical transport, and those with traumatic brain injury. Agency-level analysis demonstrated that high-volume ( > 374 patients/year) EMS agencies had a significantly lower risk-standardized 6-hour mortality rate than low-volume (<374 patients/year) EMS agencies (1.9% versus 4.8%, P <0.01). Conclusions: A higher volume of trauma patients transported at the EMS agency-level is associated with improved early survival. Further investigation of this volume-outcome relationship is necessary to leverage quality improvement, benchmarking, and educational initiatives." @default.
- W4386208725 created "2023-08-29" @default.
- W4386208725 creator A5000993603 @default.
- W4386208725 creator A5018571955 @default.
- W4386208725 creator A5024576216 @default.
- W4386208725 creator A5029774861 @default.
- W4386208725 creator A5041612225 @default.
- W4386208725 creator A5043115414 @default.
- W4386208725 creator A5045478177 @default.
- W4386208725 creator A5045934923 @default.
- W4386208725 creator A5062088708 @default.
- W4386208725 creator A5067313142 @default.
- W4386208725 creator A5067747941 @default.
- W4386208725 creator A5076458634 @default.
- W4386208725 creator A5080782471 @default.
- W4386208725 creator A5083815966 @default.
- W4386208725 creator A5086232639 @default.
- W4386208725 creator A5090675988 @default.
- W4386208725 date "2023-08-28" @default.
- W4386208725 modified "2023-10-18" @default.
- W4386208725 title "Association Between Emergency Medical Service Agency Volume and Mortality in Trauma Patients" @default.
- W4386208725 doi "https://doi.org/10.1097/sla.0000000000006087" @default.
- W4386208725 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37638408" @default.
- W4386208725 hasPublicationYear "2023" @default.
- W4386208725 type Work @default.
- W4386208725 citedByCount "0" @default.
- W4386208725 crossrefType "journal-article" @default.
- W4386208725 hasAuthorship W4386208725A5000993603 @default.
- W4386208725 hasAuthorship W4386208725A5018571955 @default.
- W4386208725 hasAuthorship W4386208725A5024576216 @default.
- W4386208725 hasAuthorship W4386208725A5029774861 @default.
- W4386208725 hasAuthorship W4386208725A5041612225 @default.
- W4386208725 hasAuthorship W4386208725A5043115414 @default.
- W4386208725 hasAuthorship W4386208725A5045478177 @default.
- W4386208725 hasAuthorship W4386208725A5045934923 @default.
- W4386208725 hasAuthorship W4386208725A5062088708 @default.
- W4386208725 hasAuthorship W4386208725A5067313142 @default.
- W4386208725 hasAuthorship W4386208725A5067747941 @default.
- W4386208725 hasAuthorship W4386208725A5076458634 @default.
- W4386208725 hasAuthorship W4386208725A5080782471 @default.
- W4386208725 hasAuthorship W4386208725A5083815966 @default.
- W4386208725 hasAuthorship W4386208725A5086232639 @default.
- W4386208725 hasAuthorship W4386208725A5090675988 @default.
- W4386208725 hasConcept C126322002 @default.
- W4386208725 hasConcept C143095724 @default.
- W4386208725 hasConcept C151956035 @default.
- W4386208725 hasConcept C156957248 @default.
- W4386208725 hasConcept C167135981 @default.
- W4386208725 hasConcept C187960798 @default.
- W4386208725 hasConcept C190385971 @default.
- W4386208725 hasConcept C194828623 @default.
- W4386208725 hasConcept C2780110798 @default.
- W4386208725 hasConcept C3017944768 @default.
- W4386208725 hasConcept C44249647 @default.
- W4386208725 hasConcept C545288138 @default.
- W4386208725 hasConcept C71924100 @default.
- W4386208725 hasConcept C85004164 @default.
- W4386208725 hasConceptScore W4386208725C126322002 @default.
- W4386208725 hasConceptScore W4386208725C143095724 @default.
- W4386208725 hasConceptScore W4386208725C151956035 @default.
- W4386208725 hasConceptScore W4386208725C156957248 @default.
- W4386208725 hasConceptScore W4386208725C167135981 @default.
- W4386208725 hasConceptScore W4386208725C187960798 @default.
- W4386208725 hasConceptScore W4386208725C190385971 @default.
- W4386208725 hasConceptScore W4386208725C194828623 @default.
- W4386208725 hasConceptScore W4386208725C2780110798 @default.
- W4386208725 hasConceptScore W4386208725C3017944768 @default.
- W4386208725 hasConceptScore W4386208725C44249647 @default.
- W4386208725 hasConceptScore W4386208725C545288138 @default.
- W4386208725 hasConceptScore W4386208725C71924100 @default.
- W4386208725 hasConceptScore W4386208725C85004164 @default.
- W4386208725 hasLocation W43862087251 @default.
- W4386208725 hasLocation W43862087252 @default.
- W4386208725 hasOpenAccess W4386208725 @default.
- W4386208725 hasPrimaryLocation W43862087251 @default.
- W4386208725 hasRelatedWork W2004110814 @default.
- W4386208725 hasRelatedWork W2049078694 @default.
- W4386208725 hasRelatedWork W2105210204 @default.
- W4386208725 hasRelatedWork W2145751202 @default.
- W4386208725 hasRelatedWork W2409035542 @default.
- W4386208725 hasRelatedWork W2985273405 @default.
- W4386208725 hasRelatedWork W2985347193 @default.
- W4386208725 hasRelatedWork W3127587572 @default.
- W4386208725 hasRelatedWork W4320491207 @default.
- W4386208725 hasRelatedWork W4385438105 @default.
- W4386208725 isParatext "false" @default.
- W4386208725 isRetracted "false" @default.
- W4386208725 workType "article" @default.