Article ; Online: Examining emergency medical services' prehospital transport times for trauma patients during COVID-19.
The American journal of emergency medicine
2021 Volume 44, Page(s) 33–37
Abstract: ... emergency medical services (EMS) prehospital times for trauma patients.: Methods: This retrospective cohort study compared ... transportation time for trauma patients was marginally significantly shorter during COVID-19; otherwise, EMS ... Results: There were 9400 trauma patients transported by EMS: 79% in 2019 and 21% during the COVID-19 ...
| Abstract | Introduction: Longer prehospital times were associated with increased odds for survival in trauma patients. The purpose of this study was to determine how the COVID-19 pandemic affected emergency medical services (EMS) prehospital times for trauma patients. Methods: This retrospective cohort study compared trauma patients transported via EMS to six US level I trauma centers admitted 1/1/19-12/31/19 (2019) and 3/16/20-6/30/20 (COVID-19). Outcomes included: total EMS pre-hospital time (dispatch to hospital arrival), injury to dispatch time, response time (dispatch to scene arrival), on-scene time (scene arrival to scene departure), and transportation time (scene departure to hospital arrival). Fisher's exact, chi-squared, or Kruskal-Wallis tests were used, alpha = 0.05. All times are presented as median (IQR) minutes. Results: There were 9400 trauma patients transported by EMS: 79% in 2019 and 21% during the COVID-19 pandemic. Patients were similar in demographics and transportation mode. Emergency room deaths were also similar between 2019 and COVID-19 [0.6% vs. 0.9%, p = 0.13].There were no differences between 2019 and during COVID-19 for total EMS prehospital time [44 (33, 63) vs. 43 (33, 62), p = 0.12], time from injury to dispatch [16 (6, 55) vs. 16 (7, 77), p = 0.41], response time [7 (5, 12) for both groups, p = 0.27], or on-scene time [16 (12-22) vs. 17 (12,22), p = 0.31]. Compared to 2019, transportation time was significantly shorter during COVID-19 [18 (13, 28) vs. 17 (12, 26), p = 0.01]. Conclusion: The median transportation time for trauma patients was marginally significantly shorter during COVID-19; otherwise, EMS prehospital times were not significantly affected by the COVID-19 pandemic. |
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| MeSH term(s) | Adult ; Aged ; COVID-19/epidemiology ; Emergency Medical Services ; Female ; Hospital Mortality ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Time Factors ; Transportation of Patients ; Trauma Centers ; United States/epidemiology | |||||
| Language | English | |||||
| Publishing date | 2021-02-03 | |||||
| Publishing country | United States | |||||
| Document type | Comparative Study ; Journal Article ; Multicenter Study | |||||
| ZDB-ID | 605890-5 | |||||
| ISSN | 1532-8171 ; 0735-6757 | |||||
| ISSN (online) | 1532-8171 | |||||
| ISSN | 0735-6757 | |||||
| DOI | 10.1016/j.ajem.2021.01.091 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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