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Prehospital critical care is associated with increased survival in adult trauma patients in Scotland

Maddock A, Corfield AR, Donald MJ, Lyon RM, Sinclair N, Fitzpatrick D, Carr D & Hearns S (2020) Prehospital critical care is associated with increased survival in adult trauma patients in Scotland. Emergency Medicine Journal, 37 (3), pp. 141-145.

Background Scotland has three prehospital critical care teams (PHCCTs) providing enhanced care support to a usually paramedic-delivered ambulance service. The effect of the PHCCTs on patient survival following trauma in Scotland is not currently known nationally. Methods National registry-based retrospective cohort study using 2011–2016 data from the Scottish Trauma Audit Group. 30-day mortality was compared between groups after multivariate analysis to account for confounding variables. Results Our data set comprised 17 157 patients, with a mean age of 54.7 years and 8206 (57.5%) of male gender. 2877 patients in the registry were excluded due to incomplete data on their level of prehospital care, leaving an eligible group of 14 280. 13 504 injured adults who received care from ambulance clinicians (paramedics or technicians) were compared with 776 whose care included input from a PHCCT. The median Injury Severity Score (ISS) across all eligible patients was 9; 3076 patients (21.5%) met the ISS>15 criterion for major trauma. Patients in the PHCCT cohort were statistically significantly (all p

Critical Care and Intensive Care Medicine; Emergency Medicine; General Medicine

Emergency Medicine Journal: Volume 37, Issue 3

Author(s)Maddock, Alistair; Corfield, Alasdair R; Donald, Michael J; Lyon, Richard M; Sinclair, Neil; Fitzpatrick, David; Carr, David; Hearns, Stephen
FundersNHS Greater Glasgow and Clyde
Publication date31/03/2020
Publication date online31/01/2020
Date accepted by journal21/12/2019
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