THE ASSOCIATION OF ADVANCED LIFE-SUPPORT TRAINING AND DECREASED PER-CAPITA TRAUMA DEATH RATES - AN ANALYSIS OF 12,417 TRAUMA DEATHS

被引:35
作者
MESSICK, WJ
RUTLEDGE, R
MEYER, AA
机构
[1] UNC,SCH MED,DEPT SURG,CHAPEL HILL,NC
[2] UNC HOSP,CHAPEL HILL,NC
关键词
D O I
10.1097/00005373-199212000-00010
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
This study identified a number of significant predictors of per capita county trauma mortality rates: rurality, percentage nonwhite population, percentage unemployment, and Advanced Life Support (ALS) versus Basic Life Support (BLS) status. Of these, ALS versus BLS status is not only the most significant independent predictor, it is the only predictor readily amenable to change. The aspects of ALS clearly associated with decreased trauma death rates should be identified and, if possible, undergo widespread implementation.
引用
收藏
页码:850 / 855
页数:6
相关论文
共 15 条
[1]   GEOGRAPHIC VARIATIONS IN MORTALITY FROM MOTOR-VEHICLE CRASHES [J].
BAKER, SP ;
WHITFIELD, RA ;
ONEILL, B .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 316 (22) :1384-1387
[2]   OUT-OF-HOSPITAL CARDIAC-ARREST - REVIEW OF MAJOR STUDIES AND A PROPOSED UNIFORM REPORTING SYSTEM [J].
EISENBERG, MS ;
BERGNER, L ;
HEARNE, T .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1980, 70 (03) :236-240
[3]   MANAGEMENT OF OUT-OF-HOSPITAL CARDIAC-ARREST - FAILURE OF BASIC EMERGENCY MEDICAL TECHNICIAN SERVICES [J].
EISENBERG, MS ;
COPASS, MK ;
HALLSTROM, A ;
COBB, LA ;
BERGNER, L .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1980, 243 (10) :1049-1051
[4]   THE IMPORTANCE OF PROMPT TRANSPORT IN SALVAGE OF PATIENTS WITH PENETRATING HEART WOUNDS [J].
GERVIN, AS ;
FISCHER, RP .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1982, 22 (06) :443-448
[5]  
LEWIS FR, 1983, TRAUMA CARE SYSTEMS, P77
[6]   PROSPECTIVE MAST STUDY IN 911 PATIENTS [J].
MATTOX, KL ;
BICKELL, W ;
PEPE, PE ;
BURCH, J ;
FELICIANO, D .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1989, 29 (08) :1104-1112
[7]   IMPACT OF IMPROVED EMERGENCY MEDICAL-SERVICES AND EMERGENCY TRAUMA CARE ON THE REDUCTION IN MORTALITY FROM TRAUMA [J].
ORNATO, JP ;
CRAREN, EJ ;
NELSON, NM ;
KIMBALL, KF .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1985, 25 (07) :575-579
[8]   IS ADVANCED LIFE SUPPORT APPROPRIATE FOR VICTIMS OF MOTOR-VEHICLE ACCIDENTS - THE SOUTH-CAROLINA HIGHWAY TRAUMA PROJECT [J].
REINES, HD ;
BARTLETT, RL ;
CHUDY, NE ;
KIRAGU, KR ;
MCKNEW, MA .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1988, 28 (05) :563-570
[9]  
RUTLEDGE R, 1990, GEOGRAPHIC STATISTIC
[10]   PREHOSPITAL STABILIZATION OF CRITICALLY INJURED PATIENTS - A FAILED CONCEPT [J].
SMITH, JP ;
BODAI, BI ;
HILL, AS ;
FREY, CF .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1985, 25 (01) :65-70