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重新考虑创伤运输:非EMS运输患者的死亡率和停留时间

Rebecca Ferguson¹, Ahmad El Nouiri¹, Kaitlyn Dobesh¹

¹Department of Trauma and Acute Care Surgery, Henry Ford Hospital, Detroit, 2799 W Grand Blvd, Detroit, MI 48202, USA.

|February 20, 2026

概括

与急诊医疗服务 (EMS) 相比,创伤患者的私人运输与死亡率明显降低和住院时间缩短有关. 警方运输也减少了停留时间,这表明非EMS选项需要考虑改善创伤护理结果.

科学领域:

创伤护理和紧急医疗.
卫生服务研究和结果分析.

背景情况:

在美国,医院前护理对于创伤患者的生存至关重要.
之前关于非紧急医疗服务 (EMS) 运输的研究存在局限性,重点是穿透创伤或使用过时的数据.
本研究调查了非EMS运输 (警察和私人车辆) 与EMS对创伤患者结果的影响.

研究的目的:

评估非EMS运输 (警察或私人车辆) 与EMS相比,是否为创伤患者提供风险调整后的死亡率或停留时间的好处.
分析一个跨越十年的大型区域数据集,以评估这些结果.

主要方法:

使用密歇根创伤质量改善计划数据 (2014-2024) 的回顾性队列研究.
包括69,092名成年创伤患者;不包括转移,直接入院,航空运输和DOA.
利用多变量后勤回归来评估经风险调整的死亡率和在EMS,警察和私人运输团体之间的停留时间差异.

主要成果:

队列 (N=69,092) 主要是男性 (67.3%),白人 (67.6%),有重创伤 (87.3%).
电动汽车运输了87.6%,警察运输了0.4%,私人车辆运输了12%.
与地面EMS相比,私人交通与死亡率明显降低 (OR0.35) 和停留时间短 (LOS比率0.69) 相联系. 警务运输也显示较短的LOS (比率为0.81).

结论:

与EMS相比,该地区受伤患者的私人运输与死亡率大幅降低和住院时间缩短有关.
警务运输与逗留时间较短有关,但其对死亡率的影响尚不清楚.
考虑安全的非EMS运输选择,特别是私人运输,应该是讨论的一部分,以提高创伤护理成果,特别是在城市环境中.

关键词:

逗留时间逗留时间死亡率死亡率死亡率警察运输警察运输在医院前的护理.私人车辆运输私人车辆运输创伤运输的运输方式

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