BACKGROUND: Mortality and morbidity in trauma remain a major problem in developing countries. Organized emergency response systems for transfer of trauma patients to hospitals are absent and the consequent delays could cause significant complications. AIMS: This study assessed the outcomes as a result of hospital transfer and delays in trauma patients. METHODS: The study was based on trauma patients presenting to the Aga Khan University Hospital (AKUH), Karachi, Pakistan from 1998 to 2005, meeting the trauma team activation criteria. Data were collected and entered in a Trauma Registry. The study focused on analyzing the outcomes of injury to delay in definitive treatment and survival. RESULTS: Out of 978 patients, only 303 (30.9%) patients reached the emergency room (ER) within an hour. The mean time from injury occurrence to arrival in the ER was 4.7h. There was no significant difference in mortality between all patients presenting early and those with more than 1h delay (OR=0.9, 95% CI: 0.6, 1.5). CONCLUSIONS: Transfer and delay in admission to a tertiary care center does not affect in-hospital mortality of trauma patients in a setting with no emergency response system. This may be due to self selection of patients who survive long enough to reach the hospital. Copyright 2009 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
BACKGROUND: Mortality and morbidity in trauma remain a major problem in developing countries. Organized emergency response systems for transfer of traumapatients to hospitals are absent and the consequent delays could cause significant complications. AIMS: This study assessed the outcomes as a result of hospital transfer and delays in traumapatients. METHODS: The study was based on traumapatients presenting to the Aga Khan University Hospital (AKUH), Karachi, Pakistan from 1998 to 2005, meeting the trauma team activation criteria. Data were collected and entered in a Trauma Registry. The study focused on analyzing the outcomes of injury to delay in definitive treatment and survival. RESULTS: Out of 978 patients, only 303 (30.9%) patients reached the emergency room (ER) within an hour. The mean time from injury occurrence to arrival in the ER was 4.7h. There was no significant difference in mortality between all patients presenting early and those with more than 1h delay (OR=0.9, 95% CI: 0.6, 1.5). CONCLUSIONS: Transfer and delay in admission to a tertiary care center does not affect in-hospital mortality of traumapatients in a setting with no emergency response system. This may be due to self selection of patients who survive long enough to reach the hospital. Copyright 2009 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
Authors: H M Saleh; A E Elsabagh; M G Elewa; A A Fawzy; O M Hassan; A C Comer; I M Abdelmonem; J M Hirshon; M El-Shinawi Journal: Eur J Trauma Emerg Surg Date: 2017-03-03 Impact factor: 3.693
Authors: Sharon R Weeks; Catherine J Juillard; Martin E Monono; Georges A Etoundi; Marquise K Ngamby; Adnan A Hyder; Kent A Stevens Journal: World J Surg Date: 2014-08 Impact factor: 3.352
Authors: John Whitaker; Nollaig O'Donohoe; Max Denning; Dan Poenaru; Elena Guadagno; Andrew J M Leather; Justine I Davies Journal: BMJ Glob Health Date: 2021-05
Authors: Antony Gatebe Kironji; Peter Hodkinson; Sarah Stewart de Ramirez; Trisha Anest; Lee Wallis; Junaid Razzak; Alexander Jenson; Bhakti Hansoti Journal: BMC Health Serv Res Date: 2018-04-19 Impact factor: 2.655
Authors: Muhammad Muslim Noorani; Muhammad Farhan Khaliq; Maria Shoaib; Asfandyar Sheikh; Um-E-Roman Moughal; Wardah Moazzum; Syed Arsalan Ali Journal: Int Arch Med Date: 2014-09-24
Authors: Fiona E Lecky; Teri Reynolds; Olubukola Otesile; Sara Hollis; Janette Turner; Gordon Fuller; Ian Sammy; Jean Williams-Johnson; Heike Geduld; Andrea G Tenner; Simone French; Ishtar Govia; Julie Balen; Steve Goodacre; Sujan B Marahatta; Shaheem DeVries; Hendry R Sawe; Mohamed El-Shinawi; Juma Mfinanga; Andrés M Rubiano; Henda Chebbi; Sang Do Shin; Jose Maria E Ferrer; Mashyaneh Haddadi; Tsion Firew; Kathryn Taubert; Andrew Lee; Pauline Convocar; Sabariah Jamaluddin; Shahzmah Kotecha; Emad Abu Yaqeen; Katie Wells; Lee Wallis Journal: BMC Emerg Med Date: 2020-08-31