Association between prehospital time and outcome of trauma patients in 4 asian countries: a cross-national, multicenter cohort study
PLoS Medicine Nov 25, 2020
Chen CH, Shin SD, Sun JT, et al. - Given the controversies concerning the benefits of rapid transportation in patients with trauma, researchers here examined the correlation between prehospital time and outcome to explore the concept of the “golden hour” for injured patients. Using data from the Pan-Asia Trauma Outcomes Study (PATOS) database, they included 24,365 trauma patients from 4 countries (645 patients from Japan, 16,476 patients from Korea, 5,358 patients from Malaysia, and 1,886 patients from Taiwan) in this 3-year, cross-national, multi-center cohort study. Analysis revealed no correlation of longer prehospital time with an increased risk of 30-day mortality, but a a possible link with increased risk of poor functional outcomes in injured patients. The concept of the “golden hour” for trauma patients during prehospital care was thus supported in the countries studied.
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