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Impact of trauma level designation on survival of patients arriving with no signs of life to US trauma centers

The American Journal of Emergency Medicine Aug 11, 2019

Dakessian A, et al. - Using the US National Trauma Data Bank (NTDB) 2015 dataset, researchers conducted a retrospective study investigating how Trauma Levels influence the survival of patients arriving with “no signs of life” to US trauma centers. Inclusion of 6,160 patients [average age: 40.66 years (±19.96); male: 77.3%] without signs of life was done. Using ground ambulance, most patients were transported (83.5%) and were taken to Level I (57%) and Level II (32.4%) centers. The most common injuries were blunt injuries (56.9%). The most common mechanisms of injury were motor vehicle collision (38.5%) and firearm (33.8%). Outcomes revealed higher survival to hospital discharge among patients presenting without signs of life to Level II trauma centers vs to Level I and Level III centers.
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