{"doi":"10.3390/ijerph13020236","title":"Characteristics and Outcomes of Patients Injured in Road Traffic Crashes and Transported by Emergency Medical Services","abstract":"<jats:p>To investigate the injury characteristics and mortality of patients transported by emergency medical services (EMS) and hospitalized for trauma following a road traffic crash, data obtained from the Trauma Registry System were retrospectively reviewed for trauma admissions between 1 January 2009 and 31 December 2013 in a Level I trauma center. Of 16,548 registered patients, 3978 and 1440 patients injured in road traffic crashes were transported to the emergency department by EMS and non-EMS, respectively. Patients transported by EMS had lower Glasgow coma scale (GCS) scores and worse hemodynamic measures. Compared to patients transported by non-EMS, more patients transported by EMS required procedures (intubation, chest tube insertion, and blood transfusion) at the emergency department. They also sustained a higher injury severity, as measured by the injury severity score (ISS) and the new injury severity score (NISS). Lastly, in-hospital mortality was higher among the EMS than the non-EMS group (1.8% vs. 0.3%, respectively; p &lt; 0.001). However, we found no statistically significant difference in the adjusted odds ratio (AOR) for mortality among patients transported by EMS after adjustment for ISS (AOR 4.9, 95% CI 0.33–2.26), indicating that the higher incidence of mortality was likely attributed to the patients’ higher injury severity. In addition, after propensity score matching, logistic regression of 58 well-matched pairs did not show a significant influence of transportation by EMS on mortality (OR: 0.578, 95% CI: 0.132–2.541 p = 0.468).</jats:p>","journal":"International Journal of Environmental Research and Public Health","year":2016,"id":638020,"datarank":0.44166584687496613,"base_score":2.9444389791664403,"endowment":2.9444389791664403,"self_citation_contribution":0.44166584687496613,"citation_network_contribution":0.0,"self_endowment_contribution":0.44166584687496613,"citer_contribution":0.0,"corpus_percentile":57.7,"corpus_rank":5709,"citation_count":18,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1602745,"name":"Cheng-Shyuan Rau","orcid":null,"position":1,"is_corresponding":false},{"id":1656920,"name":"Jung-Fang Chuang","orcid":null,"position":2,"is_corresponding":false},{"id":1656921,"name":"Pao-Jen Kuo","orcid":null,"position":3,"is_corresponding":false},{"id":1602750,"name":"Shiun-Yuan Hsu","orcid":null,"position":4,"is_corresponding":false},{"id":1643546,"name":"Yi-Chun Chen","orcid":null,"position":5,"is_corresponding":false},{"id":1602752,"name":"Hsiao-Yun Hsieh","orcid":null,"position":6,"is_corresponding":false},{"id":1602754,"name":"Ching-Hua Hsieh","orcid":"0000-0002-0945-2746","position":7,"is_corresponding":false},{"id":1461945,"name":"Chun-Ying Huang","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Characteristics and Outcomes of Patients Injured in Road Traffic Crashes and Transported by Emergency Medical Services","abstract":"<jats:p>To investigate the injury characteristics and mortality of patients transported by emergency medical services (EMS) and hospitalized for trauma following a road traffic crash, data obtained from the Trauma Registry System were retrospectively reviewed for trauma admissions between 1 January 2009 and 31 December 2013 in a Level I trauma center. Of 16,548 registered patients, 3978 and 1440 patients injured in road traffic crashes were transported to the emergency department by EMS and non-EMS, respectively. Patients transported by EMS had lower Glasgow coma scale (GCS) scores and worse hemodynamic measures. Compared to patients transported by non-EMS, more patients transported by EMS required procedures (intubation, chest tube insertion, and blood transfusion) at the emergency department. They also sustained a higher injury severity, as measured by the injury severity score (ISS) and the new injury severity score (NISS). Lastly, in-hospital mortality was higher among the EMS than the non-EMS group (1.8% vs. 0.3%, respectively; p &lt; 0.001). However, we found no statistically significant difference in the adjusted odds ratio (AOR) for mortality among patients transported by EMS after adjustment for ISS (AOR 4.9, 95% CI 0.33–2.26), indicating that the higher incidence of mortality was likely attributed to the patients’ higher injury severity. In addition, after propensity score matching, logistic regression of 58 well-matched pairs did not show a significant influence of transportation by EMS on mortality (OR: 0.578, 95% CI: 0.132–2.541 p = 0.468).</jats:p>","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"26907318","pmcid":"PMC4772256","openalex_id":null,"authors":[],"funders":[{"funder_name":"NIEHS NIH HHS","grant_id":"27302C0031","title":null}],"total_grants":1,"fwci":null,"citation_percentile":null,"influential_citations":0,"citation_trend":[],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://www.mdpi.com/1660-4601/13/2/236/pdf?version=1455892650","host_type":"publisher"},{"url":"https://www.mdpi.com/1660-4601/13/2/236/pdf","host_type":"publisher"},{"url":"https://doaj.org/article/1bd3f976c20846618e2ba05c108a6192","host_type":"repository"},{"url":"https://dx.doi.org/10.3390/ijerph13020236","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4772256","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC4772256","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC4772256?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":[],"mesh_terms":["Humans","Wounds and Injuries","Transportation of Patients","Injury Severity Score","Registries","Hospital Mortality","Logistic Models","Odds Ratio","Retrospective Studies","Accidents, Traffic","Adolescent","Adult","Aged","Aged, 80 and over","Middle Aged","Child","Child, Preschool","Infant","Trauma Centers","Emergency Medical Services","Female","Male","Young Adult","Propensity Score","Outcome Assessment, Health Care"],"keywords":["Mortality","Emergency Medical Services (Ems)","Injury Severity Score (Iss)"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-06T19:56:01.838026Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}