Outcomes in Seriously Head-Injured Patients Undergoing Pre-Hospital Tracheal Intubation vs. Emergency Department Tracheal IntubationReportar como inadecuado




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: The optimal treatment of majorhead injuries in the resuscitative phase of care post-injury has yet to bedetermined. This study measured the effect on mortality of pre-hospitalintubation PHI vs. emergency department intubationEDI of patients suffering serious head injury.Methods : Over 5 years, 283 patients20002005 met inclusion criteria.Conventional unconditional logistic regression modelled on mortality with -PHIvs. EDI- as the intervention of interest showed an odds ratio of 2.015 95% CI 1.0623.825 for improved survival if these patients wereintubated in the emergency department rather than in the pre-hospital phase ofcare. A propensity score adjustment demonstrated a similar but moreconservative point estimate OR 1.727, 95% CI: 0.9933.004.Conclusions



Autor: John M. Tallon, Gordon Flowerdew, Ronald D. Stewart, George Kovacs

Fuente: http://www.scirp.org/



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