Injury mortality following the loss of air medical support for rural interhospital transport

N. Clay Mann, Kerrie A. Pinkney, Daniel D. Price, Donna Rowland, Melanie Arthur, Jerris R. Hedges, Richard Mullins

Research output: Contribution to journalArticle

45 Scopus citations

Abstract

Objectives: This study evaluated variation in mortality among interfacility transfers three years before and after discontinuation of a rotor-wing transport service. Methods: A retrospective cohort assessment was conducted among severely injured patients transferred from four rural hospitals to a single tertiary center in regions with continued versus discontinued rotor-wing service. Thirty-day mortality following discharge from the receiving tertiary facility served as the primary outcome measure. Results: Discontinuation of rotor-wing transport decreased interfacility transfers and increased transfer time. Transferred patients were four times more likely to die after (compared with before) rotor-wing service was discontinued (p = 0.05). No difference was noted in the region with continued rotor-wing service [odds ratio (OR) = 0.53, p = 0.47]. Conclusions: Injury mortality increased with loss of air transport for interfacility transfer in a rural area.

Original languageEnglish (US)
Pages (from-to)694-698
Number of pages5
JournalAcademic Emergency Medicine
Volume9
Issue number7
DOIs
Publication statusPublished - 2002
Externally publishedYes

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Keywords

  • Air medical
  • Injury
  • Mortality
  • Patient transfer
  • Rural
  • Trauma centers
  • Trauma systems

ASJC Scopus subject areas

  • Emergency Medicine

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