Helicopter transport and blunt trauma mortality: a multicenter trial.
BACKGROUND
Despite many studies addressing potential impact of helicopter transport on trauma mortality, debate as to the efficacy of air transport continues.


METHODS
This retrospective study combined trauma registry data from five urban Level I adult and pediatric centers. Logistic regression assessed effect of helicopter transport on mortality while adjusting for age, sex, transport year, receiving hospital, prehospital level of care (Advanced Life Support vs. Basic Life Support), ISS, and mission type (scene vs. interfacility).


RESULTS
The study database comprised 16,699 patients. Crude mortality for Air (9.4%) was 3.4 times (95% CI, 2.9-4.0, p < 0.001) that of Ground (3.0%) patients. In adjusted analysis, helicopter transport was found to be associated with a significant mortality reduction (odds ratio, 0.76; 95% CI, 0.59-0.98; p = 0.031).


CONCLUSIONS
The results of this study are consistent with an association between helicopter transport mode and increased survival in blunt trauma patients.
Thomas
Stephen H
SH
Boston MedFlight Critical Care Transport Service, Boston, Massachusetts 01730, USA.
Harrison
Timothy H
TH
Buras
Wende Reenstra
WR
Ahmed
Waleed
W
Cheema
Farah
F
Wedel
Suzanne K
SK
D000293:Adolescent; D000328:Adult; D017732:Air Ambulances; D002648:Child; D015331:Cohort Studies; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D017063:Outcome Assessment, Health Care; D012042:Registries; D012044:Regression Analysis; D012189:Retrospective Studies; D015996:Survival Rate; D019037:Urban Health Services; D014949:Wounds, Nonpenetrating / Q000401:mortality* / Q000503:physiopathology