Predictors associated with inappropriate transport of near shore spinal injuries

作     者：Tucker Lurie Timothy Traynor Maira Sher Bano Quincy K.Tran Tucker Lurie;Timothy Traynor;Maira Sher Bano;Quincy K.Tran

作者机构：University of Maryland School of MedicineBaltimoreMD21201USA Research Associate Program in Emergency Medicine&Critical CareUniversity of Maryland School of MedicineBaltimoreMD21201USA Department of Emergency MedicineUniversity of Maryland Schoo of MedicineBatimoreMD21201USA Program in TraumaThe R Adams Cowley Shock Trauma CenterUniversity of Maryland School of MedicineBaltimoreMD21201USA 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2021年第24卷第5期

页      面：286-290页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：supported by an intramural grant from the Department of Emergency Medicine at the University of Maryland School of Medicine 

主　　题：Transport Spinal injury Near shore spinal injury Wave riding Shallow water diving 

摘      要：Purpose:Spinal injuries resulting in neurological damage cause significant *** neurosurgical intervention can mitigate negative ***,variable mechanisms of injury may be associated with inappropriate transport(IAT),which may delay necessary surgical *** with near shore spinal injuries(NSSI)presented with unique mechanisms,so we investigated factors associated with IAT in patients with ***:We performed a multicenter retrospective study of all adult patients transported from a beach resort to 3 hospitals for suspected NSSI between *** excluded patients transferred to other facilities,and those not injured in the *** outcome was IAT,defined as patients with NSSI requiring transfer to another trauma *** avoid heterogeneity in our analysis,we further excluded patients without NSSI who were inappropriately transported to a level I trauma *** used multivariable logistic regression to assess association of independent variables(such as demographic,environmental,and clinical factors)with ***:We analyzed 278 patients with suspected NSSI,and found 14(5.0%)had *** to appropriately transported patients,diving was associated with higher percentages of IAT(28.6%vs.3.9%,p=0.014)and more were transported by air(50.0%vs.20.6%,p=0.01).In multivariable regression,patients oxygenation saturation(odds ratio[OR]=0.8,95%confidence intervals[Cl]:077-0.98)and diving(OR=7.5,95%Cl:1.2-46)were significantly associated with ***:Rate of IAT for patients with NSSI was ***,first responders and emergency medicine providers should be aware that diving is associated with a higher likelihood of IAT.