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Predictors associated with inappropriate transport of near shore spinal injuries

Chinese Journal of Traumatology 2021年第5期24卷 286-290页

作者： Tucker Lurie Timothy Traynor Maira Sher Bano Quincy K.Tran University of Maryland School of Medicine BaltimoreMD21201USA Research Associate Program in Emergency Medicine&Critical Care University of Maryland School of MedicineBaltimoreMD21201USA Department of Emergency Medicine University of Maryland Schoo of MedicineBatimoreMD21201USA Program in Trauma The R Adams Cowley Shock Trauma CenterUniversity of Maryland School of MedicineBaltimoreMD21201USA

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.

关键词： Transport Spinal injury Near shore spinal injury Wave riding shallow water diving

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