Journal article
Characterizing demographics, injury severity, and intubation status for patients transported by air or ground ambulance to a rural burn center
Journal of burn care & research, Vol.35(3), pp.e151-e158
05/2014
DOI: 10.1097/BCR.0b013e31829b3365
PMID: 23877143
Abstract
Our study was designed to characterize intubation status among patients transported by air or ground ambulance to a rural burn center. A retrospective chart review of patients arriving at our burn center from January 1, 2005 to December 31, 2009 was completed. Descriptive and multivariate analyses were performed. During the study period, 259 air and 590 ground ambulance patients met inclusion criteria. Air ambulance patients were older and had higher total body surface area burned, lower Glasgow Coma scores, longer lengths of stay, and more frequent inhalation injuries. Approximately 10% of patients arriving by air were intubated after burn center admission, and 49% of intubated patients were extubated within 24 hours of admission. These values were 2% and 40%, respectively, for patients transported by ground. Increasing age and air ambulance transport increased the overall likelihood of change in intubation status. The likelihood of intubation by burn center providers increased with age, with suspicion of inhalation injury, and for patients transported by air. The likelihood of extubation within 24 hours of burn center admission increased with age, decreased with suspected inhalation injury, and was independent of transport mode. Among our patient population, more severely injured patients were being transported by air ambulance. However, age, suspicion of inhalation injury, and mode of transport showed a complex pattern of associations with changes in intubation status, and illustrate the need to develop better prehospital guidelines for intubation in burn patients.
Details
- Title: Subtitle
- Characterizing demographics, injury severity, and intubation status for patients transported by air or ground ambulance to a rural burn center
- Creators
- Azeemuddin Ahmed - From the Departments of Emergency Medicine and †Surgery, University of Iowa Carver College of Medicine, Iowa CityPaul Van HeukelomKarisa HarlandGerene DenningJunlin LiaoJanelle BornBarbara Latenser
- Resource Type
- Journal article
- Publication Details
- Journal of burn care & research, Vol.35(3), pp.e151-e158
- DOI
- 10.1097/BCR.0b013e31829b3365
- PMID
- 23877143
- NLM abbreviation
- J Burn Care Res
- ISSN
- 1559-047X
- eISSN
- 1559-0488
- Publisher
- England
- Grant note
- R49-CD001167 / ODCDC CDC HHS
- Language
- English
- Date published
- 05/2014
- Academic Unit
- Management and Entrepreneurship ; Epidemiology; Emergency Medicine; Surgery; Injury Prevention Research Center; Public Policy Center (Archive); Law Faculty
- Record Identifier
- 9984024527002771
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