Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    Is age associated with emergency medical service transport to a trauma centre in patients with major trauma? A systematic review

    79549.pdf (371.3Kb)
    Access Status
    Open access
    Authors
    Brown, E.
    Tohira, Hideo
    Bailey, P.
    Finn, Judith
    Date
    2020
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Brown, E. and Tohira, H. and Bailey, P. and Finn, J. 2020. Is age associated with emergency medical service transport to a trauma centre in patients with major trauma? A systematic review. Australasian Journal of Paramedicine. 17: pp. 1-14.
    Source Title
    Australasian Journal of Paramedicine
    DOI
    10.33151/ajp.17.742
    Additional URLs
    https://ajp.paramedics.org/index.php/ajp/article/view/742
    ISSN
    2202-7270
    Faculty
    Faculty of Health Sciences
    School
    School of Nursing, Midwifery and Paramedicine
    Funding and Sponsorship
    http://purl.org/au-research/grants/nhmrc/1116453
    Remarks

    Copyright © 2020 Paramedics Australasia

    URI
    http://hdl.handle.net/20.500.11937/79450
    Collection
    • Curtin Research Publications
    Abstract

    © 2020, Paramedics Australasia. All rights reserved. Introduction Older adults with major trauma are known to have higher mortality rates than their younger counterparts and there is a known survival benefit of treatment in trauma centres. This systematic review sought to answer the question: are older patients with major trauma more or less likely to be transported to a trauma centre by emergency medical services (EMS) than younger patients? Methods The following databases were searched: Ovid MEDLINE, Ovid EMBASE, EBSCO CINAHL, Scopus, Cochrane Library and grey literature until 7 March 2019. Studies meeting each of the following criteria were included: 1) comparative study, including randomised controlled trials, cohort studies, cross-sectional studies, case-control studies; 2) study participants must be patients with major trauma; 3) the patients must have been initially transported from the accident scene to hospital by EMS, and 4) the study must report the association between major trauma patient, age and trauma centre transport. Results We identified 3365 unique citations and one study was identified through other sources. In total, 17 studies were included. The studies defined major trauma patients either by the meeting of pre-hospital trauma triage criteria or a retrospective diagnosis. All of the included studies reported that older age was associated with a reduced likelihood of EMS trauma centre transport when compared to younger age in major trauma patients. Conclusion The studies included in this review all showed that older age is associated with a reduced likelihood of EMS trauma centre transport when compared to younger age in major trauma patients.

    Related items

    Showing items related by title, author, creator and subject.

    • Older age is associated with a reduced likelihood of ambulance transport to a trauma centre after major trauma in Perth
      Brown, Elizabeth ; Tohira, Hideo ; Bailey, P.; Fatovich, D.; Pereira, Gavin ; Finn, Judith (2019)
      Objective: To describe the characteristics and outcomes of older adult (≥65 years) major trauma patients in comparison with younger adults (16–64 years). To determine whether older age is associated with a reduced likelihood ...
    • A comparison of major trauma patient transport destination in metropolitan Perth, Western Australia
      Brown, Elizabeth ; Tohira, Hideo ; Bailey, Paul; Fatovich, Daniel ; Pereira, Gavin ; Finn, Judith (2019)
      Background: Despite evidence of a lower risk of death, major trauma patients are not always transported to Trauma Centres. This study examines the characteristics and outcomes of major trauma patients between transport ...
    • Longer prehospital time was not associated with mortality in major trauma. A retrospective cohort study.
      Brown, E.; Tohira, Hideo; Bailey, P.; Fatovich, D.; Pereira, G.; Finn, J. (2018)
      OBJECTIVE: To determine the association between prehospital time and outcomes in adult major trauma patients, transported by ambulance paramedics. METHODS: A retrospective cohort study of major trauma patients (Injury ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.