Samia Mazumder Ursula Barghouth Jeffrey Johnson David A Moore Dhir Patwa
Henry Ford Health System
05-01-2019
Introduction: Current data suggest trauma patients arriving via private vehicle transport (PVT) have improved outcomes forpenetrating trauma compared to patients arriving via EMS. These studies sugges..
Introduction: Current data suggest trauma patients arriving via private vehicle transport (PVT) have improved outcomes forpenetrating trauma compared to patients arriving via EMS. These studies suggest patients that utilize EMS overprivate vehicle transport (PVT) have worse outcomes and are described as older, hypotensive, higher injury severityscore (ISS) and lower GCS. While previous studies focus on national data, regional behaviors likely play a role in selection of PVT. This study tests the hypothesis that these findings will also be reflected on a regional level in Detroit. Methods: This study was conducted at an academic, regional, Level 1 Trauma Center in Detroit from 2013-2017. Inclusion criteria were trauma patients presenting to the hospital utilizing PVT that were admitted, died in the emergencydepartment, or transferred out of hospital. Exclusion criteria includes patients transferred from outside hospitals,burn patients and pediatric patients defined as age less than 15 years old. Patients with the same inclusion and exclusion criteria utilizing EMS were the comparison group (N=4568, PVT n=1498). The data were obtained from a trauma registry and chart review. To describe statistical significance (p