PMID- 21958981
OWN - NLM
STAT- MEDLINE
DCOM- 20120529
LR  - 20220330
IS  - 1557-8615 (Electronic)
IS  - 0883-9441 (Linking)
VI  - 27
IP  - 1
DP  - 2012 Feb
TI  - Time spent in the emergency department and mortality rates in severely injured 
      patients admitted to the intensive care unit: An observational study.
PG  - 58-65
LID - 10.1016/j.jcrc.2011.07.001 [doi]
AB  - PURPOSE: The aim of this study was to identify the determinants of a shorter 
      emergency department time (EDt) in patients with severe trauma (STPs) admitted to 
      the intensive care unit and determine whether EDt influences mortality. PATIENTS 
      AND METHODS: A prospective observational study of STPs (2005-2007) was conducted. 
      With the variables available from the ED, 2 multiple logistic regression models 
      (MLRM) were created: one for the factors associated with EDt less than or equal 
      to median and the other with mortality. RESULTS: A total of 243 patients were 
      included. The mean age was 43 years; 76% were male. The overall mortality rate 
      was 20%. The median EDt was 120 minutes. The independent factors that were 
      associated with the MLRM for an EDt of 120 minutes or less included age less than 
      60 years, mechanical ventilation, severe traumatic brain injury, and a trauma and 
      injury severity score of 20 or higher. The MLRM for mortality was age greater 
      than 60 years, mechanical ventilation, traumatic brain injury and shock. An EDt 
      of 120 minutes or less was associated with an increased risk of death in the 
      univariate analysis but not in the MLRM. CONCLUSIONS: Patients in the ED with 
      indicators of high trauma severity have a reduced EDt but a higher mortality 
      rate. Advanced age increases both mortality and EDt. With the factors included in 
      the model, EDt was not an independent factor for mortality in STPs.
CI  - Copyright (c) 2012 Elsevier Inc. All rights reserved.
FAU - Servia, Luis
AU  - Servia L
AD  - Intensive Care Unit, Hospital Universitario Arnau de Vilanova, 25198 Lleida, 
      Spain.
FAU - Badia, Mariona
AU  - Badia M
FAU - Baeza, Ignacio
AU  - Baeza I
FAU - Montserrat, Neus
AU  - Montserrat N
FAU - Justes, Margarida
AU  - Justes M
FAU - Cabre, Xavier
AU  - Cabre X
FAU - Valdres, Pedro
AU  - Valdres P
FAU - Trujillano, Javier
AU  - Trujillano J
LA  - eng
PT  - Journal Article
DEP - 20110929
PL  - United States
TA  - J Crit Care
JT  - Journal of critical care
JID - 8610642
SB  - IM
MH  - Adult
MH  - Emergency Service, Hospital/*statistics & numerical data
MH  - Female
MH  - *Hospital Mortality
MH  - Humans
MH  - *Injury Severity Score
MH  - Intensive Care Units/*statistics & numerical data
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Patient Admission
MH  - Prospective Studies
MH  - Risk Factors
MH  - Spain/epidemiology
MH  - Time Factors
MH  - Wounds and Injuries/*mortality/therapy
MH  - Young Adult
EDAT- 2011/10/01 06:00
MHDA- 2012/05/30 06:00
CRDT- 2011/10/01 06:00
PHST- 2010/12/05 00:00 [received]
PHST- 2011/06/08 00:00 [revised]
PHST- 2011/07/07 00:00 [accepted]
PHST- 2011/10/01 06:00 [entrez]
PHST- 2011/10/01 06:00 [pubmed]
PHST- 2012/05/30 06:00 [medline]
AID - S0883-9441(11)00292-9 [pii]
AID - 10.1016/j.jcrc.2011.07.001 [doi]
PST - ppublish
SO  - J Crit Care. 2012 Feb;27(1):58-65. doi: 10.1016/j.jcrc.2011.07.001. Epub 2011 Sep 
      29.