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Helicopter landing pad
Owen, Dorothy (DHS) trauma-list@trauma.orgFri, 7 Jun 2002 10:37:27 +0930
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Valerie, We are presently having luck in modelling the association between helicopter response time and mortality for trauma victims in South Australia. Preliminary results (statistically significant) suggest that a ten-minute delay in response time is associated with a 4.3% increase in mortality. It is not immediately clear whether a ten-minute delay waiting for a helicopter retrieval team to arrive at the scene of the patient (ie our study) can be taken to reflect accurately on the consequences of a ten-minute delay getting the patient from the helicopter into the hospital (ie your situation). For the purpose of your argument you could hypothesize that delays in the early pre-hospital phase are equivalent in effect to delays in the late pre-hospital phase. Our estimate of a 4.3% increase in mortality per ten-minute delay arose in a patient population characterised with the following median values: helicopter response time 60 minutes; RTS 6.6; NISS 17; ISS 14. To the extent that your case mix matches ours, you can believe to a greater degree our estimate of the association between time and mortality. Dorothy Owen and Ron Somers South Australian Trauma Registry Epidemiology Branch South Australian Department of Human Services Tel: 08 82266361- Ron Somers Fax:08 82266291 email: Dorothy.Owen@dhs.sa.gov.au
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