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dc.contributor.advisorNelson, Deborah B.
dc.creatorJayarajan, Senthil Nathan
dc.date.accessioned2020-10-26T19:19:37Z
dc.date.available2020-10-26T19:19:37Z
dc.date.issued2012
dc.identifier.other864885294
dc.identifier.urihttp://hdl.handle.net/20.500.12613/1529
dc.description.abstractPurpose: Pre-hospital intubation (PHI) in major trauma is associated with increased mortality. The goal of this study was to determine if PHI is protective in patients injured in rural vs. urban locations or patients transferred to level II vs. level I trauma centers. Methods: The Pennsylvania Trauma Outcomes Study database from 2006 - 2011 was reviewed. Pediatric patients, burns, patients dead on arrival, and transfers were excluded. Patients receiving PHI were compared to those immediately transported. Results: Of 63264 trauma patients, 2725 (4.31%) were intubated in the field. Mortality was higher among the intubated than those not intubated (28.22% vs. 4.11%, p<0.0001). The intubated cohort had greater mean Injury Severity Score (ISS) (27.77 vs.13.33, p<0.0001). Factors associated with mortality on multivariate logistic regression included PHI (OR 6.284, p<.0001), ISS>25 (OR 35.384, p<.0001), penetrating trauma (OR 5.685, p<.0001), transport to level II trauma center (OR 1.151, p=
dc.format.extent49 pages
dc.language.isoeng
dc.publisherTemple University. Libraries
dc.relation.ispartofTheses and Dissertations
dc.rightsIN COPYRIGHT- This Rights Statement can be used for an Item that is in copyright. Using this statement implies that the organization making this Item available has determined that the Item is in copyright and either is the rights-holder, has obtained permission from the rights-holder(s) to make their Work(s) available, or makes the Item available under an exception or limitation to copyright (including Fair Use) that entitles it to make the Item available.
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectEpidemiology
dc.subjectMedicine
dc.subjectPublic Health
dc.subjectIntubation
dc.subjectPrehospital
dc.subjectRural
dc.subjectTrauma
dc.titleIMPACT OF SETTING OF INJURY AND LEVEL OF TRAUMA CENTER ON TRAUMA MORTALITY AFTER FIELD INTUBATION
dc.typeText
dc.type.genreThesis/Dissertation
dc.contributor.committeememberKomaroff, Eugene
dc.contributor.committeememberGoldberg, Amy
dc.description.departmentPublic Health
dc.relation.doihttp://dx.doi.org/10.34944/dspace/1511
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.degreeM.S.
refterms.dateFOA2020-10-26T19:19:37Z


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