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Impact of emergency medical helicopter transport directly to a university hospital trauma center on mortality of severe blunt trauma patients until discharge

Overview of attention for article published in Critical Care, September 2012
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (90th percentile)
  • High Attention Score compared to outputs of the same age and source (89th percentile)

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1 blog
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11 X users
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1 Facebook page

Citations

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48 Dimensions

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76 Mendeley
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Title
Impact of emergency medical helicopter transport directly to a university hospital trauma center on mortality of severe blunt trauma patients until discharge
Published in
Critical Care, September 2012
DOI 10.1186/cc11647
Pubmed ID
Authors

Thibaut Desmettre, Jean-Michel Yeguiayan, Hervé Coadou, Claude Jacquot, Mathieu Raux, Benoit Vivien, Claude Martin, Claire Bonithon-Kopp, Marc Freysz, the French Intensive Care Recorded in Severe Trauma

Abstract

ABSTRACT: INTRODUCTION: The benefits of transporting severely injured patients by helicopter remain controversial. This study aimed to analyze the impact on mortality of helicopter compared to ground transport directly from the scene to a University hospital trauma center. METHODS: The French Intensive Care Research for Severe Trauma cohort study enrolled 2,703 patients with severe blunt trauma requiring admission to University hospital intensive care units within 72 hours. Pre-hospital and hospital clinical data, including the mode of transport, (helicopter (HMICU) versus ground (GMICU), both with medical teams), were recorded. The analysis was restricted to patients admitted directly from the scene to a University hospital trauma center. The main endpoint was mortality until ICU discharge. RESULTS: Of the 1,958 patients analyzed, 74% were transported by GMICU, 26% by HMICU. Median injury severity score (ISS) was 26 (interquartile range (IQR) 19 to 34) for HMICU patients and 25 (IQR 18 to 34) for GMICU patients. Compared to GMICU, HMICU patients had a higher median time frame before hospital admission and were more intensively treated in the pre-hospital phase. Crude mortality until hospital discharge was the same regardless of pre-hospital mode of transport. After adjustment for initial status, the risk of death was significantly lower (odds ratio (OR): 0.68, 95% confidence interval (CI) 0.47 to 0.98, P = 0.035) for HMICU compared with GMICU. This result did not change after further adjustment for ISS and overall surgical procedures. CONCLUSIONS: This study suggests a beneficial impact of helicopter transport on mortality in severe blunt trauma. Whether this association could be due to better management in the pre-hospital phase needs to be more thoroughly assessed.

X Demographics

X Demographics

The data shown below were collected from the profiles of 11 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 76 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Australia 1 1%
Brazil 1 1%
Sweden 1 1%
United Kingdom 1 1%
New Zealand 1 1%
Mexico 1 1%
Romania 1 1%
Japan 1 1%
Unknown 68 89%

Demographic breakdown

Readers by professional status Count As %
Researcher 17 22%
Student > Master 11 14%
Student > Bachelor 10 13%
Student > Ph. D. Student 6 8%
Other 6 8%
Other 15 20%
Unknown 11 14%
Readers by discipline Count As %
Medicine and Dentistry 49 64%
Nursing and Health Professions 4 5%
Psychology 3 4%
Engineering 2 3%
Social Sciences 2 3%
Other 3 4%
Unknown 13 17%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 14. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 April 2013.
All research outputs
#2,589,805
of 25,371,288 outputs
Outputs from Critical Care
#2,246
of 6,554 outputs
Outputs of similar age
#17,902
of 191,369 outputs
Outputs of similar age from Critical Care
#11
of 106 outputs
Altmetric has tracked 25,371,288 research outputs across all sources so far. Compared to these this one has done well and is in the 89th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,554 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.8. This one has gotten more attention than average, scoring higher than 65% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 191,369 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 90% of its contemporaries.
We're also able to compare this research output to 106 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 89% of its contemporaries.