Seoul National University Hospital, Seoul, South Korea. Laboratory of Emergency Medical Services, Biomedical Research Institute. The contact of the PATOS coordination center is listed below. The data were not freely available because of the regulations of PATOS organizations, but an application to get the data is possible, if the application is approved by the PATOS EXCO meeting mainly composing of data-contributing principal investigators from Asia countries. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: The data of this study are owned by the PATOS coordination center. Received: Accepted: AugPublished: October 6, 2020Ĭopyright: © 2020 Chen et al.

PLoS Med 17(10):Īcademic Editor: Karim Brohi, Barts and the London School of Medicine & Dentistry Queen Mary University of London, UNITED KINGDOM (2020) Association between prehospital time and outcome of trauma patients in 4 Asian countries: A cross-national, multicenter cohort study. Another major limitation is the aggregate nature of the data from different countries and unaccounted confounders such as in-hospital management.Ĭitation: Chen C-H, Shin SD, Sun J-T, Jamaluddin SF, Tanaka H, Song KJ, et al. The key limitation of our study is the missing data inherent to the retrospective design. However, long prehospital time was detrimental to functional survival. Prehospital time intervals were not associated with 30-day mortality.

In all, 280 patients (1.1%) died within 30 days after injury. Among included patients, the median age was 45 years (lower quartile –upper quartile : 25–62), and 15,498 (63.6%) patients were male. Overall, 24,365 patients from 4 countries (645 patients from Japan, 16,476 patients from Korea, 5,358 patients from Malaysia, and 1,886 patients from Taiwan) were included in the analysis.

Multivariable logistic regression was used to investigate the association of prehospital time and outcomes to adjust for factors including age, sex, mechanism and type of injury, Injury Severity Score (ISS), Revised Trauma Score (RTS), and prehospital interventions. The outcomes were 30-day mortality and functional status at hospital discharge. Prehospital time intervals were categorized into response time (RT), scene to hospital time (SH), and total prehospital time (TPT). We conducted a retrospective cohort study of trauma patients transported from the scene to hospitals by emergency medical service (EMS) from January 1, 2016, to November 30, 2018, using data from the Pan-Asia Trauma Outcomes Study (PATOS) database.

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