Saudi Journal of Emergency Medicine

Original Article
SJEMed. 2020; 1(1): 15-19

Assessment of helicopter versus ground emergency medical services in reducing mortality rate and the length of stay in adult trauma patients between 2002 and 2014 recorded in King Abdulaziz Medical City trauma registry

Authors: Shahad Aldelaijan, Mona Alsanae, Maysan almegbel, Nouf Alsadoun, Shahad Altoyan, Wasmiyah Alshammari, Areej Madani, Zainab Alhussaini, Alaa Althubaiti, Nawfal Aljerian.

View PDF HTML Fulltext DOI: 10.24911/SJEMed/72-1576150683

Abstract

Background: Trauma is the third leading cause of death worldwide and the most common cause of death among people aged 1-44 years. In Saudi Arabia, traumatic injuries cause one death and four injuries every hour, but survival rates have improved owing to improvements in pre-hospital care processes. Methodology: This retrospective study conducted in King Abdulaziz Medical City (KAMC), Emergency Medicine Department, included data taken from KAMC trauma registry, QuadraMed®, and patients' files. Injury Severity Score (ISS) was used to assess the severity of trauma. We included individuals of both sexes with ISS of ≥9 and aged ≥15 years with different types and mechanisms of injury. Results: Overall, 335 patients (123 transported by helicopter and 212 transported by ground ambulance) were included. The mean ISS for helicopter emergency medical services (HEMS) and ground emergency medical services (GEMS) patients was 20.80 and 19.74, respectively. All HEMS patients had blunt trauma. For GEMS patients, 94.8% had blunt trauma and 5.2% penetrating trauma. Around 81.1% of GEMS patients went home and 18.9% died in hospital. For HEMS patients, 79.7% went home, 14.6% died, and 5.7% were transferred to other hospitals. The mean of length stay among HEMS patients was 46.18 days, whereas it was 44.59 days among GEMS patients. Conclusion: This study suggests that HEMS is associated with a higher survival rate for severe trauma patients than GEMS. However, HEMS patients had a longer length of stay in hospital than GEMS patients.

Keywords:   Emergency medical services, pre-hospital, trauma, helicopter, ambulance


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Assessment of helicopter versus ground emergency medical services in reducing mortality rate and the length of stay in adult trauma patients between 2002 and 2014 recorded in King Abdulaziz Medical City trauma registry


Authors
Shahad Aldelaijan
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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Mona Alsanae
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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Maysan almegbel
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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Nouf Alsadoun
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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Shahad Altoyan
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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Wasmiyah Alshammari
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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Areej Madani
General Surgery Resident, King Fahad Hospital, Jeddah, Saudi Arabia
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Zainab Alhussaini
Emergency Medicine Assistant Consultant, King abdulaziz Medical City, Ministry of the National Guard – Health Affairs, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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Alaa Althubaiti
Associate Professor, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia
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Nawfal Aljerian
Emergency Medicine Consultant, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Ministry of Health, Riyadh, Saudi Arabia
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Correspondence to:
. Mona Alsanae, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.; Monamohammads@gmail.com

Publication history
Received 12 Dec 2019
Revised 08 Jan 2020
Accepted 14 Jan 2020
Published in print 08 Feb 2020

How to cite this article

Pubmed Style

Aldelaijan S, Alsanae M, almegbel M, Alsadoun N, Altoyan S, Alshammari W, Madani A, Alhussaini Z, Althubaiti A, Aljerian N. Assessment of helicopter versus ground emergency medical services in reducing mortality rate and the length of stay in adult trauma patients between 2002 and 2014 recorded in King Abdulaziz Medical City trauma registry. SJEMed. 2020; 1(1): 15-19. doi:10.24911/SJEMed/72-1576150683


Web Style

Aldelaijan S, Alsanae M, almegbel M, Alsadoun N, Altoyan S, Alshammari W, Madani A, Alhussaini Z, Althubaiti A, Aljerian N. Assessment of helicopter versus ground emergency medical services in reducing mortality rate and the length of stay in adult trauma patients between 2002 and 2014 recorded in King Abdulaziz Medical City trauma registry. http://www.sjemed.com/?mno=77756 [Access: June 01, 2020]. doi:10.24911/SJEMed/72-1576150683


AMA (American Medical Association) Style

Aldelaijan S, Alsanae M, almegbel M, Alsadoun N, Altoyan S, Alshammari W, Madani A, Alhussaini Z, Althubaiti A, Aljerian N. Assessment of helicopter versus ground emergency medical services in reducing mortality rate and the length of stay in adult trauma patients between 2002 and 2014 recorded in King Abdulaziz Medical City trauma registry. SJEMed. 2020; 1(1): 15-19. doi:10.24911/SJEMed/72-1576150683


Vancouver/ICMJE Style

Aldelaijan S, Alsanae M, almegbel M, Alsadoun N, Altoyan S, Alshammari W, Madani A, Alhussaini Z, Althubaiti A, Aljerian N. Assessment of helicopter versus ground emergency medical services in reducing mortality rate and the length of stay in adult trauma patients between 2002 and 2014 recorded in King Abdulaziz Medical City trauma registry. SJEMed. (2020), [cited June 01, 2020]; 1(1): 15-19. doi:10.24911/SJEMed/72-1576150683


Harvard Style

Aldelaijan, S., Alsanae, . M., almegbel, . M., Alsadoun, . N., Altoyan, . S., Alshammari, . W., Madani, . A., Alhussaini, . Z., Althubaiti, . A. & Aljerian, . N. (2020) Assessment of helicopter versus ground emergency medical services in reducing mortality rate and the length of stay in adult trauma patients between 2002 and 2014 recorded in King Abdulaziz Medical City trauma registry. SJEMed, 1 (1), 15-19. doi:10.24911/SJEMed/72-1576150683


Turabian Style

Aldelaijan, Shahad, Mona Alsanae, Maysan almegbel, Nouf Alsadoun, Shahad Altoyan, Wasmiyah Alshammari, Areej Madani, Zainab Alhussaini, Alaa Althubaiti, and Nawfal Aljerian. 2020. Assessment of helicopter versus ground emergency medical services in reducing mortality rate and the length of stay in adult trauma patients between 2002 and 2014 recorded in King Abdulaziz Medical City trauma registry. Saudi Journal of Emergency Medicine, 1 (1), 15-19. doi:10.24911/SJEMed/72-1576150683


Chicago Style

Aldelaijan, Shahad, Mona Alsanae, Maysan almegbel, Nouf Alsadoun, Shahad Altoyan, Wasmiyah Alshammari, Areej Madani, Zainab Alhussaini, Alaa Althubaiti, and Nawfal Aljerian. "Assessment of helicopter versus ground emergency medical services in reducing mortality rate and the length of stay in adult trauma patients between 2002 and 2014 recorded in King Abdulaziz Medical City trauma registry." Saudi Journal of Emergency Medicine 1 (2020), 15-19. doi:10.24911/SJEMed/72-1576150683


MLA (The Modern Language Association) Style

Aldelaijan, Shahad, Mona Alsanae, Maysan almegbel, Nouf Alsadoun, Shahad Altoyan, Wasmiyah Alshammari, Areej Madani, Zainab Alhussaini, Alaa Althubaiti, and Nawfal Aljerian. "Assessment of helicopter versus ground emergency medical services in reducing mortality rate and the length of stay in adult trauma patients between 2002 and 2014 recorded in King Abdulaziz Medical City trauma registry." Saudi Journal of Emergency Medicine 1.1 (2020), 15-19. Print. doi:10.24911/SJEMed/72-1576150683


APA (American Psychological Association) Style

Aldelaijan, S., Alsanae, . M., almegbel, . M., Alsadoun, . N., Altoyan, . S., Alshammari, . W., Madani, . A., Alhussaini, . Z., Althubaiti, . A. & Aljerian, . N. (2020) Assessment of helicopter versus ground emergency medical services in reducing mortality rate and the length of stay in adult trauma patients between 2002 and 2014 recorded in King Abdulaziz Medical City trauma registry. Saudi Journal of Emergency Medicine, 1 (1), 15-19. doi:10.24911/SJEMed/72-1576150683


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