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Table 3 Initial assessment and injury severity score according to pre-hospital management

From: Medical pre-hospital management reduces mortality in severe blunt trauma: a prospective epidemiological study

 

All patients

Pre-hospital management

P-value

 

( n = 2,629)

Non-SMUR

( n = 190)

SMUR

( n = 2,439)

 
 

N

(%)

n

(%)

n

(%)

 

GCS*

      

<0.002

   <8

775

(30.3)

26

(17.3)

749

(31.2)

 

   8 to 13

566

(22.2)

35

(23.3)

531

(22.1)

 

   ≥14

1,213

(47.5)

89

(59.3)

1,124

(46.8)

 

Abnormal pupils*

      

0.028

   No

2,122

(84.2)

148

(90.2)

1,974

(83.8)

 

   Yes

398

(15.8)

16

(9.8)

382

(16.2)

 

SpO2* (%)

      

0.052

   <90

309

(12.3)

10

(6.2)

299

(12.7)

 

   90 to 95.9

480

(19.1)

33

(20.5)

447

(19.0)

 

   ≥96

1,723

(68.6)

118

(73.3)

1,605

(68.3)

 

Respiratory rate (min-1) *

      

0.18

   <10

32

(1.2)

0

(0.0)

32

(1.3)

 

   10 to 29

2,421

(93.1)

181

(95.8)

2,246

(92.9)

 

   ≥30

148

(5.7)

8

(4.2)

140

(5.8)

 

Systolic blood pressure* (mm Hg)

      

0.38

   <90

263

(10.3)

15

(8.9)

248

(10.4)

 

   90 to 109

447

(17.5)

24

(14.3)

423

(17.8)

 

   ≥ 110

1,839

(72.1)

129

(76.8)

1,710

(71.8)

 

Mean arterial blood pressure* (mm Hg)

      

0.36

   <60

176

(6.9)

10

(5.8)

166

(7.0)

 

   60 to 90

1,090

(42.8)

66

(38.6)

1,024

(43.1)

 

   ≥90

1,281

(50.3)

95

(55.6)

1,186

(49.9)

 

Injury severity score

      

<0.001

   <25

1,068

(40.6)

106

(55.8)

962

(39.4)

 

   25 to 34

992

(37.7)

70

(36.8)

922

(37.8)

 

   ≥35

569

(21.6)

14

(7.4)

555

(22.8)

 
  1. * Data were missing in some patients for GCS scale (n = 75), abnormal pupils (n = 109), SpO2 (n = 117) systolic blood pressure (n = 80), mean blood pressure (n = 82) and respiratory rate (n = 28)
  2. GCS, Glasgow Coma Scale; SMUR, Service Mobile d'Urgences et de Réanimation.
  3. (Exclusion of 74 patients with cardiac arrest in the pre-hospital phase).