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Table 5 Association between physician pre-hospital management and death before ICU discharge (within 30 days) in multivariable analysis*

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

 

Model 1

Model 2

 

OR

95% CI

P -value

OR

95% CI

P -value

Pre-hospital management

      

   Non-SMUR

1

-

 

1

-

 

   SMUR

0.55

0.32 to 0.94

0.030

0.62

0.35 to 1.10

0.10

Age (for 10 y variation)

1.48

1.38 to 1.59

<0.001

1.48

1.38 to 1.59

<0.001

Sex

      

   Female

1

-

 

1

-

 

   Male

0.95

0.71 to 1.27

0.75

0.95

0.71 to 1.27

0.72

Injury Severity score

      

   ≤24

1

-

 

1

-

 

   25 to 34

3.18

2.24 to 4.51

<0.001

3.26

2.29 to 4.63

<0.001

   ≥ 35

5.96

4.09 to 8.67

<0.001

6.01

4.13 to 8.77

<0.001

Systolic arterial blood pressure (mmHg)

      

   <90

1.60

1.10 to 2.32

0.015

1.60

1.10 to 2.34

0.014

   90 to 109

1.29

0.91 to 1.81

0.15

1.28

0.91 to 1.81

0.16

   ≥110

1

-

 

1

-

 

   SpO2 (%)

      

   <90

1.44

1.02 to 2.03

0.036

1.46

1.04 to 2.06

0.029

   90 to 95.9

0.84

0.60 to 1.17

0.30

0.82

0.58 to 1.15

0.25

   ≥96

1

-

 

1

-

 

Respiratory rate (min-1)

      

   <10

1.23

0.43 to 3.51

0.70

1.18

0.41 to 3.37

0.76

   10 to 29

0.96

0.56 to 1.66

0.89

0.96

0.55 to 1.66

0.89

   ≥30

1

-

 

1

-

 

GCS

      

   ≤7

8.52

6.14 to 11.8

<0.001

8.70

6.296 to 12.1

<0.001

   8 to 13

2.52

1.72 to 3.68

<0.001

2.51

1.72 to 3.67

<0.001

   ≥14

1

-

 

1

-

 

Delay to hospital admission (h)

      

   <1

Not entered

-

 

1.65

1.00 to 2.71

0.048

   1 to 3

 

-

 

1.20

0.82 to 1.76

0.35

   ≥3

 

-

 

1

-

 
  1. *Analysis performed among 2,359 patients without cardiac arrest during the pre-hospital phase for whom all data were available.
  2. GCS, Glasgow Coma Scale; OR, odds ratio; SMUR, Service Mobile d'Urgences et de Réanimation