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Direct transport vs secondary transfer to level I trauma centers in a French exclusive trauma system: Impact on mortality and determinants of triage on road-traffic victims

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Hamada, Sophie Rym | Delhaye, Nathalie | Degoul, Samuel | Gauss, Tobias | Raux, Mathieu | Devaud, Marie-Laure | Amani, Johan | Cook, Fabrice | Hego, Camille | Duranteau, Jacques | Rouquette, Alexandra

Edité par CCSD ; Public Library of Science -

International audience. Background Transporting a severely injured patient directly to a trauma center (TC) is consensually considered optimal. Nevertheless, disagreement persists regarding the association between secondary transfer status and outcome. The aim of the study was to compare adjusted mortality between road traffic trauma patients directly or secondarily transported to a level 1 trauma center (TC) in an exclusive French trauma system with a physician staffed prehospital emergency medical system (EMS). Methods A retrospective cohort study was performed using 2015-2017 data from a regional trauma registry (Traumabase®), an administrative database on road-traffic accidents and prehospital-EMS records.

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