Author:
Chen Hsuan An,Hsu Shuo Ting,Shin Sang Do,Jamaluddin Sabariah Faizah,Son Do Ngoc,Hong Ki Jeong,Tanaka Hideharu,Sun Jen Tang,Chiang Wen Chu,Ramakrishnan T. V.,Jamaluddin Sabariah Faizah,Tanaka Hideharu,Velasco Bernadett,Hong Ki Jeong,Sun Jen Tang,Khruekarnchana Pairoj,LLC Saleh Fares,Son Do Ngoc,Rao Ramana,Abraham George P.,Ramakrishnan T. V.,Jamaluddin Sabariah Faizah,Mohidin Mohd Amin Bin,Saim Al-Hilmi,Kean Lim Chee,Anthonysamy Cecilia,Yssof Shah Jahan Din Mohd,Ji Kang Wen,Kheng Cheah Phee,Ali Shamila bt Mohamad,Ramanathan Periyanayaki,Yang Chia Boon,Chia Hon Woei,Hamad Hafidahwati Binti,Ismail Samsu Ambia,Abdullah Wan Rasydan B. Wan,Tanaka Hideharu,Kimura Akio,Velasco Bernadett,Gundran Carlos D.,Convocar Pauline,Sabarre Nerissa G.,Tiglao Patrick Joseph,Hong Ki Jeong,Song Kyoung Jun,Jeong Joo,Moon Sung Woo,Kim Joo-yeong,Cha Won Chul,Lee Seung Chul,Ahn Jae Yun,Lee Kang Hyeon,Yeom Seok Ran,Ryu Hyeon Ho,Kim Su Jin,Kim Sang Chul,Hu Ray-Heng,Sun Jen Tang,Wang Ruei-Fang,Hsieh Shang-Lin,Kao Wei-Fong,Riyapan Sattha,Tianwibool Parinya,Buaprasert Phudit,Akaraborworn Osaree,Al Sakaf Omer Ahmed,LLC Saleh Fares,Huy Le Bao,Son Do Ngoc,Van Dai Nguyen, , ,
Abstract
AbstractPrehospital spinal immobilization is a widely used procedure in the emergency medical service (EMS) system worldwide, while the incidence of patients with spinal injury (SI) is relatively low, and unnecessary prehospital spinal immobilization is associated with patient complications. This study aimed to determine the association between prehospital spine immobilization and favorable functional outcomes at hospital discharge among trauma patients with SI. We conducted a retrospective cohort study using the Pan-Asia Trauma Outcomes Study (PATOS) registry data from January 1, 2016, to November 30, 2018. A total of 759 patients with SI were enrolled from 43,752 trauma patients in the PATOS registry during the study period. The subjects had a median age of 58 years (Q1–Q3, 41–72), and 438 (57.7%) patients had prehospital spine immobilization. Overall, prehospital spinal immobilization was not associated with favorable functional outcomes at discharge in multivariable logistic regression (aOR 1.06; 95% CI 0.62–1.81, p = 0.826). However, in the subgroup of cervical SI, prehospital spinal immobilization was associated with favorable functional outcomes at discharge (aOR 3.14; 95% CI 1.04–9.50; p = 0.043). Therefore, we suggest that paramedics should be more careful when determining the presence of a cervical SI and should apply full spine immobilization if possible.
Funder
Far Eastern Memorial Hospital
Ministry of Science and Technology, Taiwan
Publisher
Springer Science and Business Media LLC