Association between blood pressure recording in prehospital setting and patient outcome in pediatric trauma patients: A propensity score matching study

被引:2
|
作者
Shinohara, Mafumi [1 ,3 ,4 ]
Abe, Takeru [1 ,2 ]
Takeuchi, Ichiro [1 ,2 ]
机构
[1] Yokohama City Univ, Dept Emergency Med, Yokohama, Kanagawa, Japan
[2] Yokohama City Univ, Med Ctr, Adv Crit Care & Emergency Ctr, Yokohama, Kanagawa, Japan
[3] Natl Hosp Org Yokohama Med Ctr, Dept Crit Care & Emergency Med, Yokohama, Kanagawa, Japan
[4] Natl Hosp Org Yokohama Med Ctr, Dept Crit Care & Emergency Med, 3-60-2 Harajuku, Yokohama, Kanagawa 2458575, Japan
来源
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY | 2024年 / 96卷 / 04期
关键词
Trauma; emergency medical services; vital sign; blood pressure; pediatrics; EMERGENCY MEDICAL-SERVICES; INJURED CHILDREN; MAJOR CAUSES; RESUSCITATION; PROVIDERS; SAFETY; TRIAGE; DEATH; EMS;
D O I
10.1097/TA.0000000000004114
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
BACKGROUND Rapid identification of the severity of injuries in the field is important to ensure appropriate hospital care for better outcomes. Vital signs are used as a field triage tool for critically ill or injured patients in prehospital settings. Several studies have shown that recording vital signs, especially blood pressure, in pediatric patients is sometimes omitted in prehospital settings compared with that in adults. However, little is known about the association between the lack of measurement of prehospital vital signs and patient outcomes. In this study, we examined the association between the rate of vital sign measurements in the field and patient outcomes in injured children. METHODS This study analyzed secondary data from the Japan Trauma Data Bank. We included pediatric patients (0-17 years) with injuries who were transported by emergency medical services. Hospital survival was the primary outcome. We performed a propensity-matched analysis with nearest-neighbor matching without replacement by adjusting for demographic and clinical variables to evaluate the effect of recording vital signs. RESULTS During the study period, 13,413 pediatric patients were included. There were 9,187 and 1,798 patients with and without prehospital blood pressure records, respectively. After matching, there were no differences in the patient characteristics or disease severity. Hospital mortality was significantly higher in the nonrecorded group than in the recorded group (4.3% vs. 1.1%; p < 0.001). The multiple logistic regression analysis results showed no prehospital record of blood pressure being associated with death (odds ratio [OR], 6.82; 95% confidence interval [CI], 2.40-19.33). Glasgow Coma Scale score and Injury Severity Score were also associated with death (OR, 0.71; 95% CI, 0.63-0.81 and OR, 1.10; 95% CI, 1.06-11.14, respectively). CONCLUSION Pediatric patients without any blood pressure records in prehospital settings had higher mortality rates than those with prehospital blood pressure records.
引用
收藏
页码:628 / 633
页数:6
相关论文
共 50 条
  • [1] Blood Pressure Variability and Outcome in Traumatic Brain Injury: A Propensity Score Matching Study
    Tran, Quincy K.
    Frederick, Hannah
    Tran, Cecilia
    Baqait, Hammad
    Lurie, Tucker
    Solomon, Julianna
    Aligabi, Ayah
    Olexa, Joshua
    Cardona, Stephanie
    Bodanapally, Uttam
    Schwartzbauer, Gary
    Downing, Jessica
    WESTERN JOURNAL OF EMERGENCY MEDICINE, 2022, 23 (05) : 769 - 780
  • [2] BLOOD PRESSURE VARIABILITY AND OUTCOME IN TRAUMATIC BRAIN INJURY: A PROPENSITY SCORE MATCHING STUDY
    Tran, Quincy
    Fairchild, Matthew
    Abdel-Wahab, Maie
    Aligabi, Ayah
    Baqai, Hammad
    Bzhilyanskaya, Vera
    Frederick, Hannah
    Mikdashi, Fatima
    Pirzada, Saad
    Sahadzic, Iana
    Singh, Aditi
    Solomon, Julianna
    Tang, Kaitlyn
    Yardi, Isha
    Zahid, Manahel
    Tran, Cecilia
    Olexa, Joshua
    Bodanapally, Uttam
    Schwartzbauer, Gary
    Downing, Jessica
    CRITICAL CARE MEDICINE, 2022, 50 (01) : 377 - 377
  • [3] Association between coronary artery disease and clinical outcome in cancer patients: A propensity score matching analysis
    Huang, Zengfa
    Li, Tao
    Zhang, Shan
    Jiang, Bei
    Li, Mei
    Cao, Beibei
    Zhang, Hongfeng
    Zhou, Zhiqiang
    Huang, Zheng
    Wang, Xiang
    HELIYON, 2024, 10 (06)
  • [4] Association Between Regular Blood Pressure Monitoring and the Risk of Intracranial Aneurysm Rupture: a Multicenter Retrospective Study with Propensity Score Matching
    Ping Zhong
    Zhiwen Lu
    Tianxiao Li
    Qing Lan
    Jianmin Liu
    Zhanxiang Wang
    Sifang Chen
    Qinghai Huang
    Translational Stroke Research, 2022, 13 : 983 - 994
  • [5] Association Between Regular Blood Pressure Monitoring and the Risk of Intracranial Aneurysm Rupture: a Multicenter Retrospective Study with Propensity Score Matching
    Zhong, Ping
    Lu, Zhiwen
    Li, Tianxiao
    Lan, Qing
    Liu, Jianmin
    Wang, Zhanxiang
    Chen, Sifang
    Huang, Qinghai
    TRANSLATIONAL STROKE RESEARCH, 2022, 13 (06) : 983 - 994
  • [6] STUDY ON THE RELATIONSHIP BETWEEN WAIST TO HEIGHT RATIO AND BLOOD PRESSURE AND DYSLIPIDEMIA BY USING PROPENSITY SCORE MATCHING
    Wang, Xin
    Chen, Zuo
    Zhang, Linfeng
    Zhu, Manlu
    Wang, Zengwu
    JOURNAL OF HYPERTENSION, 2016, 34 : E320 - E320
  • [7] Is epistaxis associated with high blood pressure and hypertension? Propensity score matching study
    Kim, Chsngsun
    Kim, Changsun
    Chung, Jae Ho
    Shin, Jeong-Hun
    AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2020, 38 (07): : 1319 - 1321
  • [8] Association between cognitive function and dusty weather: a propensity score matching study
    Yao, Honghui
    Peng, Zixuan
    Sha, Xinping
    BMC GERIATRICS, 2023, 23 (01)
  • [9] Association between cognitive function and dusty weather: a propensity score matching study
    Honghui Yao
    Zixuan Peng
    Xinping Sha
    BMC Geriatrics, 23
  • [10] ASSOCIATION BETWEEN OBESITY AND LOWER URINARY TRACT SYMPTOMS: PROPENSITY SCORE MATCHING STUDY
    Kim, Y. J.
    Kim, J. H.
    Shim, S. R.
    Park, S. Y.
    OBESITY SURGERY, 2016, 26 : S194 - S195