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dc.contributor.authorLurie, Tucker
dc.contributor.authorTraynor, Timothy
dc.contributor.authorBano, Maira Sher
dc.contributor.authorTran, Quincy K
dc.date.accessioned2021-06-09T18:02:06Z
dc.date.available2021-06-09T18:02:06Z
dc.date.issued2021-05-15
dc.identifier.urihttp://hdl.handle.net/10713/15964
dc.description.abstractPurpose: Spinal injuries resulting in neurological damage cause significant morbidity. Swift neurosurgical intervention can mitigate negative outcomes. However, variable mechanisms of injury may be associated with inappropriate transport (IAT), which may delay necessary surgical interventions. Patients with near shore spinal injuries (NSSI) presented with unique mechanisms, so we investigated factors associated with IAT in patients with NSSI. Methods: We performed a multicenter retrospective study of all adult patients transported from a beach resort to 3 hospitals for suspected NSSI between 2006 - 2017. We excluded patients transferred to other facilities, and those not injured in the water. Primary outcome was IAT, defined as patients with NSSI requiring transfer to another trauma center. To avoid heterogeneity in our analysis, we further excluded patients without NSSI who were inappropriately transported to a level I trauma center. We used multivariable logistic regression to assess association of independent variables (such as demographic, environmental, and clinical factors) with outcome. Results: We analyzed 278 patients with suspected NSSI, and found 14 (5.0%) had IAT. Compared to appropriately transported patients, diving was associated with higher percentages of IAT (28.6% vs. 3.9%, p = 0.014) and more were transported by air (50.0% vs. 20.6%, p = 0.01). In multivariable regression, patients' oxygenation saturation (OR = 0.8, 95% CI: 077-0.98) and diving (OR = 7.5, 95% CI: 1.2-46) were significantly associated with IAT. Conclusion: Rate of IAT for patients with NSSI was low. However, first responders and emergency medicine providers should be aware that diving is associated with a higher likelihood of inappropriate transport.en_US
dc.description.urihttps://doi.org/10.1016/j.cjtee.2021.05.001en_US
dc.language.isoenen_US
dc.publisherElsevier Inc.en_US
dc.relation.ispartofChinese journal of traumatology = Zhonghua chuang shang za zhien_US
dc.rightsCopyright © 2021 Chinese Medical Association. Production and hosting by Elsevier B.V. All rights reserved.en_US
dc.subjectNear shore spinal injuryen_US
dc.subjectShallow water divingen_US
dc.subjectSpinal injuryen_US
dc.subjectTransporten_US
dc.subjectWave ridingen_US
dc.titlePredictors associated with inappropriate transport of near shore spinal injuriesen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.cjtee.2021.05.001
dc.identifier.pmid34092470
dc.source.countryChina


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