Epidemiology and Outcomes of Combat-Relevant Prolonged Trauma Care: A Prospective Multicenter Prehospital Study in South Africa

Abstract

The overall objective of this study is to conduct an epidemiologic prehospital trauma study in an austere, combat-relevant, foreign environment that innovatively addresses many of the military's current scientific needs, and overcomes limitations experienced by prior US-based prehospital trauma studies. Our primary hypothesis is that a sigmoidal relationship will exist between prehospital time and 7-day mortality. The inflexion point will represent a critical window of time for the patient to reach a trauma facility, after which 7-day mortality rates will accelerate from low to high. This inflexion point will be at 2-hours for non-compressible, and 4-hours for compressible, injuries. Our secondary hypothesis is that there will be non-linear associations between time (from injury to reaching trauma center) with postinjury morbidity endpoints.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2022
Accession Number
AD1195577

Entities

People

  • Nee-Kofi Mould-Millman

Organizations

  • University of Colorado Boulder

Tags

DTIC Thesaurus Topics

  • Health Services
  • Injury Prevention
  • Medical Personnel
  • Spine
  • Thoracic Injuries
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Mathematics or Statistics
  • Trauma Surgery or Emergency Medicine.
  • Trauma or Military Medicine