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Marc Freysz - One of the best experts on this subject based on the ideXlab platform.

  • medical pre Hospital Management reduces mortality in severe blunt trauma a prospective epidemiological study
    Critical Care, 2011
    Co-Authors: Jean-michel Yeguiayan, Delphine Garrigue, Christine Binquet, Claude Jacquot, Jacques Duranteau, Claude Martin, Fatima Rayeh, Bruno Riou, Claire Bonithonkopp, Marc Freysz
    Abstract:

    Severe blunt trauma is a leading cause of premature death and handicap. However, the benefit for the patient of pre-Hospital Management by emergency physicians remains controversial because it may delay admission to Hospital. This study aimed to compare the impact of medical pre-Hospital Management performed by SMUR (Service Mobile d'Urgences et de Reanimation) with non-medical pre-Hospital Management provided by fire brigades (non-SMUR) on 30-day mortality. The FIRST (French Intensive care Recorded in Severe Trauma) study is a multicenter cohort study on consecutive patients with severe blunt trauma requiring admission to university Hospital intensive care units within the first 72 hours. Initial clinical status, pre-Hospital life-sustaining treatments and Injury Severity Scores (ISS) were recorded. The main endpoint was 30-day mortality. Among 2,703 patients, 2,513 received medical pre-Hospital Management from SMUR, and 190 received basic pre-Hospital Management provided by fire brigades. SMUR patients presented a poorer initial clinical status and higher ISS and were admitted to Hospital after a longer delay than non-SMUR patients. The crude 30-day mortality rate was comparable for SMUR and non-SMUR patients (17% and 15% respectively; P = 0.61). After adjustment for initial clinical status and ISS, SMUR care significantly reduced the risk of 30-day mortality (odds ratio (OR): 0.55, 95% CI: 0.32 to 0.94, P = 0.03). Further adjustments for the delay to Hospital admission only marginally affected these results. This study suggests that SMUR Management is associated with a significant reduction in 30-day mortality. The role of careful medical assessment and intensive pre-Hospital life-sustaining treatments needs to be assessed in further studies.

  • Medical pre-Hospital Management reduces mortality in severe blunt trauma: a prospective epidemiological study.
    Critical Care, 2011
    Co-Authors: Jean-michel Yeguiayan, Delphine Garrigue, Christine Binquet, Claude Jacquot, Jacques Duranteau, Claude Martin, Fatima Rayeh, Bruno Riou, Claire Bonithon-kopp, Marc Freysz
    Abstract:

    INTRODUCTION: Severe blunt trauma is a leading cause of premature death and handicap. However, the benefit for the patient of pre-Hospital Management by emergency physicians remains controversial because it may delay admission to Hospital. This study aimed to compare the impact of medical pre-Hospital Management performed by SMUR (Service Mobile d'Urgences et de Réanimation) with non-medical pre-Hospital Management provided by fire brigades (non-SMUR) on 30-day mortality. METHODS: The FIRST (French Intensive care Recorded in Severe Trauma) study is a multicenter cohort study on consecutive patients with severe blunt trauma requiring admission to university Hospital intensive care units within the first 72 hours. Initial clinical status, pre-Hospital life-sustaining treatments and Injury Severity Scores (ISS) were recorded. The main endpoint was 30-day mortality. RESULTS: Among 2,703 patients, 2,513 received medical pre-Hospital Management from SMUR, and 190 received basic pre-Hospital Management provided by fire brigades. SMUR patients presented a poorer initial clinical status and higher ISS and were admitted to Hospital after a longer delay than non-SMUR patients. The crude 30-day mortality rate was comparable for SMUR and non-SMUR patients (17% and 15% respectively; P = 0.61). After adjustment for initial clinical status and ISS, SMUR care significantly reduced the risk of 30-day mortality (odds ratio (OR): 0.55, 95% CI: 0.32 to 0.94, P = 0.03). Further adjustments for the delay to Hospital admission only marginally affected these results. CONCLUSIONS: This study suggests that SMUR Management is associated with a significant reduction in 30-day mortality. The role of careful medical assessment and intensive pre-Hospital life-sustaining treatments needs to be assessed in further studies.

Jean-michel Yeguiayan - One of the best experts on this subject based on the ideXlab platform.

  • medical pre Hospital Management reduces mortality in severe blunt trauma a prospective epidemiological study
    Critical Care, 2011
    Co-Authors: Jean-michel Yeguiayan, Delphine Garrigue, Christine Binquet, Claude Jacquot, Jacques Duranteau, Claude Martin, Fatima Rayeh, Bruno Riou, Claire Bonithonkopp, Marc Freysz
    Abstract:

    Severe blunt trauma is a leading cause of premature death and handicap. However, the benefit for the patient of pre-Hospital Management by emergency physicians remains controversial because it may delay admission to Hospital. This study aimed to compare the impact of medical pre-Hospital Management performed by SMUR (Service Mobile d'Urgences et de Reanimation) with non-medical pre-Hospital Management provided by fire brigades (non-SMUR) on 30-day mortality. The FIRST (French Intensive care Recorded in Severe Trauma) study is a multicenter cohort study on consecutive patients with severe blunt trauma requiring admission to university Hospital intensive care units within the first 72 hours. Initial clinical status, pre-Hospital life-sustaining treatments and Injury Severity Scores (ISS) were recorded. The main endpoint was 30-day mortality. Among 2,703 patients, 2,513 received medical pre-Hospital Management from SMUR, and 190 received basic pre-Hospital Management provided by fire brigades. SMUR patients presented a poorer initial clinical status and higher ISS and were admitted to Hospital after a longer delay than non-SMUR patients. The crude 30-day mortality rate was comparable for SMUR and non-SMUR patients (17% and 15% respectively; P = 0.61). After adjustment for initial clinical status and ISS, SMUR care significantly reduced the risk of 30-day mortality (odds ratio (OR): 0.55, 95% CI: 0.32 to 0.94, P = 0.03). Further adjustments for the delay to Hospital admission only marginally affected these results. This study suggests that SMUR Management is associated with a significant reduction in 30-day mortality. The role of careful medical assessment and intensive pre-Hospital life-sustaining treatments needs to be assessed in further studies.

  • Medical pre-Hospital Management reduces mortality in severe blunt trauma: a prospective epidemiological study.
    Critical Care, 2011
    Co-Authors: Jean-michel Yeguiayan, Delphine Garrigue, Christine Binquet, Claude Jacquot, Jacques Duranteau, Claude Martin, Fatima Rayeh, Bruno Riou, Claire Bonithon-kopp, Marc Freysz
    Abstract:

    INTRODUCTION: Severe blunt trauma is a leading cause of premature death and handicap. However, the benefit for the patient of pre-Hospital Management by emergency physicians remains controversial because it may delay admission to Hospital. This study aimed to compare the impact of medical pre-Hospital Management performed by SMUR (Service Mobile d'Urgences et de Réanimation) with non-medical pre-Hospital Management provided by fire brigades (non-SMUR) on 30-day mortality. METHODS: The FIRST (French Intensive care Recorded in Severe Trauma) study is a multicenter cohort study on consecutive patients with severe blunt trauma requiring admission to university Hospital intensive care units within the first 72 hours. Initial clinical status, pre-Hospital life-sustaining treatments and Injury Severity Scores (ISS) were recorded. The main endpoint was 30-day mortality. RESULTS: Among 2,703 patients, 2,513 received medical pre-Hospital Management from SMUR, and 190 received basic pre-Hospital Management provided by fire brigades. SMUR patients presented a poorer initial clinical status and higher ISS and were admitted to Hospital after a longer delay than non-SMUR patients. The crude 30-day mortality rate was comparable for SMUR and non-SMUR patients (17% and 15% respectively; P = 0.61). After adjustment for initial clinical status and ISS, SMUR care significantly reduced the risk of 30-day mortality (odds ratio (OR): 0.55, 95% CI: 0.32 to 0.94, P = 0.03). Further adjustments for the delay to Hospital admission only marginally affected these results. CONCLUSIONS: This study suggests that SMUR Management is associated with a significant reduction in 30-day mortality. The role of careful medical assessment and intensive pre-Hospital life-sustaining treatments needs to be assessed in further studies.

Bruno Riou - One of the best experts on this subject based on the ideXlab platform.

  • medical pre Hospital Management reduces mortality in severe blunt trauma a prospective epidemiological study
    Critical Care, 2011
    Co-Authors: Jean-michel Yeguiayan, Delphine Garrigue, Christine Binquet, Claude Jacquot, Jacques Duranteau, Claude Martin, Fatima Rayeh, Bruno Riou, Claire Bonithonkopp, Marc Freysz
    Abstract:

    Severe blunt trauma is a leading cause of premature death and handicap. However, the benefit for the patient of pre-Hospital Management by emergency physicians remains controversial because it may delay admission to Hospital. This study aimed to compare the impact of medical pre-Hospital Management performed by SMUR (Service Mobile d'Urgences et de Reanimation) with non-medical pre-Hospital Management provided by fire brigades (non-SMUR) on 30-day mortality. The FIRST (French Intensive care Recorded in Severe Trauma) study is a multicenter cohort study on consecutive patients with severe blunt trauma requiring admission to university Hospital intensive care units within the first 72 hours. Initial clinical status, pre-Hospital life-sustaining treatments and Injury Severity Scores (ISS) were recorded. The main endpoint was 30-day mortality. Among 2,703 patients, 2,513 received medical pre-Hospital Management from SMUR, and 190 received basic pre-Hospital Management provided by fire brigades. SMUR patients presented a poorer initial clinical status and higher ISS and were admitted to Hospital after a longer delay than non-SMUR patients. The crude 30-day mortality rate was comparable for SMUR and non-SMUR patients (17% and 15% respectively; P = 0.61). After adjustment for initial clinical status and ISS, SMUR care significantly reduced the risk of 30-day mortality (odds ratio (OR): 0.55, 95% CI: 0.32 to 0.94, P = 0.03). Further adjustments for the delay to Hospital admission only marginally affected these results. This study suggests that SMUR Management is associated with a significant reduction in 30-day mortality. The role of careful medical assessment and intensive pre-Hospital life-sustaining treatments needs to be assessed in further studies.

  • Medical pre-Hospital Management reduces mortality in severe blunt trauma: a prospective epidemiological study.
    Critical Care, 2011
    Co-Authors: Jean-michel Yeguiayan, Delphine Garrigue, Christine Binquet, Claude Jacquot, Jacques Duranteau, Claude Martin, Fatima Rayeh, Bruno Riou, Claire Bonithon-kopp, Marc Freysz
    Abstract:

    INTRODUCTION: Severe blunt trauma is a leading cause of premature death and handicap. However, the benefit for the patient of pre-Hospital Management by emergency physicians remains controversial because it may delay admission to Hospital. This study aimed to compare the impact of medical pre-Hospital Management performed by SMUR (Service Mobile d'Urgences et de Réanimation) with non-medical pre-Hospital Management provided by fire brigades (non-SMUR) on 30-day mortality. METHODS: The FIRST (French Intensive care Recorded in Severe Trauma) study is a multicenter cohort study on consecutive patients with severe blunt trauma requiring admission to university Hospital intensive care units within the first 72 hours. Initial clinical status, pre-Hospital life-sustaining treatments and Injury Severity Scores (ISS) were recorded. The main endpoint was 30-day mortality. RESULTS: Among 2,703 patients, 2,513 received medical pre-Hospital Management from SMUR, and 190 received basic pre-Hospital Management provided by fire brigades. SMUR patients presented a poorer initial clinical status and higher ISS and were admitted to Hospital after a longer delay than non-SMUR patients. The crude 30-day mortality rate was comparable for SMUR and non-SMUR patients (17% and 15% respectively; P = 0.61). After adjustment for initial clinical status and ISS, SMUR care significantly reduced the risk of 30-day mortality (odds ratio (OR): 0.55, 95% CI: 0.32 to 0.94, P = 0.03). Further adjustments for the delay to Hospital admission only marginally affected these results. CONCLUSIONS: This study suggests that SMUR Management is associated with a significant reduction in 30-day mortality. The role of careful medical assessment and intensive pre-Hospital life-sustaining treatments needs to be assessed in further studies.

Delphine Garrigue - One of the best experts on this subject based on the ideXlab platform.

  • medical pre Hospital Management reduces mortality in severe blunt trauma a prospective epidemiological study
    Critical Care, 2011
    Co-Authors: Jean-michel Yeguiayan, Delphine Garrigue, Christine Binquet, Claude Jacquot, Jacques Duranteau, Claude Martin, Fatima Rayeh, Bruno Riou, Claire Bonithonkopp, Marc Freysz
    Abstract:

    Severe blunt trauma is a leading cause of premature death and handicap. However, the benefit for the patient of pre-Hospital Management by emergency physicians remains controversial because it may delay admission to Hospital. This study aimed to compare the impact of medical pre-Hospital Management performed by SMUR (Service Mobile d'Urgences et de Reanimation) with non-medical pre-Hospital Management provided by fire brigades (non-SMUR) on 30-day mortality. The FIRST (French Intensive care Recorded in Severe Trauma) study is a multicenter cohort study on consecutive patients with severe blunt trauma requiring admission to university Hospital intensive care units within the first 72 hours. Initial clinical status, pre-Hospital life-sustaining treatments and Injury Severity Scores (ISS) were recorded. The main endpoint was 30-day mortality. Among 2,703 patients, 2,513 received medical pre-Hospital Management from SMUR, and 190 received basic pre-Hospital Management provided by fire brigades. SMUR patients presented a poorer initial clinical status and higher ISS and were admitted to Hospital after a longer delay than non-SMUR patients. The crude 30-day mortality rate was comparable for SMUR and non-SMUR patients (17% and 15% respectively; P = 0.61). After adjustment for initial clinical status and ISS, SMUR care significantly reduced the risk of 30-day mortality (odds ratio (OR): 0.55, 95% CI: 0.32 to 0.94, P = 0.03). Further adjustments for the delay to Hospital admission only marginally affected these results. This study suggests that SMUR Management is associated with a significant reduction in 30-day mortality. The role of careful medical assessment and intensive pre-Hospital life-sustaining treatments needs to be assessed in further studies.

  • Medical pre-Hospital Management reduces mortality in severe blunt trauma: a prospective epidemiological study.
    Critical Care, 2011
    Co-Authors: Jean-michel Yeguiayan, Delphine Garrigue, Christine Binquet, Claude Jacquot, Jacques Duranteau, Claude Martin, Fatima Rayeh, Bruno Riou, Claire Bonithon-kopp, Marc Freysz
    Abstract:

    INTRODUCTION: Severe blunt trauma is a leading cause of premature death and handicap. However, the benefit for the patient of pre-Hospital Management by emergency physicians remains controversial because it may delay admission to Hospital. This study aimed to compare the impact of medical pre-Hospital Management performed by SMUR (Service Mobile d'Urgences et de Réanimation) with non-medical pre-Hospital Management provided by fire brigades (non-SMUR) on 30-day mortality. METHODS: The FIRST (French Intensive care Recorded in Severe Trauma) study is a multicenter cohort study on consecutive patients with severe blunt trauma requiring admission to university Hospital intensive care units within the first 72 hours. Initial clinical status, pre-Hospital life-sustaining treatments and Injury Severity Scores (ISS) were recorded. The main endpoint was 30-day mortality. RESULTS: Among 2,703 patients, 2,513 received medical pre-Hospital Management from SMUR, and 190 received basic pre-Hospital Management provided by fire brigades. SMUR patients presented a poorer initial clinical status and higher ISS and were admitted to Hospital after a longer delay than non-SMUR patients. The crude 30-day mortality rate was comparable for SMUR and non-SMUR patients (17% and 15% respectively; P = 0.61). After adjustment for initial clinical status and ISS, SMUR care significantly reduced the risk of 30-day mortality (odds ratio (OR): 0.55, 95% CI: 0.32 to 0.94, P = 0.03). Further adjustments for the delay to Hospital admission only marginally affected these results. CONCLUSIONS: This study suggests that SMUR Management is associated with a significant reduction in 30-day mortality. The role of careful medical assessment and intensive pre-Hospital life-sustaining treatments needs to be assessed in further studies.

Christine Binquet - One of the best experts on this subject based on the ideXlab platform.

  • medical pre Hospital Management reduces mortality in severe blunt trauma a prospective epidemiological study
    Critical Care, 2011
    Co-Authors: Jean-michel Yeguiayan, Delphine Garrigue, Christine Binquet, Claude Jacquot, Jacques Duranteau, Claude Martin, Fatima Rayeh, Bruno Riou, Claire Bonithonkopp, Marc Freysz
    Abstract:

    Severe blunt trauma is a leading cause of premature death and handicap. However, the benefit for the patient of pre-Hospital Management by emergency physicians remains controversial because it may delay admission to Hospital. This study aimed to compare the impact of medical pre-Hospital Management performed by SMUR (Service Mobile d'Urgences et de Reanimation) with non-medical pre-Hospital Management provided by fire brigades (non-SMUR) on 30-day mortality. The FIRST (French Intensive care Recorded in Severe Trauma) study is a multicenter cohort study on consecutive patients with severe blunt trauma requiring admission to university Hospital intensive care units within the first 72 hours. Initial clinical status, pre-Hospital life-sustaining treatments and Injury Severity Scores (ISS) were recorded. The main endpoint was 30-day mortality. Among 2,703 patients, 2,513 received medical pre-Hospital Management from SMUR, and 190 received basic pre-Hospital Management provided by fire brigades. SMUR patients presented a poorer initial clinical status and higher ISS and were admitted to Hospital after a longer delay than non-SMUR patients. The crude 30-day mortality rate was comparable for SMUR and non-SMUR patients (17% and 15% respectively; P = 0.61). After adjustment for initial clinical status and ISS, SMUR care significantly reduced the risk of 30-day mortality (odds ratio (OR): 0.55, 95% CI: 0.32 to 0.94, P = 0.03). Further adjustments for the delay to Hospital admission only marginally affected these results. This study suggests that SMUR Management is associated with a significant reduction in 30-day mortality. The role of careful medical assessment and intensive pre-Hospital life-sustaining treatments needs to be assessed in further studies.

  • Medical pre-Hospital Management reduces mortality in severe blunt trauma: a prospective epidemiological study.
    Critical Care, 2011
    Co-Authors: Jean-michel Yeguiayan, Delphine Garrigue, Christine Binquet, Claude Jacquot, Jacques Duranteau, Claude Martin, Fatima Rayeh, Bruno Riou, Claire Bonithon-kopp, Marc Freysz
    Abstract:

    INTRODUCTION: Severe blunt trauma is a leading cause of premature death and handicap. However, the benefit for the patient of pre-Hospital Management by emergency physicians remains controversial because it may delay admission to Hospital. This study aimed to compare the impact of medical pre-Hospital Management performed by SMUR (Service Mobile d'Urgences et de Réanimation) with non-medical pre-Hospital Management provided by fire brigades (non-SMUR) on 30-day mortality. METHODS: The FIRST (French Intensive care Recorded in Severe Trauma) study is a multicenter cohort study on consecutive patients with severe blunt trauma requiring admission to university Hospital intensive care units within the first 72 hours. Initial clinical status, pre-Hospital life-sustaining treatments and Injury Severity Scores (ISS) were recorded. The main endpoint was 30-day mortality. RESULTS: Among 2,703 patients, 2,513 received medical pre-Hospital Management from SMUR, and 190 received basic pre-Hospital Management provided by fire brigades. SMUR patients presented a poorer initial clinical status and higher ISS and were admitted to Hospital after a longer delay than non-SMUR patients. The crude 30-day mortality rate was comparable for SMUR and non-SMUR patients (17% and 15% respectively; P = 0.61). After adjustment for initial clinical status and ISS, SMUR care significantly reduced the risk of 30-day mortality (odds ratio (OR): 0.55, 95% CI: 0.32 to 0.94, P = 0.03). Further adjustments for the delay to Hospital admission only marginally affected these results. CONCLUSIONS: This study suggests that SMUR Management is associated with a significant reduction in 30-day mortality. The role of careful medical assessment and intensive pre-Hospital life-sustaining treatments needs to be assessed in further studies.