2024-03-28T18:39:49Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02011029
2023-08-03T05:33:09Z
1642838163960:1642838338003
1642838403551:1642838407795
Advanced Life Support vs. Basic Life Support for Patients With Trauma in Prehospital Settings : A Systematic Review and Meta-Analysis
Kondo, Yutaka
Fukuda, Tatsuma
Uchimido, Ryo
Kashiura, Masahiro
Kato, Soichiro
Sekiguchi, Hiroshi
Zamami, Yoshito
Hifumi, Toru
Hayashida, Kei
first aid
emergency medical services
resuscitation
mortality
injury
Background: Advanced Life Support (ALS) is regarded to be associated with improved survival in pre-hospital trauma care when compared to Basic Life Support (BLS) irrespective of lack of evidence. The aim of this study is to ascertain ALS improves survival for trauma in prehospital settings when compared to BLS.\nMethods: We searched PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials for published controlled trials (CTs), and observational studies that were published until Aug 2017. The population of interest were adults (>18 years old) trauma patients who were transported by ground transportation and required resuscitation in prehospital settings. We compared outcomes between the ALS and BLS groups. The primary outcome was in-hospital mortality and secondary outcomes were neurological outcome and time spent on scene.\nResults: We identified 2,502 studies from various databases and 10 studies were included in the analysis (two CTs, and eight observational studies). The outcomes were not statistically significant between the ALS and BLS groups (pooled OR 1.14; 95% CI 0.95 to 1.36 for mortality, pooled OR 1.12; 95% CI 0.88 to 1.42 for good neurological outcomes, pooled mean difference −0.96; 95% CI−6.64 to 4.72 for on-scene time) in CTs. In observational studies, ALS prolonged on-scene time and increased mortality (pooled OR 1.56; 95% CI: 1.31 to 1.86 for mortality, and pooled mean difference, 1.26; 95% CI: 0.07 to 2.45 for on-scene time).
論文
http://purl.org/coar/resource_type/c_6501
Frontiers Media SA
2021-03-26
VoR
http://hdl.handle.net/20.500.12000/49985
2296-858X
Frontiers in Medicine
8
eng
https://doi.org/10.3389/fmed.2021.660367
https://doi.org/10.3389/fmed.2021.660367
open access
© 2021 Kondo, Fukuda, Uchimido, Kashiura, Kato, Sekiguchi, Zamami, Hifumi and Hayashida
Creative Commons Attribution 4.0
https://creativecommons.org/licenses/by/4.0/