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ID 116303
タイトル別表記
ALS vs. BLS for Trauma
著者
Kondo, Yutaka Juntendo University
Fukuda, Tatsuma University of the Ryukyus
Uchimido, Ryo Tokyo Medical and Dental University
Kashiura, Masahiro Jichi Medical University
Kato, Soichiro Kyorin University
Sekiguchi, Hiroshi University of the Ryukyus
Hifumi, Toru St. Lukes International Hospital
Hayashida, Kei Northwell Health
キーワード
first aid
emergency medical services
resuscitation
mortality
injury
資料タイプ
学術雑誌論文
抄録
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.
Methods: 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.
Results: 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).
Conclusions: In prehospital settings, the present study showed no advantages of ALS on the outcomes in patients with trauma compared to BLS.
掲載誌名
Frontiers in Medicine
ISSN
2296858X
出版者
Frontiers Media S.A.
8
開始ページ
660367
発行日
2021-03-26
権利情報
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY)(https://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
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出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系