Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.

<h4>Background</h4>Injuries account for about 13% of all registered deaths in Sri Lanka and are the leading cause of admission to public hospitals. Prehospital trauma care is new to Sri Lanka, and in 2016, a free ambulance service was launched in the Western and Southern provinces.<h4...

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Autores principales:	Lindy M Reynolds, Vijitha De Silva, Shayna Clancy, Anjni Joiner, Catherine A Staton, Truls Østbye
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/175c241085b34bf6a97046033f261bef
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spelling	oai:doaj.org-article:175c241085b34bf6a97046033f261bef2021-12-02T20:09:58ZPredictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.1932-620310.1371/journal.pone.0253410https://doaj.org/article/175c241085b34bf6a97046033f261bef2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253410https://doaj.org/toc/1932-6203<h4>Background</h4>Injuries account for about 13% of all registered deaths in Sri Lanka and are the leading cause of admission to public hospitals. Prehospital trauma care is new to Sri Lanka, and in 2016, a free ambulance service was launched in the Western and Southern provinces.<h4>Objective</h4>The aim of this study was to identify the proportion of admitted injury patients at a tertiary hospital who used an ambulance to get to the first health facility and examine patient demographics, injury event, and injury type as predictors of ambulance transport.<h4>Methods</h4>A cross-sectional survey was administered to 405 patients who were admitted to the emergency trauma center at Teaching Hospital Karapitiya (THK) in Galle, Sri Lanka. Descriptive statistics were tabulated to summarize prehospital transportation variables. Logistic regression models were created to examine predictors of ambulance transport, and ArcGIS Pro was used to calculate the distance between injury location and first facility and THK.<h4>Results</h4>The proportion of patients with injuries who used an ambulance to get to the first health facility was 20.5%. Factors that were significantly associated with ambulance use were older age, injury mechanism, alcohol use prior to injury, location type, open wound, abrasion, and chest/abdomen injury. Distance from injury location to THK or nearest health facility were not significantly associated with ambulance transport to the first health facility.<h4>Conclusion</h4>Among lower acuity injury patients in southern Sri Lanka, 20.5% traveled in an ambulance to the first health facility, while over half used a tuk tuk. Older age and injuries at home were associated with lower odds of ambulance transport. Future studies on predictors of ambulance transport should include patients with more severe injuries, gather detailed data on care provided while in transport and examine the association between prehospital care and clinical outcomes.Lindy M ReynoldsVijitha De SilvaShayna ClancyAnjni JoinerCatherine A StatonTruls ØstbyePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253410 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lindy M Reynolds Vijitha De Silva Shayna Clancy Anjni Joiner Catherine A Staton Truls Østbye Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.
description	<h4>Background</h4>Injuries account for about 13% of all registered deaths in Sri Lanka and are the leading cause of admission to public hospitals. Prehospital trauma care is new to Sri Lanka, and in 2016, a free ambulance service was launched in the Western and Southern provinces.<h4>Objective</h4>The aim of this study was to identify the proportion of admitted injury patients at a tertiary hospital who used an ambulance to get to the first health facility and examine patient demographics, injury event, and injury type as predictors of ambulance transport.<h4>Methods</h4>A cross-sectional survey was administered to 405 patients who were admitted to the emergency trauma center at Teaching Hospital Karapitiya (THK) in Galle, Sri Lanka. Descriptive statistics were tabulated to summarize prehospital transportation variables. Logistic regression models were created to examine predictors of ambulance transport, and ArcGIS Pro was used to calculate the distance between injury location and first facility and THK.<h4>Results</h4>The proportion of patients with injuries who used an ambulance to get to the first health facility was 20.5%. Factors that were significantly associated with ambulance use were older age, injury mechanism, alcohol use prior to injury, location type, open wound, abrasion, and chest/abdomen injury. Distance from injury location to THK or nearest health facility were not significantly associated with ambulance transport to the first health facility.<h4>Conclusion</h4>Among lower acuity injury patients in southern Sri Lanka, 20.5% traveled in an ambulance to the first health facility, while over half used a tuk tuk. Older age and injuries at home were associated with lower odds of ambulance transport. Future studies on predictors of ambulance transport should include patients with more severe injuries, gather detailed data on care provided while in transport and examine the association between prehospital care and clinical outcomes.
format	article
author	Lindy M Reynolds Vijitha De Silva Shayna Clancy Anjni Joiner Catherine A Staton Truls Østbye
author_facet	Lindy M Reynolds Vijitha De Silva Shayna Clancy Anjni Joiner Catherine A Staton Truls Østbye
author_sort	Lindy M Reynolds
title	Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.
title_short	Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.
title_full	Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.
title_fullStr	Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.
title_full_unstemmed	Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.
title_sort	predictors of ambulance transport to first health facility among injured patients in southern sri lanka.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/175c241085b34bf6a97046033f261bef
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Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.

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