Academic Journal
Προβολή σε EDS

Association between prehospital time and trauma outcomes: A multicenter cohort study from the Pan-Asian Trauma Outcomes Study (PATOS).

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Association between prehospital time and trauma outcomes: A multicenter cohort study from the Pan-Asian Trauma Outcomes Study (PATOS).
Συγγραφείς: Usawasuraiin P; Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: pimpan.u@cmu.ac.th., Angkurawaranon C; Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: chaisiri.a@cmu.ac.th., Tangsuwanaruk T; Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: theerapon.t@cmu.ac.th., Aramrat C; Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: chanchanok.a@cmu.ac.th., Meelarp N; Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: nattikarn.m@cmu.ac.th., Wiwatkunupakarn N; Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand., Sairai R; Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: rudklao.s@cmu.ac.th., Shin SD; Department of Emergency Medicine, Seoul National University College of Medicine and Hospital, Seoul, Republic of Korea. Electronic address: sdshin@snu.ac.kr., Chiang WC; Department of Emergency Medicine, National Taiwan University Hospital, Taipei City, Taiwan., Tianwibool P; Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: parinya.t@cmu.ac.th.
Συλλογικό Έργο: PATOS Participating Organizations
Πηγή: The American journal of emergency medicine [Am J Emerg Med] 2026 Aug; Vol. 106, pp. 115-123. Date of Electronic Publication: 2026 May 06.
Τύπος έκδοσης: Journal Article; Multicenter Study
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: W B Saunders Country of Publication: United States NLM ID: 8309942 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8171 (Electronic) Linking ISSN: 07356757 NLM ISO Abbreviation: Am J Emerg Med Subsets: MEDLINE
Imprint Name(s): Publication: 1983- : Philadelphia, PA : W B Saunders
Original Publication: [Philadelphia, PA. : Centrum Philadelphia, c1983]-
Ιατρικοί όροι (MeSH): Wounds and Injuries*/mortality , Wounds and Injuries*/therapy , Emergency Medical Services*/statistics & numerical data , Time-to-Treatment*/statistics & numerical data, Republic of Korea/epidemiology ; Malaysia/epidemiology ; Humans ; Female ; Retrospective Studies ; Male ; Hospital Mortality ; Middle Aged ; Time Factors ; Adult
Περίληψη: Background: Prehospital time is a critical determinant of trauma outcomes, yet its optimal duration remains unclear.
Objectives: To summarize the patterns of prehospital time across countries and determine the association between prehospital time and mortality in trauma patients.
Methods: We conducted a cross-national, multicenter retrospective cohort study of trauma patients who received EMS care and were ground-transported to hospitals between January 2019 and December 2022 using the Pan-Asia Trauma Outcomes Study (PATOS) database. Prehospital time was categorized into response time (RT), on-scene time (OST), transport time (TT), and total prehospital time (TPT). Outcomes were in-hospital mortality and poor functional outcome. Multivariable logistic regression adjusted for confounders, with subgroup analysis by injury mechanism.
Results: A total of 8968 patients from Taiwan, Malaysia, Korea, and Thailand were included; 376 (4.2%) died in hospital. Mean RT, OST, TT, and TPT were 16.2, 9.6, 9.9, and 35.7 min, respectively. Longer RT (adjusted odds ratio [aOR] 1.03, 95% CI 1.01-1.04) and OST (aOR 1.03, 95% CI 1.02-1.05) were independently associated with increased in-hospital mortality, whereas TT was not. Prolonged OST and TT were associated with poor functional outcomes. Among patients with traffic-related injuries, longer RT and OST remained significantly associated with mortality.
Conclusion: Prehospital time varies across EMS systems. Prolonged RT and OST were associated with increased mortality, while extended OST and TT were associated with poor functional outcomes. However, these associations may reflect more severely ill patients requiring additional care.
(Copyright © 2026 Elsevier Inc. All rights reserved.)
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Contributed Indexing: Keywords: On-scene time; Prehospital time; Response time; Transport time; Traumatic injury
Entry Date(s): Date Created: 20260511 Date Completed: 20260606 Latest Revision: 20260608
Update Code: 20260608
DOI: 10.1016/j.ajem.2026.05.013
PMID: 42114384
Βάση Δεδομένων: MEDLINE
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://www.doi.org/10.1016/j.ajem.2026.05.013?
    Name: ScienceDirect (all content) (s7799221)
    Category: fullText
    Text: View record from ScienceDirect
    MouseOverText: View record from ScienceDirect
  – Url: https://resolver.ebsco.com/c/fiv2js/result?sid=EBSCO:cmedm&genre=article&issn=15328171&ISBN=&volume=106&issue=&date=20260801&spage=115&pages=115-123&title=The American journal of emergency medicine&atitle=Association%20between%20prehospital%20time%20and%20trauma%20outcomes%3A%20A%20multicenter%20cohort%20study%20from%20the%20Pan-Asian%20Trauma%20Outcomes%20Study%20%28PATOS%29.&aulast=Usawasuraiin%20P&id=DOI:10.1016/j.ajem.2026.05.013
    Name: Full Text Finder (for New FTF UI) (ns324271)
    Category: fullText
    Text: Full Text Finder
    MouseOverText: Full Text Finder
Header DbId: cmedm
DbLabel: MEDLINE
An: 42114384
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Association between prehospital time and trauma outcomes: A multicenter cohort study from the Pan-Asian Trauma Outcomes Study (PATOS).
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AU" term="%22Usawasuraiin+P%22">Usawasuraiin P</searchLink>; Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: pimpan.u@cmu.ac.th.<br /><searchLink fieldCode="AU" term="%22Angkurawaranon+C%22">Angkurawaranon C</searchLink>; Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: chaisiri.a@cmu.ac.th.<br /><searchLink fieldCode="AU" term="%22Tangsuwanaruk+T%22">Tangsuwanaruk T</searchLink>; Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: theerapon.t@cmu.ac.th.<br /><searchLink fieldCode="AU" term="%22Aramrat+C%22">Aramrat C</searchLink>; Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: chanchanok.a@cmu.ac.th.<br /><searchLink fieldCode="AU" term="%22Meelarp+N%22">Meelarp N</searchLink>; Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: nattikarn.m@cmu.ac.th.<br /><searchLink fieldCode="AU" term="%22Wiwatkunupakarn+N%22">Wiwatkunupakarn N</searchLink>; Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.<br /><searchLink fieldCode="AU" term="%22Sairai+R%22">Sairai R</searchLink>; Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: rudklao.s@cmu.ac.th.<br /><searchLink fieldCode="AU" term="%22Shin+SD%22">Shin SD</searchLink>; Department of Emergency Medicine, Seoul National University College of Medicine and Hospital, Seoul, Republic of Korea. Electronic address: sdshin@snu.ac.kr.<br /><searchLink fieldCode="AU" term="%22Chiang+WC%22">Chiang WC</searchLink>; Department of Emergency Medicine, National Taiwan University Hospital, Taipei City, Taiwan.<br /><searchLink fieldCode="AU" term="%22Tianwibool+P%22">Tianwibool P</searchLink>; Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: parinya.t@cmu.ac.th.
– Name: AuthorCorporate
  Label: Corporate Authors
  Group: Au
  Data: <searchLink fieldCode="CA" term="%22PATOS+Participating+Organizations%22">PATOS Participating Organizations</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%228309942%22">The American journal of emergency medicine</searchLink> [Am J Emerg Med] 2026 Aug; Vol. 106, pp. 115-123. <i>Date of Electronic Publication: </i>2026 May 06.
– Name: TypePub
  Label: Publication Type
  Group: TypPub
  Data: Journal Article; Multicenter Study
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: TitleSource
  Label: Journal Info
  Group: Src
  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22W+B+Saunders%22">W B Saunders </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>8309942 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1532-8171 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2207356757%22">07356757 </searchLink><i>NLM ISO Abbreviation: </i>Am J Emerg Med <i>Subsets: </i>MEDLINE
– Name: PublisherInfo
  Label: Imprint Name(s)
  Group: PubInfo
  Data: <i>Publication</i>: 1983- : Philadelphia, PA : W B Saunders<br /><i>Original Publication</i>: [Philadelphia, PA. : Centrum Philadelphia, c1983]-
– Name: SubjectMESH
  Label: MeSH Terms
  Group: Su
  Data: <searchLink fieldCode="MM" term="%22Wounds+and+Injuries%22">Wounds and Injuries*</searchLink>/<searchLink fieldCode="MM" term="%22Wounds+and+Injuries+mortality%22">mortality</searchLink> <br /><searchLink fieldCode="MM" term="%22Wounds+and+Injuries%22">Wounds and Injuries*</searchLink>/<searchLink fieldCode="MM" term="%22Wounds+and+Injuries+therapy%22">therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Emergency+Medical+Services%22">Emergency Medical Services*</searchLink>/<searchLink fieldCode="MM" term="%22Emergency+Medical+Services+statistics+%26+numerical+data%22">statistics & numerical data</searchLink> <br /><searchLink fieldCode="MM" term="%22Time-to-Treatment%22">Time-to-Treatment*</searchLink>/<searchLink fieldCode="MM" term="%22Time-to-Treatment+statistics+%26+numerical+data%22">statistics & numerical data</searchLink><br /><searchLink fieldCode="MH" term="%22Republic+of+Korea%22">Republic of Korea</searchLink>/<searchLink fieldCode="MH" term="%22Republic+of+Korea+epidemiology%22">epidemiology</searchLink> ; <searchLink fieldCode="MH" term="%22Malaysia%22">Malaysia</searchLink>/<searchLink fieldCode="MH" term="%22Malaysia+epidemiology%22">epidemiology</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Retrospective+Studies%22">Retrospective Studies</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Hospital+Mortality%22">Hospital Mortality</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Time+Factors%22">Time Factors</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Prehospital time is a critical determinant of trauma outcomes, yet its optimal duration remains unclear.<br />Objectives: To summarize the patterns of prehospital time across countries and determine the association between prehospital time and mortality in trauma patients.<br />Methods: We conducted a cross-national, multicenter retrospective cohort study of trauma patients who received EMS care and were ground-transported to hospitals between January 2019 and December 2022 using the Pan-Asia Trauma Outcomes Study (PATOS) database. Prehospital time was categorized into response time (RT), on-scene time (OST), transport time (TT), and total prehospital time (TPT). Outcomes were in-hospital mortality and poor functional outcome. Multivariable logistic regression adjusted for confounders, with subgroup analysis by injury mechanism.<br />Results: A total of 8968 patients from Taiwan, Malaysia, Korea, and Thailand were included; 376 (4.2%) died in hospital. Mean RT, OST, TT, and TPT were 16.2, 9.6, 9.9, and 35.7 min, respectively. Longer RT (adjusted odds ratio [aOR] 1.03, 95% CI 1.01-1.04) and OST (aOR 1.03, 95% CI 1.02-1.05) were independently associated with increased in-hospital mortality, whereas TT was not. Prolonged OST and TT were associated with poor functional outcomes. Among patients with traffic-related injuries, longer RT and OST remained significantly associated with mortality.<br />Conclusion: Prehospital time varies across EMS systems. Prolonged RT and OST were associated with increased mortality, while extended OST and TT were associated with poor functional outcomes. However, these associations may reflect more severely ill patients requiring additional care.<br /> (Copyright © 2026 Elsevier Inc. All rights reserved.)
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
– Name: SubjectMinor
  Label: Contributed Indexing
  Group:
  Data: <i>Keywords: </i>On-scene time; Prehospital time; Response time; Transport time; Traumatic injury
– Name: DateEntry
  Label: Entry Date(s)
  Group: Date
  Data: <i>Date Created: </i>20260511 <i>Date Completed: </i>20260606 <i>Latest Revision: </i>20260608
– Name: DateUpdate
  Label: Update Code
  Group: Date
  Data: 20260608
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1016/j.ajem.2026.05.013
– Name: AN
  Label: PMID
  Group: ID
  Data: 42114384
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=42114384
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1016/j.ajem.2026.05.013
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        StartPage: 115
    Subjects:
      – SubjectFull: Republic of Korea epidemiology
        Type: general
      – SubjectFull: Malaysia epidemiology
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Female
        Type: general
      – SubjectFull: Retrospective Studies
        Type: general
      – SubjectFull: Male
        Type: general
      – SubjectFull: Hospital Mortality
        Type: general
      – SubjectFull: Middle Aged
        Type: general
      – SubjectFull: Time Factors
        Type: general
      – SubjectFull: Adult
        Type: general
      – SubjectFull: Wounds and Injuries mortality
        Type: general
      – SubjectFull: Wounds and Injuries therapy
        Type: general
      – SubjectFull: Emergency Medical Services statistics & numerical data
        Type: general
      – SubjectFull: Time-to-Treatment statistics & numerical data
        Type: general
    Titles:
      – TitleFull: Association between prehospital time and trauma outcomes: A multicenter cohort study from the Pan-Asian Trauma Outcomes Study (PATOS).
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Usawasuraiin P
      – PersonEntity:
          Name:
            NameFull: Angkurawaranon C
      – PersonEntity:
          Name:
            NameFull: Tangsuwanaruk T
      – PersonEntity:
          Name:
            NameFull: Aramrat C
      – PersonEntity:
          Name:
            NameFull: Meelarp N
      – PersonEntity:
          Name:
            NameFull: Wiwatkunupakarn N
      – PersonEntity:
          Name:
            NameFull: Sairai R
      – PersonEntity:
          Name:
            NameFull: Shin SD
      – PersonEntity:
          Name:
            NameFull: Chiang WC
      – PersonEntity:
          Name:
            NameFull: Tianwibool P
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 08
              Text: 2026 Aug
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1532-8171
          Numbering:
            – Type: volume
              Value: 106
          Titles:
            – TitleFull: The American journal of emergency medicine
              Type: main
ResultId 1