Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Mar;16(3):e14274.
doi: 10.5812/ircmj.14274. Epub 2014 Mar 5.

The quality of pre-hospital oxygen therapy in patients with multiple trauma: a cross-sectional study

Mohsen Adib-Hajbaghery  1 , Farzaneh Maghaminejad  2 , Mohammad Paravar  1
Affiliations

The quality of pre-hospital oxygen therapy in patients with multiple trauma: a cross-sectional study

Mohsen Adib-Hajbaghery et al. Iran Red Crescent Med J. 2014 Mar.

Abstract

Background: Trauma is a major healthcare challenge worldwide. In developing countries, most road deaths happen during the pre-hospital phase; consequently, pre-hospital trauma care has received considerable attention during the past decades.

Objectives: The aim of this study was to investigate the quality of pre-hospital oxygen therapy in patients with multiple trauma.

Patients and methods: This cross-sectional study was conducted in the year 2013. The study population consisted of all patients with multiple trauma who had been transferred by emergency medical services to the central trauma department in Shahid Beheshti Medical Center, Kashan, Iran. The data collection instrument had three parts including demographic, a trauma assessment, and an oxygen therapy quality assessment questionnaires that were designed by the researchers. In total, 350 patients with multiple trauma were recruited from March through July 2013. Data were described by using frequency tables, central tendency measures, and variability indices. Moreover, we analyzed data by using the Chi-square test, Mann-Whitney U test, and the logistic regression analysis.

Results: The study sample consisted of 263 (75.1%) male and 87 (24.9%) female patients. Overall, 211 patients needed oxygen therapy during the pre-hospital phase; however, only 35 (16.60%) patients had received oxygen. The quality of oxygen therapy was undesirable in 92.42% of cases. In addition, 83.4% of patients, whose pre-hospital records indicated the administration of oxygen, reported that they had not received oxygen therapy. Logistic regression analysis revealed that the place of accident and the level of patients' education were significant predictors for administration of oxygen during the pre-hospital phase (P < 0.001).

Conclusions: The quality of pre-hospital oxygen therapy had been provided for the patients with multiple trauma was poor while these patients, particularly patients with chest traumas and head injuries, were in urgent need of oxygen therapy. Consequently, developing and implementing standard evidence-based oxygen therapy protocols and administrating continuous education programs are recommended.

Keywords: Emergency Medical Services; Multiple Trauma; Oxygen Inhalation Therapy.

PubMed Disclaimer

References

    1. Gonsaga RA, Brugugnolli ID, Fraga GP. Comparison between two mobile pre-hospital care services for trauma patients. World J Emerg Surg. 2012;7 Suppl 1:S6. doi: 10.1186/1749-7922-7-S1-S6. - DOI - PMC - PubMed
    1. Sharma BR. Development of pre-hospital trauma-care system--an overview. Injury. 2005;36(5):579–87. doi: 10.1016/j.injury.2004.09.009. - DOI - PubMed
    1. Nasiripur AA, Bahadori MK, Tofighi Sh, Gohari MR. Prehospital emergency performance in Iran View of comprehensive coverage plan. Iranian Journal of Critical Care Nursing. 2010;2(4):3–4.
    1. Yeguiayan JM, Garrigue D, Binquet C, Jacquot C, Duranteau J, Martin C, et al. Medical pre-hospital management reduces mortality in severe blunt trauma: a prospective epidemiological study. Crit Care. 2011;15(1):R34. doi: 10.1186/cc9982. - DOI - PMC - PubMed
    1. Haghparast Bidgoli H, Bogg L, Hasselberg M. Pre-hospital trauma care resources for road traffic injuries in a middle-income country--a province based study on need and access in Iran. Injury. 2011;42(9):879–84. doi: 10.1016/j.injury.2010.04.024. - DOI - PubMed

LinkOut - more resources