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Is direct transport to a trauma centre best for patients with severe traumatic brain injury? A study in south-central Taiwan
  1. Kuang-Yu Hsiao1,2,3,
  2. I-Chuan Chen1,2,3,
  3. Chia-Jung Yang1,
  4. Cheng-Ting Hsiao1,2,
  5. Kai-Hua Chen2,4
  1. 1Department of Emergency Medicine, Chang Gung Memorial Hospital, Chiayi, Taiwan
  2. 2College of Medicine, Chang Gung University, Taoyuan, Taiwan
  3. 3Chang Gung Institute of Technology, Chiayi, Taiwan
  4. 4Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chiayi, Taiwan
  1. Correspondence to Dr Kai-Hua Chen, Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, No. 6, West Sec., Chia-Pu Road, Putz City, Chiayi County 613, Taiwan; karenkhchen{at}


Objective This study attempted to identify any differences between the outcomes of patients with severe traumatic brain injury (TBI) who were directly transported to Chang Gung Memorial Hospital and those who were stabilised initially at other hospitals in south-central Taiwan.

Methods A retrospective review of the records of 254 patients with isolated severe TBI who visited this hospital's emergency department from July 2003 to June 2008, of whom 167 were referred from other hospitals. Logistic regression was used to assess the effects of transfer and its components on mortality.

Results Transfer from another hospital was not significantly correlated with mortality in this study (OR 0.513, 95% CI 0.240 to 1.097). Moreover, neither intubation (OR 1.356, 95% CI 0.445 to 4.133) nor transfer time over 4 h (OR 0.549, 95% CI 0.119 to 1.744) had a significant effect on mortality.

Conclusion No differences in outcome were found between patients with isolated severe TBI who were directly transported and those transferred to this hospital's emergency room.

  • Emergency care systems
  • trauma

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  • Competing interests None.

  • Ethics approval This study was conducted with the approval of the Chang Gung Memorial Hospital, Taiwan.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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