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Access times have not been studied in Switzerland. The aim of this work was to model the transport time by ambulance of seriously injured road traffic accident victims to one of the 12 trauma centres in Switzerland and to investigate whether this time influenced mortality. METHODS: Isochronous travel curves in minute increments were modelled around each of the 12 Swiss trauma centres to assess travel times at the Swiss national level, based on the shortest travel time from the location of a serious road accident to the nearest trauma centre.
We used the national database of the Federal Roads Office, which provided the geolocation of these accidents occurring between and The association between mortality and transport time to the nearest trauma centre was then analysed.
An association existed between mortality and prehospital transport time from the site of an accident to the nearest trauma centre. For each additional minute isochrone, an average increase of 0. The numerous confounding factors not systematically collected in publicly available databases limit the robustness of our results. This study confirms the importance of having a national trauma registry to allow quality analyses to guide public health decisions.
Road accidents were the seventh leading cause of disability-adjusted life-years in worldwide, and the leading cause in the age group 10 to 24 years [1]. In in Switzerland, 17, road accidents that caused injuries occurred, including 17, minor injuries, 3, serious injuries and fatalities [2].
Prompt access to a trauma centre can reduce mortality and trauma-related sequelae for those seriously injured in a road accident [3, 4]. This time dependence has been conceptualised as the Golden Hour, which links access time to definitive treatment in a trauma centre within 1 hour of trauma to reduced risk of morbidity and mortality [5].