ABSTRACTS
Trauma-Related Prehospital Emergency Service Demand in Costa RicaAuthor: Andres Cairol | Principal Investigator | UINBE Associate Authors: Carlos Mora, MSc, UTN | Luis Felipe Loaiza, MD, UNIBE | Wendy Morun, MD, UNIBE | Dorian Chaves, Eng, UTN
Introduction Trauma represents a public health problem that generates physical, psychological, and functional problems, accounting for 9% of all causes of death worldwide. Methodology: Through analysis of the 9-1-1 Emergency System database from 2019 to 2024, 649,166 trauma-related calls were analyzed. They were correlated with population, development, and poverty variables, and so trauma-related service utilization rates were calculated, and response times were as well described. Cluster analysis was used through SPSS version 29.0.2.0. Results: Calls to the 9-1-1 Emergency System related to trauma cases nationwide present a rate of 2,445.2 calls per 100,000 inhabitants. The national rates for these types of incidents per 100,000 inhabitants are: falls 582.62, traumatic emergencies 414.96, run over 94.51, stab wounds 58.44, gunshot wounds 53,902, burns 18.57, rollovers 272.02, collisions 542.67, and trapped people 3.97. The rate of calls due to gunshot wounds are per 10,000 inhabitants and they do have a positive correlation with the multidimensional poverty index R= 0.229 (p 0.036). Additionally, population has a positive correlation R = 0.925 (p < 0.01). Car rollovers have a positive correlation with the area in km2, with an R= 0.372 (p < 0.01), and km2 has a negative correlation with life expectancy with an R= - 0.305 (p 0.05).Human development index has a positive correlation with poisonings with an R= 0.272 (p 0.012), and a positive correlation with rollovers with an R= 0.358 (p <0.01). There are statistically significant differences between response times between cantons within the metropolitan area (15.89 min) versus outside of it (18.35 min), depending on the dispatch priority: priority 1 (17.12 min), priority 2-3 (20.17 min), p < 0.0001. Conclusions \r\r For the first time in the country, prehospital trauma incident utilization rates, evidence of associated factors, and distribution of response times are available for use in resource planning.
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