Table 4.
Differences Between BLS and ALS in 90-d Survival, by Trauma Subgroups*
| Subgroup | BLS, n | ALS, n | Survival Difference in Propensity Score Analysis (95% CI), percentage points | Survival Difference in Instrumental Variable Analysis (95% CI), percentage points |
|---|---|---|---|---|
| Low severity† | 27 297 | 39 341 | 4.6 (4.0 to 5.3) | 2.7 (−0.2 to 5.5) |
| High severity‡ | 3622 | 9427 | 14.7 (12.7 to 16.7) | 12.5 (4.7 to 20.2) |
| Accidental falls | 7568 | 11 947 | 4.8 (3.5 to 6.2) | 7.1 (2.0 to 12.3) |
ALS = advanced life support; BLS = basic life support.
Propensity score estimates are the difference in 90-d survival between BLS and ALS recipients, adjusted by propensity score–based balancing weights. The instrumental variable estimates represent the effect on survival of receiving BLS rather than ALS for a “switcher” (i.e., a person who would receive BLS in an area with a higher rate of BLS use but ALS in an area with lower BLS use). Accidental falls were analyzed only for 2010 and 2011, in which separate external-cause code fields existed and were complete for 92% of observations.
New Injury Severity Score between 16 and 24.
New Injury Severity Score between 25 and 75.