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Relatively few studies have compared outcomes between helicopter transport (HT) and ground transport (GT) for the transfer of trauma patients to tertiary trauma centers (TTC). Mixed results have been reported from these studies ranging from a slight increase in odds of survival for the severely injured to no evident benefit for HT patients. We hypothesized there was no adjusted difference in mortality between patients transported interfacility by HT or GT taking into account distance from TTC. Data from an inclusive statewide trauma reg