Prehospital advanced life support provided by specially trained physicians: is there a benefit in terms of life years gained?

Autor: Olav Helge Førde, Hans Morten Lossius, O. V. Eielsen, Ragnar Hotvedt, Petter Andreas Steen, S. A. Hapnes, Eldar Søreide
Rok vydání: 2002
Předmět:
Zdroj: Acta Anaesthesiologica Scandinavica. 46:771-778
ISSN: 0001-5172
DOI: 10.1034/j.1399-6576.2002.460703.x
Popis: Background: The benefit of prehospital advanced life support (ALS) is disputed, as is the prehospital use of specially trained, hospital-based physicians. The purpose of the study was to assess the health benefit from an anesthesiologist-manned prehospital emergency medical service (EMS), and to separate the benefit of the anesthesiologist from that of rapid transport. Methods: The anesthesiologist-manned helicopter and rapid response car service at Rogaland Central Hospital assisted 1106 patients at the scene during the 18-month study period. Two expert panels assessed patients with a potential health benefit for life years gained (LYG) using a modified Delphi technique. The probability of survival as a result of the studied EMS was multiplied by the life expectancy of each patient. The benefit was attributed either to the anesthesiologist, the rapid transport or a combination of both. Results: The expert panels estimated a benefit of 504 LYG in 74 patients (7% of the total study population), with a median age of 54 years (range 0–88). The cause of the emergency was cardiac diseases (including cardiac arrest) in 61% of the 74 pa
Databáze: OpenAIRE