The impact of helicopter emergency medical service on acute ischemic stroke patients: A systematic review
| Autor: | Saban Mor, Shachar Tal |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Emergency Medical Services
Time Factors MEDLINE CINAHL Cochrane Library 03 medical and health sciences 0302 clinical medicine Health care polycyclic compounds Emergency medical services Helicopter emergency medical service Humans Medicine Acute ischemic stroke Ischemic Stroke Process Measures integumentary system business.industry 030208 emergency & critical care medicine Air Ambulances General Medicine medicine.disease Acute Disease Emergency Medicine Medical emergency business |
| Zdroj: | The American Journal of Emergency Medicine. 42:178-187 |
| ISSN: | 0735-6757 |
| Popis: | Background Helicopter emergency medical services (HEMS) is commonly elected transport for acute ischemic stroke (AIS) known as a time-critical illness. Aim To conduct a systematic review in order to explore the HEMS impact on healthcare status, process and outcome measures for AIS patients. Methods A systematic search was conducted of PubMed, Medline, CINAHL, Cochrane Library and Google Scholar. The gray literature and reference lists of included articles were also searched. Thirty studies met inclusion criteria. Results Using Donabedian's framework, two studies focused on the impact on healthcare structure, twenty-three explored the impact on process measures, and five focused on clinical outcomes. HEMS structure implications could not be assessed due to insufficient studies. HEMS showed no significant outcome benefit compared to ground emergency medical services (EMS) and the impact on process measures was ambiguous. Conclusions HEMS necessity varied considerably between studies. More robust studies are needed for detection of the most suitable use of HEMS in AIS. |
| Databáze: | OpenAIRE |
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