Mortality and hospitalisation in the Danish Helicopter Emergency Medical Service (HEMS) population from 2014 to 2018: a national population-based study of HEMS triage
| Autor: | Jens Aage Kølsen Petersen, Stephen J. M. Sollid, Søren Paaske Johnsen, Karen Alstrup, Leif Rognås |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Emergency Medical Services Aircraft medicine.medical_treatment Denmark Population law.invention quality in health care Danish law Epidemiology medicine Helicopter emergency medical service accident & emergency medicine Humans Mortality education Aged Retrospective Studies Mechanical ventilation education.field_of_study Medisinske Fag: 700::Helsefag: 800 [VDP] business.industry Mortality rate General Medicine Air Ambulances Middle Aged medicine.disease Triage Intensive care unit language.human_language Hospitalization language Emergency Medicine Medicine epidemiology Female Medical emergency business |
| Zdroj: | BMJ Open Alstrup, K, Petersen, J A K, Sollid, S, Johnsen, S P & Rognås, L 2020, ' Mortality and hospitalisation in the Danish Helicopter Emergency Medical Service (HEMS) population from 2014 to 2018 : a national population-based study of HEMS triage ', BMJ Open, vol. 10, no. 8, e038718 . https://doi.org/10.1136/bmjopen-2020-038718 e038718 BMJ Open, Vol 10, Iss 8 (2020) |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2020-038718 |
| Popis: | ObjectiveTo describe characteristics and outcomes for patients where the Danish Helicopter Emergency Medical Service (HEMS) either transported the patient to hospital, treated the patient on scene but did not transport the patient or was dispatched but cancelled en route to the patient (aborted mission), and to assess the field triage by comparing these outcomes.DesignNational population-based study.Setting and participantsHEMS dispatches are undertaken from the five Danish emergency dispatch medical centres according to national guidelines. The study analysed all primary missions with helicopter take off where the patient was admitted to hospital between 1st October 2014 and 30th April 2018.Main outcome measuresMortality rates, admittance to an intensive care unit (ICU), need of mechanical ventilation and length of hospital stay (LOS).Results6931 patients were admitted to hospital; 3311 patients were air lifted, 164 patients were ground escorted by a HEMS physician, 1421 were assisted on scene by HEMS, but escorted by the ground units and 2035 missions were aborted. The mortality was highest among the airlifted and ground escorted patients, and lowest among the patients in the aborted mission group. Mortality for the airlifted patients increased from 8.2% (95% CI; 7.3 to 9.2) at day 1 to 19.5% (95% CI; 18.2 to 20.9) after 1 year. The airlifted and ground escorted patients were frequently admitted to ICU and subsequently mechanically ventilated and they also had an increased LOS compared with the patients only assisted on scene by HEMS and the patients in the aborted mission group.ConclusionPatients to whom HEMS are dispatched are often critically ill or injured and have a relatively high mortality. The patients airlifted or ground escorted to hospital by HEMS appear more critically ill or injured compared with the assisted patients and the patients in the aborted mission group. The on-scene triage seems appropriate. |
| Databáze: | OpenAIRE |
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