The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands
Abstract
:1. Background
2. Material and Methods
2.1. Study Design
2.2. Operational Setting
2.3. Statistics
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Numbers (n) with % or 95% CI, Medians with IQR | PS-HEMS | Ambulance | Other |
---|---|---|---|
Patient contacts, n (%) | 318 (41%) | 275 (36%) | 182 (23%) |
Males, n (%) | 193 (61%) | 171 (62%) | 87 (48%) |
Age, years, median (IQR) | 66 (52–74) | 66 (27–78) | 61 (41–75) |
30-day mortality, n (%, 95% CI) | 22 (6.9%, 95% CI: 4.4–10.3%) | 16 (5.8%, 95% CI: 3.4–9.3%) | 10 (5.5%, 95% CI: 2.7–9.9%) |
90-day mortality, n (%, 95% CI) | 31 (9.8%, 95% CI: 6.7–13.5%) | 23 (8.4%, 95% CI: 5.4–12.3%) | 14 (7.7%, 95% CI: 4.3–12.6%) |
Time interval from emergency medical system dispatch to arrival at initial hospital, median in minutes (IQR) | 83 (66–104) | 90 (45–144) | 399 (196–665) |
Diagnoses, n(%) | |||
Cardiac disease | 57 (18%) | 24 (9%) | 14 (8%) |
CNS related conditions | 30 (9%) | 33 (11%) | 25 (14%) |
Trauma | 70 (22%) | 86 (31%) | 53 (29%) |
Acute abdominal disease, unspecified | 22 (7%) | 22 (8%) | 8 (4%) |
Infection | 19 (6%) | 11 (4%) | 13 (7%) |
Respiratory disease | 14 (4%) | 8 (3%) | 12 (7%) |
Alcohol intoxication | 1 (0%) | 10 (4%) | 8 (4%) |
Other medical diagnoses | 27 (8%) | 18 (7%) | 10 (5%) |
Other, unspecified | 78 (25%) | 63 (23%) | 39 (21%) |
Acute Cardiac Disease | Stroke | Trauma | ||||
---|---|---|---|---|---|---|
Patients, n (%) HEMS (N = 318) Ambulance and other (N = 457) | 95 57 (18%) 38 (8%) | p = 0.001 | 21 14 (4%) 7 (2%) | p = 0.02 | 209 70 (22%) 139 (30%) | p = 0.01 |
Age, years, median (IQR) | 68 (57–75) | 72 (61–77) | 56 (25–71) | |||
HEMS: time to admission, minutes (IQR) | 56 (30–94) | p = 0.6 | 78 (64–86) | p = 0.6 | 84 (75–109) | p = 0.4 |
Ground ambulance: time to admission, minutes (IQR) | 50 (26–89) | 79 (56–80) | 82 (45–186) |
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Herrlin Jensen, A.; Sonne, A.; Rasmussen, L.S. The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands. Healthcare 2021, 9, 1446. https://doi.org/10.3390/healthcare9111446
Herrlin Jensen A, Sonne A, Rasmussen LS. The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands. Healthcare. 2021; 9(11):1446. https://doi.org/10.3390/healthcare9111446
Chicago/Turabian StyleHerrlin Jensen, Alice, Asger Sonne, and Lars S. Rasmussen. 2021. "The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands" Healthcare 9, no. 11: 1446. https://doi.org/10.3390/healthcare9111446
APA StyleHerrlin Jensen, A., Sonne, A., & Rasmussen, L. S. (2021). The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands. Healthcare, 9(11), 1446. https://doi.org/10.3390/healthcare9111446