Comparison of helicopter and ground Emergency Medical Service: A retrospective analysis of a German rescue helicopter base
Comparison of helicopter and ground Emergency Medical Service: A retrospective analysis of a German rescue helicopter base
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DOI：
10.3233/thc-2011-0655
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发表时间：
2012-01-01
影响因子：
1.6
通讯作者：
Probst, Christian
中科院分区：
文献类型：
--
作者：
Mommsen, Philipp;Bradt, Nikolas;Probst, Christian
背景资料：考虑到德国医疗保健系统的成本压力不断上升，直升机紧急医疗服务（HEMS）在时间和成本效益方面的有用性是有争议的。本研究的目的是调查与地面EMS相比，HEMS是否与显著减少的到达和运输时间相关。在一项回顾性研究中，我们评估了1,548个对时间敏感的诊断的主要急诊任务（多发性创伤、创伤性脑损伤和烧伤、心脏病发作、中风和儿科急诊），由德国HEMS使用医疗数据库，NADIN，德国空中救援服务。到达和运输时间进行了比较，计算地面EMS times.Results：HEMS显示显着减少到达时间在现场的情况下，心脏病发作，中风和儿科急诊。相比之下，由于飞行距离增加，HEMS和地面EMS在多发性创伤、创伤性脑损伤和烧伤患者中的到达时间相当。HEMS显示出显着减少运输时间，能够在所有诊断groups.Conclusions（p < 0.001）最近的中心专科护理：本研究的结果表明，德国空中救护服务的时间效益显着减少运输时间。
Background: In consideration of rising cost pressure in the German health care system, the usefulness of helicopter emergency medical service (HEMS) in terms of time- and cost-effectiveness is controversially discussed. The aim of the present study was to investigate whether HEMS is associated with significantly decreased arrival and transportation times compared to ground EMS.Methods: In a retrospective study, we evaluated 1,548 primary emergency missions for time sensitive diagnoses (multiple trauma, traumatic brain and burn injury, heart-attack, stroke, and pediatric emergency) performed by a German HEMS using the medical database, NADIN, of the German Air Rescue Service. Arrival and transportation times were compared to calculated ground EMS times.Results: HEMS showed significantly reduced arrival times at the scene in case of heart-attack, stroke and pediatric emergencies. In contrast, HEMS and ground EMS showed comparable arrival times in patients with multiple trauma, traumatic brain and burn injury due to an increased flight distance. HEMS showed a significantly decreased transportation time to the closest centre capable of specialist care in all diagnosis groups (p < 0.001).Conclusions: The results of the present study indicate the time-effectiveness of German air ambulance services with significantly decreased transportation times.