Dermatologic Surgery Unit, Department of Dermatology and Allergology, Ruhr-University Bochum, Bochum, Germany.
J Travel Med. 2010 Nov-Dec;17(6):405-9. doi: 10.1111/j.1708-8305.2010.00454.x.
Increasing air travel has resulted in a significant increase in aeromedical evacuation (AE) over the past decade. However, there are limited epidemiological data available on the diagnosis, costs, and transport characteristics of AE cases.
Cases of AE by a relief organization (Workers' Samaritan Federation Germany) were analyzed based on the following criteria: age, sex, and diagnosis of the patient, ventilation mode, days of illness before transport, type of transport, flight routes, flying time, flight distance, type of aircraft, type and distance of connecting transport from the destination airport to the final hospital, total cost per repatriation, cost per flight-minute, and cost per flight-kilometer of each transport type.
A total of 504 patients (273 males, 231 females, aged 42 d-96 y, median 66 y) were included in the study. The top three diagnoses for adults were fracture of the femoral neck (n = 74, 15%), stroke (n = 69, 14%), and myocardial infarction (n = 39, 8%). Transport was carried out with an air ambulance (n = 391, 78%, 73.67 €/min), a scheduled aircraft with regular seating (n = 62, 12%, 17.57 €/min), a stretcher in a scheduled aircraft (n = 48, 10%, 35.28 €/min), or a patient transport compartment installed on board a scheduled aircraft (n = 3, < 1%).
As the demand for AE is likely to increase in the future, the cost-effectiveness and selection of the appropriate form of air transportation, while assuring the right medical response, will be of increasing importance. Patients are likely to benefit from further epidemiological assessments like those presented in this study.
在过去的十年中，航空旅行的增加导致航空医疗后送（AE）显著增加。然而，关于 AE 病例的诊断、成本和运输特征，目前可获得的流行病学数据有限。
根据以下标准，对一家救援组织（德国工人慈善联合会）的 AE 病例进行分析：患者的年龄、性别和诊断、通气模式、发病至转运的天数、转运类型、飞行路线、飞行时间、飞行距离、飞机类型、从目的地机场到最终医院的转运类型和距离、每次遣返的总费用、每飞行分钟的费用以及每种运输类型的每飞行公里的费用。
共纳入 504 例患者（男 273 例，女 231 例；年龄 42 天-96 岁；中位数 66 岁）。成人的前三大诊断为股骨颈骨折（n = 74，15%）、中风（n = 69，14%）和心肌梗死（n = 39，8%）。转运采用空中救护车（n = 391，78%，73.67 欧元/分钟）、带常规座位的定期航班（n = 62，12%，17.57 欧元/分钟）、定期航班上的担架（n = 48，10%，35.28 欧元/分钟）或定期航班上安装的患者运输舱（n = 3，< 1%）。
随着未来 AE 需求的增加，成本效益和选择适当的航空运输形式，同时确保正确的医疗反应，将变得越来越重要。像本研究中那样的进一步流行病学评估可能使患者受益。
