Mommsen Philipp, Bradt Nikolas, Zeckey Christian, Andruszkow Hagen, Petri Max, Frink Michael, Hildebrand Frank, Krettek Christian, Probst Christian
Trauma Department, Hannover Medical School, Hannover, Germany.
Technol Health Care. 2012;20(1):49-56. doi: 10.3233/THC-2011-0655.
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.
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.
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).
The results of the present study indicate the time-effectiveness of German air ambulance services with significantly decreased transportation times.
鉴于德国医疗保健系统中成本压力不断上升，直升机紧急医疗服务（HEMS）在时间和成本效益方面的实用性存在争议。本研究的目的是调查与地面紧急医疗服务相比，直升机紧急医疗服务是否能显著缩短到达和转运时间。
在一项回顾性研究中，我们使用德国空中救援服务的医疗数据库NADIN，评估了德国直升机紧急医疗服务执行的1548次针对时间敏感诊断（多发伤、创伤性脑损伤和烧伤、心脏病发作、中风和儿科急诊）的主要紧急任务。将到达和转运时间与计算得出的地面紧急医疗服务时间进行比较。
在心脏病发作、中风和儿科急诊情况下，直升机紧急医疗服务显示出显著缩短的现场到达时间。相比之下，由于飞行距离增加，多发伤、创伤性脑损伤和烧伤患者的直升机紧急医疗服务和地面紧急医疗服务到达时间相当。在所有诊断组中，直升机紧急医疗服务显示出到最近的能够提供专科护理的中心的转运时间显著缩短（p<0.001）。
本研究结果表明德国空中救护服务具有时间效益，转运时间显著缩短。
