Xu Ding, Luo Peng, Li Sheng, Pfeifer Roman, Hildebrand Frank, Pape Hans-Christoph
Department of Orthopedic Trauma Surgery, Shangyu People's Hospital of Shaoxing City.
Department of Orthopedic Trauma Surgery, RWTH Aachen University, Germany.
Medicine (Baltimore). 2019 Feb;98(6):e14439. doi: 10.1097/MD.0000000000014439.
After nearly 20 years of development, China has realized some achievements in helicopter emergency medical services (HEMS). The purpose of this article is to introduce and evaluate the development and characteristics of HEMS in China by collecting and analyzing relevant literature and, in so doing, help this vital service to further develop.
We conducted a Pubmed, Medline, Embase, ScienceDirect, Wanfang, CNKI, and VIP search of the literature on HEMS of China published between January 1950 and April 2017. The title, author name, number of authors, publishing date, country or region of origin, institution, type of article, study topic, funding source, and level of evidence of each article were recorded and analyzed.
There were 41 papers included in the analysis. All articles were published in Chinese. The selected articles were published between 2002 and 2017. The 41 articles originated from China, but 7 different regions were represented: East China (n = 14), followed by North China (n = 12), Central China (n = 8), Southwest China (n = 3), South China (n = 2), and Northwest China (n = 2). The articles included 18 clinical studies, 12 reviews, and 11 clinical guidelines. Among these, 22 articles were from public hospitals; 18 were from military units and 1 came from a private hospital. One article from the public hospitals was funded by public foundations (4.5%); 11 articles from the army units received support from Army funding (61.1%). Compared with the public and private hospitals, articles from military units were more likely to receive financial support (χ = 15.7 P <.01). All the articles were assigned a level of evidence from 1 to 5. Level 5 (78.0%) was the most frequent level of evidence. There were 7 studies at level 4. Only 2 articles were assigned to level 3. There were no articles at levels 1 or 2.
China's HEMS is a relatively new service. Its level of development is low, interregional development is uneven, and cooperation has been insufficient. We need to strengthen capital investment and develop a unified guideline to further enhance the development of HEMS in China.
经过近20年的发展，中国在直升机紧急医疗服务（HEMS）方面取得了一些成就。本文旨在通过收集和分析相关文献，介绍和评估中国HEMS的发展及特点，从而助力这项重要服务进一步发展。
我们在PubMed、Medline、Embase、ScienceDirect、万方、知网和维普数据库中检索了1950年1月至2017年4月发表的关于中国HEMS的文献。记录并分析每篇文章的标题、作者姓名、作者数量、发表日期、来源国家或地区、机构、文章类型、研究主题筹资来源和证据水平。
分析纳入41篇论文。所有文章均以中文发表。所选文章发表于2002年至2017年之间。这41篇文章来自中国，但涉及7个不同地区：华东地区（n = 14），其次是华北地区（n = 12）、华中地区（n = 8）、西南地区（n = 3）、华南地区（n = 2）和西北地区（n = 2）。文章包括18项临床研究、12篇综述和11项临床指南。其中，22篇文章来自公立医院；18篇来自军事单位，1篇来自私立医院。公立医院的1篇文章由公共基金会资助（4.5%）；军队单位的11篇文章获得军队资金支持（61.1%）。与公立医院和私立医院相比，军事单位的文章更有可能获得资金支持（χ = 15.7，P <.01）。所有文章的证据水平均被评为1至5级。5级（78.0%）是最常见的证据水平。有7项研究为4级。只有2篇文章被评为3级。没有1级或2级的文章。
中国的HEMS是一项相对较新的服务。其发展水平较低，区域间发展不均衡，合作也不足。我们需要加强资金投入并制定统一指南，以进一步推动中国HEMS的发展。
