法尔斯省直升机紧急医疗服务（HEMS）转运的患者：伊朗南部的一项为期两年的横断面研究。

Transferred Patients by Fars Province's Helicopter Emergency Medical Service (HEMS); A 2-Years Cross-Sectional Study in Southern Iran.

作者信息

Sajjadi Seyed Mahmoudreza, Rahmanian Koushkaki Fatemeh, Mousavi-Roknabadi Razieh Sadat, Farahmand Faramarz, Dehbozorgi Afsaneh, Hamrah Hadid, Moradian Mohammad Javad

机构信息

Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, Department of Emergency Medicine, Faculty of Medicine, Shiraz University of Medical Sciences, Namazee Hospital, Shiraz, Iran.

出版信息

Bull Emerg Trauma. 2021 Jan;9(1):21-27. doi: 10.30476/BEAT.2021.86919.

DOI:10.30476/BEAT.2021.86919

PMID:33937422

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8062892/

Abstract

OBJECTIVE

To investigate the patients transferred by helicopters, as well as an emergent medical services that were performed for them.

METHODS

In this retrospective cross-sectional study, all patients who were transferred by Fars province of Helicopter Emergency Medical Services (HEMS) to Shiraz hospitals, southern Iran (March 2017-March 2019) were investigated. Patients' information was collected and analyzed includes age, gender, dispatch reason, trauma mechanisms, take hold of emergent medical services, as well as the air transportation time, time between dispatch from the origin hospital and starting the procedures, and patients' outcome.

RESULTS

Eighty-three patients were enrolled with the mean±SD age of 36.9±19.47 years that 75.9% had trauma (<0.0001). Mental status deterioration (25.3%) was the most dispatched indications. The mortality rate was 13.25% totally (11.11% in traumatic vs. 10% in non-traumatic). The mean±SD of air transportation time was significantly lower than ground transportation in both traumatic (=0.0013) and non-traumatic (<0.0001) patients. Also, the mean±SD of time between dispatch from the origin hospital and starting the procedures was statistically lower in air transportation in both traumatic (=0.0028) and non-traumatic (=0.0017) patients.

CONCLUSION

Most of the patients transferred by HEMS were traumatic. The air transportation time as well as the time between dispatches from the origin hospital to the starting of the procedures were significantly lower in HEMS in comparison with ground transportation for both traumatic and non-traumatic patients.

摘要

目的

调查直升机转运的患者以及为他们提供的紧急医疗服务。

方法

在这项回顾性横断面研究中，对2017年3月至2019年3月期间由伊朗南部设拉子省直升机紧急医疗服务（HEMS）转运至设拉子医院的所有患者进行了调查。收集并分析了患者的信息，包括年龄、性别、派遣原因、创伤机制、接受紧急医疗服务的情况，以及空中运输时间、从原医院派遣到开始手术的时间和患者的结局。

结果

共纳入83例患者，平均年龄±标准差为36.9±19.47岁，其中75.9%有创伤（<0.0001）。精神状态恶化（25.3%）是最常见的派遣指征。总死亡率为13.25%（创伤患者中为11.11%，非创伤患者中为10%）。创伤患者（=0.0013）和非创伤患者（<0.0001）的空中运输时间平均±标准差均显著低于地面运输。此外，创伤患者（=0.0028）和非创伤患者（=0.0017）空中运输时从原医院派遣到开始手术的时间平均±标准差在统计学上也更低。