Herrlin Jensen Alice, Sonne Asger, Rasmussen Lars S
Centre of Head and Orthopaedics, Department of Anaesthesia, Rigshospitalet, University Hospital of Copenhagen, 2100 Copenhagen, Denmark.
Department of Clinical Medicine, University of Copenhagen, 2200 Copenhagen, Denmark.
Healthcare (Basel). 2021 Oct 26;9(11):1446. doi: 10.3390/healthcare9111446.
Emergency calls may lead to the dispatch of either ground ambulances or helicopter emergency medical services (HEMS). For residents on isolated islands, the HEMS can reduce the time to hospital admission and lead to improved outcomes. This study investigated the emergency care for residents on isolated islands with a focus on the role of a physician-staffed helicopter. The data were obtained from Danish national registries and databases. We included data on emergency calls from isolated islands from the time of emergency call to discharge. We identified 1130 emergency calls from which 775 patients were registered with a hospital admission. Of these, 41% were transported by the HEMS and 36% by a ground ambulance. The median time to admission was 83 min (IQR 66-104) and 90 min (IQR 45-144) for the HEMS and ground ambulance, respectively ( = 0.26). The overall 30-day mortality was 6.2% (95% CI: 4.6-8.1%), and 37% of all the patients were admitted to the hospital with an unspecified diagnosis. The emergency calls from isolated islands led to the dispatch of the HEMS in 41% of the cases. The use of the HEMS did not significantly reduce the time to admission but was used in a greater proportion of patients with an acute cardiac disease (66%) or stroke (67%).
急救电话可能会导致派遣地面救护车或直升机紧急医疗服务（HEMS）。对于偏远岛屿上的居民来说，直升机紧急医疗服务可以缩短住院时间并改善治疗效果。本研究调查了偏远岛屿居民的急救情况，重点关注配备医生的直升机的作用。数据来自丹麦国家登记处和数据库。我们纳入了从急救电话到出院期间偏远岛屿的急救电话数据。我们识别出1130个急救电话，其中775名患者登记住院。其中，41%由直升机紧急医疗服务运送，36%由地面救护车运送。直升机紧急医疗服务和地面救护车的中位住院时间分别为83分钟（四分位间距66 - 104）和90分钟（四分位间距45 - 144）（P = 0.26）。总体30天死亡率为6.2%（95%置信区间：4.6 - 8.1%），所有患者中有37%因未明确诊断而入院。偏远岛屿的急救电话在41%的情况下导致了直升机紧急医疗服务的派遣。直升机紧急医疗服务的使用并没有显著缩短住院时间，但在患有急性心脏病（66%）或中风（67%）的患者中使用比例更高。
