The Prehospital Research Unit, Region of Southern Denmark, Odense University Hospital, Odense, Denmark.
Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Int J Circumpolar Health. 2022 Dec;81(1):2014634. doi: 10.1080/22423982.2021.2014634.
Information regarding medical evacuations in Greenland is sparse. This study provides an overview of incidence, costs, and diagnoses leading to medical evacuations in Greenland in 2018. This is a retrospective, observational study. Patients with a valid Danish civil personal registration number were included. Data were obtained by scrutinising the itinerary of the Greenland travel coordination office and the medical records. 481 patients were identified. Forty-nine patients were excluded. 432 patients were analysed. Two-thirds of the evacuations were carried out within Greenland. The overall incidence of evacuations was 7.7 evacuations per 1,000 inhabitants per year. This differed, however, between the five different health regions. The cost of a medical evacuation ranged from less than 4,800 US dollars to more than 50,000 US dollars per case. Pregnancy and childbirth accounted for the majority of evacuations in women (31.2%) while diseases within the circulatory system and digestive tract accounted for the majority of evacuations in men (39.8%). The costs of medical evacuations may be reduced when combining evacuations of more than one patient. This indicates that combining evacuations of multiple patients from one health region by applying mandatory use of a central coordinating service may be beneficial.
格陵兰医疗后送的相关信息较为匮乏。本研究旨在概述 2018 年格陵兰医疗后送的发生率、费用和导致医疗后送的诊断。这是一项回顾性、观察性研究。纳入有丹麦公民登记号码的患者。通过仔细检查格陵兰旅行协调办公室的行程和病历获得数据。共确定了 481 名患者，排除了 49 名患者，对 432 名患者进行了分析。三分之二的后送在格陵兰岛内进行。总的后送发生率为每 1000 名居民每年 7.7 次。然而，不同的五个健康区域的发生率存在差异。医疗后送的费用从每例不到 4800 美元到超过 50000 美元不等。妊娠和分娩是女性后送的主要原因（31.2%），而循环系统和消化系统疾病是男性后送的主要原因（39.8%）。通过集中协调服务强制使用，合并同一健康区域多名患者的后送，可能会降低医疗后送的费用。这表明，通过应用集中协调服务强制合并同一健康区域的多名患者的后送，可能是有益的。
