Vianen Niek J, Campfens J Reinout, Brouwer-Bergsma Margot, Van Ditshuizen Jan C, Giannakopoulos Georgios F, Hoogerwerf Nico, den Hartog Dennis, Van Lieshout Esther M M, Maissan Iscander M, Schober Patrick, Venema Lieneke, Verhofstad Michael H J, Van Vledder Mark G
Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Department of Anesthesiology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
Prehosp Emerg Care. 2024 Oct 24:1-14. doi: 10.1080/10903127.2024.2413038.
Physician staffed Helicopter Emergency Medical Services (P-HEMS) care in the Netherlands has transitioned from predominantly trauma management to handling a variety of medical conditions. Relevant outcome parameters for Dutch P-HEMS research have not been previously defined. National consensus was sought to identify relevant long term patient outcome parameters, process outcome parameters and performance outcome parameters for Dutch P-HEMS care.
This was a mixed methods Delphi consensus study. A list of potentially relevant outcome parameters was identified using a systematic literature review. These parameters were subsequently surveyed in a Delphi consensus study. Helicopter Emergency Medical Services physicians and relevant stakeholders were invited to participate in this Delphi survey, where they were allowed to suggest additional outcome parameters. Descriptive analysis was performed on all data sets.
Forty-nine potential outcome parameters for Dutch P-HEMS care were surveyed. Of 71 invited participants, 53 (75%), 40 (56%), and 20 (28%) participated in the first, second, and third round of the Delphi study, respectively. Consensus was reached on 25 (51%) of 49 outcome parameters as being important. These consisted of seven long term patient related outcome parameters, four short term patient related outcome parameters, five process outcome parameters and nine performance outcome parameters.
In conclusion, this study identified 25 outcome parameters relevant for Dutch physician staffed HEMS care. These parameters should be considered when designing future studies and should be routinely collected for each dispatch if possible.
荷兰由医生操作的直升机紧急医疗服务（P - HEMS）已从主要处理创伤转变为应对各种医疗状况。此前尚未确定荷兰P - HEMS研究的相关结果参数。本研究旨在寻求全国共识，以确定荷兰P - HEMS护理相关的长期患者结果参数、过程结果参数和绩效结果参数。
这是一项混合方法的德尔菲共识研究。通过系统的文献综述确定了一系列潜在相关的结果参数。随后在德尔菲共识研究中对这些参数进行了调查。邀请直升机紧急医疗服务医生和相关利益相关者参与此次德尔菲调查，他们可以提出其他结果参数。对所有数据集进行描述性分析。
对荷兰P - HEMS护理的49个潜在结果参数进行了调查。在71名受邀参与者中，分别有53名（75%）、40名（56%）和20名（28%）参与了德尔菲研究的第一轮、第二轮和第三轮。49个结果参数中有25个（51%）达成了重要性的共识。这些参数包括7个与长期患者相关的结果参数、4个与短期患者相关的结果参数、5个过程结果参数和9个绩效结果参数。
总之，本研究确定了25个与荷兰医生操作的HEMS护理相关的结果参数。在设计未来研究时应考虑这些参数，并且如果可能的话，每次调度时都应常规收集这些参数。
