Determining What Proportion of Helicopter Emergency Medical Services–Transported Patients Are Urban Versus Rurally Based: A Retrospective 36-Year Geospatial Analysis of a Critical Care Helicopter Emergency Medical Services Organization's Patient Transports

Q3 Nursing

Air Medical Journal Pub Date : 2024-11-01 DOI:10.1016/j.amj.2024.10.004

Domhnall O'Dochartaigh MSc , Elizabeth Schrekinger BSc , Glenda Farnden , Jon Gogan BPE (Kin) , Darren Hudson MD, FRCPC

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引用次数: 0

Abstract

Objective

There is an increased mortality rate of patients residing in rural compared with urban communities. Helicopter emergency medical services (HEMS) decrease both the time to hospital arrival and trauma mortality in patients originating from rural areas. An unreported number of urban residents are served by HEMS. Our objective was to quantify the fraction of urban residents who live in the adjoining city of a HEMS base and are transferred by helicopter while they are in rural areas.

Methods

This was a retrospective analysis of HEMS charts between 1985 and 2022. Records were assessed for patients’ city and postal code. A secondary database was searched to assess mission location.

Results

Thirty-five thousand nine hundred seventy-one cases were analyzed; 3,871 (10.76%) cases involved patients residing within the urban area of an open HEMS base, and 32,100 (89.24%) did not. This contrasts with 2.04% of all missions conducted in urban areas. Cases flown with patients from outside of the 3 provinces were as follows: British Columbia (1,233/21,941; 5.3% of Alberta cases), international (988/35,971; 2.7% of total cases), Ontario (177/4,691; 3.6% of Manitoba cases), and other provinces combined (158/3,5971; 0.4% of total cases).

Conclusion

We highlight the impact of HEMS, where it serves both rural residents and all people who work in, travel through, visit, or recreate across the areas that our HEMS supports.

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确定直升机紧急医疗服务运送的病人中城市与农村的比例：对一家危重护理直升机紧急医疗服务组织病人运送的36年回顾性地理空间分析

目的与城市社区相比，农村社区患者的死亡率有所上升。直升机紧急医疗服务减少了来自农村地区的病人到达医院的时间和创伤死亡率。接受医疗急救服务的城市居民数量不详。我们的目标是量化居住在卫生紧急医疗服务基地邻近城市的城市居民的比例，当他们在农村地区时，由直升机转移。方法回顾性分析1985 ~ 2022年的HEMS图表。评估了患者所在城市和邮政编码的记录。搜索了二级数据库以评估特派团地点。结果共分析病例35000 971例；3871例（10.76%）患者居住在开放HEMS基地的市区，32100例（89.24%）患者居住在非市区。这与在城市地区执行的所有特派团的2.04%形成对比。与患者一起从3个省以外飞来的病例如下：不列颠哥伦比亚省（1,233/21,941）；艾伯塔省5.3%的病例)，国际(988/35,971；占总病例的2.7%)，安大略省(177/4,691；占马尼托巴省病例的3.6%)，其他省份合计(158/3,5971；占总病例的0.4%)。结论：我们强调医疗卫生服务的影响，它既服务于农村居民，也服务于所有在医疗卫生服务支持的地区工作、旅行、访问或娱乐的人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Air Medical Journal Nursing-Emergency Nursing

CiteScore

1.20

自引率

0.00%

发文量

112

审稿时长

69 days

期刊介绍： Air Medical Journal is the official journal of the five leading air medical transport associations in the United States. AMJ is the premier provider of information for the medical transport industry, addressing the unique concerns of medical transport physicians, nurses, pilots, paramedics, emergency medical technicians, communication specialists, and program administrators. The journal contains practical how-to articles, debates on controversial industry issues, legislative updates, case studies, and peer-reviewed original research articles covering all aspects of the medical transport profession.