Counts, Characteristics and Outcomes of Patients Transported by the Royal Flying Doctor Service to Metropolitan Perth With Suspected Acute Coronary Syndrome: Western Australian Linked Data Study

IF 2.1 4区医学 Q2 NURSING

Australian Journal of Rural Health Pub Date : 2025-09-23 DOI:10.1111/ajr.70093

Julian Ming, Helen Bartholomew, David Preen, John Fisher, Tom Briffa, Andrew Hooper, James M. Rankin, Abdul Rahman Ihdayhid, Derrick Lopez

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引用次数: 0

Abstract

Objectives

Determine counts, characteristics and outcomes following transport by the Royal Flying Doctor Service Western Operations (RFDSWO) to Perth.

Study Design

Retrospective cohort study of the RFDSWO aeromedical patient dataset linked to administrative datasets.

Participants

Suspected acute coronary syndrome (ACS) patients aged ≥ 25 years transported from rural Western Australia to Perth between 2001 and 2017.

Main Outcome Measures

Basic counts and proportions. Poisson regression was used to determine absolute change in number of transports and relative risk (RR) of receiving diagnostic coronary angiography; logistic regression to model odds ratio (OR) of death between transport and end of hospital care.

Results

RFDSWO carried out 11 390 transports for suspected ACS between 2001 and 2017, with the absolute number of annual transports increasing by 6.0%. After excluding 164 transports without linked records, the remaining 11 226 consisted of patients with a mean age of 60.3 years and 70.8% male. Most (99.1%) were hospitalised and 1.8% died. Among those hospitalised, 84.5% received diagnostic coronary angiography and 74.5% were discharged with a diagnosis of ACS. Females (RR = 0.97; CI = 0.95–0.99), higher comorbidity scores, and those from the Pilbara/Midwest/Wheatbelt regions (compared to South West) were less likely to receive diagnostic coronary angiography. Older patients (OR = 1.07; CI = 1.06–1.11), earlier transport years, higher comorbidity scores, those with priority 1 transport or requiring medical escort, and those from the Kimberley (compared to South West) were more likely to die.

Conclusions

Findings suggest a high suspicion of coronary artery pathology among transported patients. Patient-level and regional differences in outcomes warrant further investigation with more granular data.

Abstract Image

查看原文本刊更多论文

由皇家飞行医生服务运送到珀斯大都会疑似急性冠状动脉综合征患者的数量、特征和结果：西澳大利亚关联数据研究

目的：确定由皇家飞行医生服务西部业务（RFDSWO）运送到珀斯后的数量、特征和结果。研究设计：对RFDSWO航空医疗患者数据集与行政数据集相关联的回顾性队列研究。参与者：2001年至2017年间从西澳大利亚农村转移到珀斯的年龄≥25岁的疑似急性冠脉综合征（ACS）患者。主要结果测量：基本计数和比例。使用泊松回归确定接受诊断性冠状动脉造影的转运数和相对危险度（RR）的绝对变化；logistic回归分析运输与医院护理结束之间的死亡率比值比（OR）。结果：2001 - 2017年，RFDSWO对疑似ACS进行了11 390次转运，年转运绝对数量增加了6.0%。在排除164例无相关记录的转运后，剩余的11226例患者平均年龄为60.3岁，70.8%为男性。大多数（99.1%）住院，1.8%死亡。在住院患者中，84.5%接受了诊断性冠状动脉造影，74.5%诊断为ACS出院。女性（RR = 0.97; CI = 0.95-0.99）、较高的共病评分以及来自皮尔巴拉/中西部/小麦带地区（与西南地区相比）的患者接受诊断性冠状动脉造影的可能性较小。年龄较大的患者（OR = 1.07; CI = 1.06-1.11）、较早的转运年份、较高的共病评分、优先转运或需要医疗护送的患者以及来自金伯利的患者（与西南地区相比）更容易死亡。结论：研究结果提示转运患者对冠状动脉病变有很高的怀疑。患者水平和地区差异的结果值得进一步研究更细粒度的数据。

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来源期刊

Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.30

自引率

16.70%

发文量

122

审稿时长

12 months

期刊介绍： The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.