国际航空医疗运输中神经系统疾病的优势

Wan-Lin Chen MD , Yu-Ming Lin MD , Hong-Ping Ma MD , Wen-Ta Chiu MD, PhD , Shin-Han Tsai MD, PhD
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引用次数: 3

摘要

背景台湾的国际旅游业正在发展。1980年出国旅游的人数约为48万人;1990年2940 000;2000年为732万人,2007年达到896万人,占总人口的三分之一以上。当当地医疗设施不符合国际标准时,就有必要进行空中医疗运输。台湾对国际医疗遣返患者的流行病学研究尚无前例。本文首次探讨台湾国际航空医疗运输的流行病学及其对神经系统疾病的关注。方法回顾性分析2005年10月至2007年9月台湾所有国际航空医疗运输病例。所有资料均来自国际SOS台北市数据库。采用Microsoft Excel和SPSS v. 11.0软件(SPSS, Chicago, illinois)对数据进行分析。结果共运送患者416例。不包括出境和两段入境的外籍人员,台湾国际航空医疗运输患者人数为379人;51架是空中救护车,328架是商业飞机。其中男性271例(72%),女性108例(18%)。在379例患者中,178例(47%)为神经系统疾病。295例(78%)患者来自中国。患者转运在秋季达到高峰,为105例(28%)。33例通气患者中,12例(36%)为神经系统疾病。飞行中出现并发症的神经系统病例占10%,非神经系统病例占2%。两组均未发生飞行中死亡。结论台湾地区需要医疗转运的患者以神经系统疾病为主。中国的医疗水平相对较低,医疗费用较高,神经系统疾病患者比其他疾病患者更需要及时、安全的航空医疗运输。通过空中救护或商业航班运送神经系统疾病患者,只有在训练有素的医疗护送和全面的后勤安排下才能安全进行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predominance of neurologic diseases in international aeromedical transportation

Background

International travel industry in Taiwan is expanding. The number of people traveling abroad was approximately 480 000 people in 1980; 2 940 000 in 1990; 7 320 000 in 2000, and in 2007, it has reached 8 960 000, which was more than one third of total population. Air medical transportation will be necessary when local medical facilities do not approximate the international standards. No previous study on epidemiology in Taiwan on patients received international medical repatriation. This is the first report to discuss the epidemiology of Taiwan's international aeromedical transportation and its focus on neurologic diseases.

Method

Retrospective analysis of all international aeromedical transports on Taiwanese patients from October 2005 to September 2007 was performed. All materials were collected from the databank of International SOS, Taipei. The data were analyzed with Microsoft Excel and SPSS v. 11.0 software (SPSS, Chicago, Ill).

Results

A total of 416 patients were transported. Excluding expatriates transported outbound and 2-stage inbound transports, the Taiwanese patient number with international aeromedical transport was 379; 51 by air ambulance and 328 commercially. There were 271 male (72%) and 108 female patients (18%). Of the 379 patients, 178 (47%) were neurologic diseases. Two hundred ninety-five (78%) patients were transported from China. Patient transports peaked in autumn by 105 (28%). Of all 33 ventilated patients, 12 (36%) were neurologic diseases. In-flight complications occurred in 10% of neurologic and 2% of nonneurologic cases. No in-flight mortality occurred in both groups.

Conclusion

Neurologic diseases comprise most of the Taiwanese patients that requires medical transportation. With relatively suboptimal medical standard and high medical expenses in China, patients with neurologic conditions need timely and safe aeromedical transport than those with other diseases. Transport of patients with neurologic diseases, either by air ambulance or commercial flights, can only be safely performed by well-trained medical escorts and comprehensive logistic arrangements.

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Surgical Neurology
Surgical Neurology 医学-临床神经学
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