Helicopter vs. ground transportation of patients bound for primary percutaneous coronary intervention

Acta Anaesthesiologica Scandinavica
K S FunderJ Steinmetz

Abstract

Implementation of the first Danish helicopter emergency medical service (HEMS) was associated with reduced time from first medical contact to treatment at a specialized centre for patients with suspected ST elevation myocardial infarction (STEMI). We aimed to investigate effects of HEMS on mortality and labour market affiliation in patients admitted for primary percutaneous coronary intervention (PCI). In this prospective observational study, we included patients with suspected STEMI within the region covered by the HEMS from January 1, 2010, to April 30, 2013, transported by either HEMS or ground emergency medical services (GEMS) to the regional PCI centre. The primary outcome was 30-day mortality. Among the 384 HEMS and 1220 GEMS patients, time from diagnostic ECG to PCI centre arrival was lower with HEMS (median 71 min vs. 78 min with GEMS; P = 0.004). Thirty-day mortality was 5.0% and 6.2%, respectively (adjusted OR = 0.82, 95% CI 0.44-1.51, P = 0.52. Involuntary early retirement rates were 0.62 (HEMS) and 0.94 (GEMS) per 100 PYR (adjusted IRR = 0.68, 0.15-3.23, P = 0.63). The proportion of patients on social transfer payments longer than half of the follow-up time was 22.1% (HEMS) vs. 21.2% (adjusted OR = 1.10, 0.64-1.90, ...Continue Reading

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Citations

Jan 18, 2020·Acta Anaesthesiologica Scandinavica·Bjarke RisgaardLars S Rasmussen
Jul 30, 2020·European Heart Journal. Acute Cardiovascular Care·Karl Heinrich ScholzThomas Meyer
May 31, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Anssi SaviluotoJouni Nurmi
Sep 3, 2019·European Heart Journal. Acute Cardiovascular Care·Radwan HakimGregoire Rangé
Feb 21, 2021·European Heart Journal. Acute Cardiovascular Care·Karl Heinrich ScholzThomas Meyer
Jun 27, 2021·Air Medical Journal·Rasmus Ejlersgaard ChristensenLars S Rasmussen

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Clinical Trials Mentioned

NCT02512991

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SAS

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