PMID- 29484640
OWN - NLM
STAT- MEDLINE
DCOM- 20190701
LR  - 20210109
IS  - 1399-6576 (Electronic)
IS  - 0001-5172 (Print)
IS  - 0001-5172 (Linking)
VI  - 62
IP  - 4
DP  - 2018 Apr
TI  - Helicopter vs. ground transportation of patients bound for primary percutaneous 
      coronary intervention.
PG  - 568-578
LID - 10.1111/aas.13092 [doi]
AB  - BACKGROUND: 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). METHODS: 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. RESULTS: 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, P = 0.73). CONCLUSION: In an observational 
      study of patients with suspected STEMI in eastern Denmark, no significant 
      beneficial effect of helicopter transport could be detected on mortality, 
      premature labour market exit or work ability. Only a study with random allocation 
      to one system vs. another, along with a large sample size, will allow 
      determination of superiority of helicopter transport.
CI  - (c) 2018 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & 
      Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation.
FAU - Funder, K S
AU  - Funder KS
AUID- ORCID: 0000-0002-9335-3467
AD  - Department of Anaesthesia, Centre of Head and Orthopaedics 4231, Rigshospitalet, 
      University of Copenhagen, Copenhagen, Denmark.
FAU - Rasmussen, L S
AU  - Rasmussen LS
AD  - Department of Anaesthesia, Centre of Head and Orthopaedics 4231, Rigshospitalet, 
      University of Copenhagen, Copenhagen, Denmark.
FAU - Siersma, V
AU  - Siersma V
AD  - The Research Unit for General Practice and Section of General Practice, 
      Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
FAU - Lohse, N
AU  - Lohse N
AD  - Department of Anaesthesia, Centre of Head and Orthopaedics 4231, Rigshospitalet, 
      University of Copenhagen, Copenhagen, Denmark.
FAU - Hesselfeldt, R
AU  - Hesselfeldt R
AD  - Department of Anaesthesia, Centre of Head and Orthopaedics 4231, Rigshospitalet, 
      University of Copenhagen, Copenhagen, Denmark.
FAU - Pedersen, F
AU  - Pedersen F
AD  - Department of Cardiology, The Heart Centre, Rigshospitalet, University of 
      Copenhagen, Copenhagen, Denmark.
FAU - Hendriksen, O M
AU  - Hendriksen OM
AD  - Prehospital Centre, Slagelse, Region Zealand, Denmark.
FAU - Steinmetz, J
AU  - Steinmetz J
AD  - Emergency Medical Services Copenhagen, University of Copenhagen, Ballerup, 
      Denmark.
AD  - National Helicopter Emergency Medical Services, Aarhus, Denmark.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Observational Study
DEP - 20180227
PL  - England
TA  - Acta Anaesthesiol Scand
JT  - Acta anaesthesiologica Scandinavica
JID - 0370270
SB  - IM
MH  - Aged
MH  - *Air Ambulances
MH  - *Emergency Medical Services
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Percutaneous Coronary Intervention
MH  - Prospective Studies
MH  - ST Elevation Myocardial Infarction/*therapy
MH  - *Transportation of Patients
PMC - PMC5888124
EDAT- 2018/02/28 06:00
MHDA- 2019/07/02 06:00
PMCR- 2018/04/06
CRDT- 2018/02/28 06:00
PHST- 2017/06/25 00:00 [received]
PHST- 2018/01/23 00:00 [revised]
PHST- 2018/01/29 00:00 [accepted]
PHST- 2018/02/28 06:00 [pubmed]
PHST- 2019/07/02 06:00 [medline]
PHST- 2018/02/28 06:00 [entrez]
PHST- 2018/04/06 00:00 [pmc-release]
AID - AAS13092 [pii]
AID - 10.1111/aas.13092 [doi]
PST - ppublish
SO  - Acta Anaesthesiol Scand. 2018 Apr;62(4):568-578. doi: 10.1111/aas.13092. Epub 
      2018 Feb 27.