PMID- 31052200
OWN - NLM
STAT- MEDLINE
DCOM- 20191114
LR  - 20200309
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 16
IP  - 9
DP  - 2019 Apr 30
TI  - Helicopter Emergency Medical Service (HEMS) Response in Rural Areas in Poland: 
      Retrospective Study.
LID - 10.3390/ijerph16091532 [doi]
LID - 1532
AB  - The aim of the study was to identify the characteristics of missions performed by 
      HEMS (Helicopter Emergency Medical Service) crews and the analysis of health 
      problems, which are the most common cause of intervention in rural areas in 
      Poland. The study was conducted using a retrospective analysis based on the 
      medical records of patients provided by the HEMS crew, who were present for the 
      emergencies in rural areas in the period from January 2011 to December 2018. The 
      final analysis included 37,085 cases of intervention by HEMS crews, which 
      accounted for 54.91% of all the missions carried out in the study period. The 
      majority (67.4%) of patients rescued were male, and just under a quarter of those 
      rescued were aged between 50-64 years. Injuries (51.04%) and cardiovascular 
      diseases (36.49%) were the main diagnoses found in the study group. Whereas 
      injuries were significantly higher in the male group and patients below 64 years 
      of age, cardiovascular diseases were higher in women and elderly patients (p < 
      0.001). Moreover, in the group of women myocardial infarction was significantly 
      more frequent (30.95%) than men, while in the group of men head injuries 
      (27.10%), multiple and multi-organ injuries (25.93%), sudden cardiac arrest 
      (14.52%), stroke (12.19%), and epilepsy (4.95%) was significantly higher. Factors 
      that are associated with the most common health problems of rural patients are: 
      gender and age, as well as the seasons of the year and the values of the Glasgow 
      Coma Scale (GCS), Revised Trauma Score (RTS), and National Advisory Committee for 
      Aeronautics (NACA) used to assess the clinical status of patients.
FAU - Rzonca, Patryk
AU  - Rzonca P
AUID- ORCID: 0000-0001-7008-1721
AD  - Department of Emergency Medicine, Faculty of Health Sciences, Medical University 
      of Lublin, 4-6 Staszica St., 20-081 Lublin, Poland. patryk.rzonca@umlub.pl.
FAU - Swiezewski, Stanislaw Pawel
AU  - Swiezewski SP
AUID- ORCID: 0000-0001-9665-2182
AD  - Department of Emergency Medical Services, Faculty of Health Science, Medical 
      University of Warsaw, 81 Zwirki i Wigury St., 02-091 Warsaw, Poland. 
      stanislaw.swiezewski@gmail.com.
FAU - Jalali, Rakesh
AU  - Jalali R
AUID- ORCID: 0000-0002-2898-9434
AD  - Department of Emergency Medicine, School of Medicine, Collegium Medicum 
      University of Warmia and Mazury in Olsztyn, 30 Aleja Warszawska St., 10-082 
      Olsztyn, Poland. rakesh.jalali@uwm.edu.pl.
FAU - Gotlib, Joanna
AU  - Gotlib J
AD  - Division of Teaching and Outcomes of Education, Faculty of Health Science, 
      Medical University of Warsaw, 81 Zwirki i Wigury St., 02-091 Warsaw, Poland. 
      joanna.gotlib@wum.edu.pl.
FAU - Galazkowski, Robert
AU  - Galazkowski R
AUID- ORCID: 0000-0002-7205-2219
AD  - Department of Emergency Medical Services, Faculty of Health Science, Medical 
      University of Warsaw, 81 Zwirki i Wigury St., 02-091 Warsaw, Poland. 
      r.galazkowski@lpr.com.pl.
LA  - eng
PT  - Journal Article
DEP - 20190430
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Air Ambulances/*statistics & numerical data
MH  - Aircraft/*statistics & numerical data
MH  - Emergency Medical Services/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Poland
MH  - Retrospective Studies
MH  - Rural Population/*statistics & numerical data
MH  - Young Adult
PMC - PMC6539897
OTO - NOTNLM
OT  - Helicopter Emergency Medical Service
OT  - acute coronary syndromes
OT  - cardiovascular diseases
OT  - health of rural populations
OT  - prehospital care
OT  - rural region
OT  - sudden cardiac arrest
COIS- The authors declare no conflict of interest. They declare not to have any 
      financial or personal relationships with other people or organizations that could 
      inappropriately influence (bias) the results presented in this manuscript.
EDAT- 2019/05/06 06:00
MHDA- 2019/11/15 06:00
PMCR- 2019/05/01
CRDT- 2019/05/05 06:00
PHST- 2019/03/07 00:00 [received]
PHST- 2019/04/25 00:00 [revised]
PHST- 2019/04/30 00:00 [accepted]
PHST- 2019/05/05 06:00 [entrez]
PHST- 2019/05/06 06:00 [pubmed]
PHST- 2019/11/15 06:00 [medline]
PHST- 2019/05/01 00:00 [pmc-release]
AID - ijerph16091532 [pii]
AID - ijerph-16-01532 [pii]
AID - 10.3390/ijerph16091532 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2019 Apr 30;16(9):1532. doi: 
      10.3390/ijerph16091532.