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Spinal Cord Injuries and Helicopter Emergency Medical Services, 6,929 Patients: A Multicenter Analysis.

Jeremiah Fleming1, Christopher F Hutton1, Donna M Heiser2

  • 1Golden Hour Data Systems, Incorporated, San Diego, CA, USA.

Air Medical Journal
|February 10, 2016
PubMed
Summary

Helicopter emergency medical services (HEMS) improve access to specialized care for traumatic spinal cord injury (SCI) patients, with transport times generally under two hours. This study analyzed HEMS use in SCI patients across the US.

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Area of Science:

  • Emergency medicine
  • Traumatology
  • Health services research

Background:

  • Traumatic spinal cord injury (SCI) significantly impacts patient quality of life and incurs substantial lifetime costs.
  • Delayed treatment at specialized centers is associated with poorer outcomes and prolonged hospital stays for SCI patients.
  • Helicopter emergency medical services (HEMS) may play a crucial role in optimizing access to timely SCI care.

Purpose of the Study:

  • To characterize the utilization of HEMS for patients with traumatic spinal cord injuries.
  • To develop a methodology for analyzing large-scale HEMS electronic medical record data from multiple providers.
  • To assess the impact of HEMS on access and transport times for SCI patients.

Main Methods:

  • A descriptive study utilizing deidentified HEMS electronic medical record data from 34 US states (2004-2011).
  • Data sourced from HEMS providers using Golden Hour Data Systems software.
  • A specific deidentification protocol was applied to demographic and logistical data prior to analysis.

Main Results:

  • A total of 6,929 SCI patients were transported via HEMS during the study period.
  • HEMS utilization showed an increasing trend overall but a relative decrease compared to total transports from 2004 to 2011.
  • The average SCI patient was a 39-year-old male with a 63-minute total transport time; the largest age group was 15-25 years.

Conclusions:

  • HEMS enhances access to specialized care for SCI patients across diverse geographic locations, with typical transport times under two hours.
  • The demographic profile of SCI patients (predominantly young adult males) highlights significant productivity loss and high lifetime care costs.
  • A robust methodology was established for future multicenter studies involving aggregated HEMS data.