挪威HEMS的死亡率-挪威中部地区的回顾性分析
Stian Lande Wekre1, Oddvar Uleberg2,3, Lars Eide Næss2,4
1Norwegian University of Science and Technology (NTNU), Trondheim, NO-7018, Norway. stianlwe@stud.ntnu.no.
概括
在特伦海姆,直升机紧急医疗服务 (HEMS) 运送的患者的死亡率增加,国家航空咨询委员会 (NACA) 的得分更高. 对于HEMS结果研究来说,一年的随访似乎足够.
科学领域:
- 紧急医疗 紧急医疗
- 医院前护理 医院前护理
- 医疗数据分析 医学数据分析
背景情况:
- 直升机紧急医疗服务 (HEMS) 对于快速的医院前护理至关重要.
- 国家航空咨询委员会 (NACA) 评分对HEMS患者的严重程度进行评分.
- 这项研究研究了HEMS Trondheim治疗的患者的死亡率.
研究的目的:
- 描述HEMS特朗德海姆运输的患者的短期和长期死亡率.
- 分析不同NACA严重性得分组的死亡率.
- 评估对HEMS结果研究的一年随访的有用性.
主要方法:
- 追溯的队列设计遵循STROBE的建议.
- 将HEMS特朗德海姆数据 (2017-2019) 与医院死亡率数据联系起来.
- 卡普兰-梅尔图片和NACA组在不同时间点计算的累积死亡率.
主要成果:
- 1431名患者符合2224个HEMS特朗德海姆警报的纳入标准.
- 1,30天,1年和3年的总死亡率分别为10.1%,13.4%,18.5%和22.3%.
- 一年死亡率随NACA得分增加,从0% (NACA 1-2) 到49.5% (NACA 6),生存率有显著差异 (p < 2e-16).
结论:
- 在HEMS患者中,随着较高的NACA分数,死亡率逐渐增加.
- 建议对未来的HEMS结果研究来说,一年的随访期足够.
- HEMS数据链接为患者的治疗结果和服务效率提供了宝贵的见解.
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