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动脉瘤下结出血的结果没有改变与跨大西洋飞机转移:一个双中心匹配的病例控制研究研究

Frédéric Martino^1,2, Milan Trainel³, Jessica Guillaume⁴

¹Intensive Care Unit, CHU de Guadeloupe, Chemin Chauvel, Les Abymes, Guadeloupe.

Journal of neurosurgical anesthesiology

|July 25, 2024

概括

破裂脑动脉瘤的长途航空医疗疏散没有影响患者的结果或死亡率. 然而,它确实增加了从瓜德罗普转移到巴黎的患者的治疗时间和费用.

科学领域:

神经外科神经外科
航空医疗疏散服务
公共卫生公共卫生

背景情况:

破裂的大脑动脉瘤需要在高容量中心及时治疗.
长途空中医疗疏散对于时间敏感的疾病,如动脉瘤下关节出血 (aSAH) 提出了后勤挑战.

研究的目的:

评估远程航空医疗疏散对aSAH患者治疗结果和治疗时间表的影响.
为了比较从瓜德罗普转移到巴黎的患者和当地患者的结果和成本.

主要方法:

一项病例控制研究比较了93名从瓜德罗普航空医疗转移到巴黎的aSAH患者与93名匹配的当地患者.
匹配标准包括年龄,性别,世界神经外科医生联合会得分和费舍尔得分.
主要结局是1年修改的兰金尺度得分≤3;次要结局包括治疗时间,死亡率和成本分析.

主要成果:

两组之间1年功能结果 (修改的兰金尺度≤3:75%对82%) 或死亡率 (18%对14%) 没有显著差异.
从诊断到动脉瘤封闭的时间对于瓜德罗普患者来说 (48小时与23小时) 显着更长.
瓜德罗普患者需要更多的机械通风和外腔室排水,估计每名患者的额外成本为7580欧元.

结论:

对于aSAH的长途航空医疗疏散并没有影响1年的功能结果或死亡率.
航空医疗转移显著增加了治疗时间,并产生了更高的成本.
尽管有延迟,结果是可比的,表明可行性,但突出了效率方面的担忧.

关键词:

飞机转移飞机转移飞机转移动脉瘤下arachnoid出血动脉瘤下arachnoid出血动脉瘤下arachnoid出血机械通风机械通风机械通风一年死亡率一年死亡率在安全方面,安全是安全的.

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