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헬리콥터 응급의료서비스의 외상팀 탑승 여부와 외상환자의 생존율

Other Titles
 Effectiveness of the Trauma Team-Staffed Helicopter Emergency Medical Service 
Authors
 김태연  ;  이상아  ;  박은철  ;  허요  ;  정경원  ;  권준식  ;  문종환  ;  김지영  ;  김주량  ;  황경진  ;  윤성근  ;  이국종 
Citation
 Health Policy and Management (보건행정학회지), Vol.28(4) : 411-422, 2018 
Journal Title
 Health Policy and Management (보건행정학회지) 
Issue Date
2018
Keywords
Helicopter emergency medical service ; Injury ; Injury Severity Score ; Trauma centers
Abstract
Background: Whether there is a difference in outcomes for trauma patients transferring to the helicopter emergency medical service (HEMS) according to their previous team composition is controversial. The purpose of this study is to evaluate the effectiveness of trauma team-staffed-HEMS (TTS-HEMS) when transferring to a trauma center. Methods: A retrospective comparison was conducted on patients transported to a trauma center over a 6-year period by the TTS-HEMS and paramedic-staffed-HEMS (119-HEMS). Inclusion criteria were blunt trauma with age ${\geq}15years$ 수식 이미지. Patient outcomes were compared with the Trauma and Injury Severity Score (TRISS) (30-day mortality) and the Cox proportional hazard ratio of mortality (in hospital). Results: There were 321 patients of TTS-HEMS and 92 patients of 119-HEMS. The TTS-HEMS group had a higher Injury Severity Score and longer transport time but a significantly shorter time to emergency surgery. The prehospital data showed that the trauma team performed more aggressive interventions during transport. An additional 7.6 lives were saved per 100 TTS-HEMS deployments. However, the TRISS results in the 119-HEMS group were not significant. In addition, after adjusting for confounders, the hazard ratio of mortality in the 119-HEMS group was 2.83 times higher than that in the TTS-HEMS group. Conclusion: HEMS was likely to improve the survival rate of injured patients when physicians were involved in TTS-HEMS. Survival benefits in the TTS-HEMS group appeared to be related to the fact that the trauma team performed both more aggressive prehospital resuscitation and clinical decision making during transportation.
Files in This Item:
T201806175.pdf Download
DOI
10.4332/KJHPA.2018.28.4.411
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172968
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