The first seven years of nationally organized helicopter emergency medical services in Finland – the data from quality registry

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dc.contributor.author Saviluoto, Anssi
dc.contributor.author Björkman, Johannes
dc.contributor.author Olkinuora, Anna
dc.contributor.author Virkkunen, Ilkka
dc.contributor.author Kirves, Hetti
dc.contributor.author Setälä, Piritta
dc.contributor.author Pulkkinen, Ilkka
dc.contributor.author Laukkanen-Nevala, Päivi
dc.contributor.author Raatiniemi, Lasse
dc.contributor.author Jäntti, Helena
dc.contributor.author Iirola, Timo
dc.contributor.author Nurmi, Jouni
dc.date.accessioned 2020-05-31T03:17:27Z
dc.date.available 2020-05-31T03:17:27Z
dc.date.issued 2020-05-29
dc.identifier.citation Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2020 May 29;28(1):46
dc.identifier.uri http://hdl.handle.net/10138/315648
dc.description.abstract Abstract Background Helicopter Emergency Medical Services (HEMS) play an important role in prehospital care of the critically ill. Differences in funding, crew composition, dispatch criteria and mission profile make comparison between systems challenging. Several systems incorporate databases for quality control, performance evaluation and scientific purposes. FinnHEMS database was incorporated for such purposes following the national organization of HEMS in Finland 2012. The aims of this study are to describe information recorded in the database, data collection, and operational characteristics of Finnish HEMS during 2012–2018. Methods All dispatches of the six Finnish HEMS units recorded in the national database from 2012 to 2018 were included in this observational registry study. Five of the units are physician staffed, and all are on call 24/7. The database follows a template for uniform reporting in physician staffed pre-hospital services, exceeding the recommended variables of relevant guidelines. Results The study included 100,482 dispatches, resulting in 33,844 (34%) patient contacts. Variables were recorded with little or no missing data. A total of 16,045 patients (16%) were escorted by HEMS to hospital, of which 2239 (2%) by helicopter. Of encountered patients 4195 (4%) were declared deceased on scene. The number of denied or cancelled dispatches was 66,638 (66%). The majority of patients were male (21,185, 63%), and the median age was 57.7 years. The median American Society of Anesthesiologists Physical Scale classification was 2 and Eastern Cooperative Oncology Group performance class 0. The most common reason for response was trauma representing 26% (8897) of the patients, followed by out-of-hospital cardiac arrest 20% (6900), acute neurological reason excluding stroke 13% (4366) and intoxication and related psychiatric conditions 10% (3318). Blunt trauma (86%, 7653) predominated in the trauma classification. Conclusions Gathering detailed and comprehensive data nationally on all HEMS missions is feasible. A national database provides valuable insights into where the operation of HEMS could be improved. We observed a high number of cancelled or denied missions and a low percentage of patients transported by helicopter. The medical problem of encountered patients also differs from comparable systems.
dc.publisher BioMed Central
dc.subject Air ambulances
dc.subject Emergency medical services
dc.subject Critical care
dc.subject Registries
dc.subject Trends
dc.subject Quality indicators
dc.title The first seven years of nationally organized helicopter emergency medical services in Finland – the data from quality registry
dc.date.updated 2020-05-31T03:17:27Z
dc.language.rfc3066 en
dc.rights.holder The Author(s)
dc.type.uri http://purl.org/eprint/entityType/ScholarlyWork
dc.type.uri http://purl.org/eprint/entityType/Expression
dc.type.uri http://purl.org/eprint/type/JournalArticle

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