Article (Scientific journals)
Air versus ground transport of patients with acute myocardial infarction: Experience in a rural-based helicopter medical service
MOENS, Didier; Stipulante, Samuel; Donneau, Anne-Françoise et al.
2015In European Journal of Emergency Medicine
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Keywords :
acute myocardial infarction; PCI; HEMS
Abstract :
[en] Aims Primary pre-hospital Helicopter Emergency Medical Service (HEMS) interventions may play a role in timely reperfusion therapy for patients with ST-segment elevation myocardial infarction (STEMI). We designed a prospective study involving patients with acute myocardial infarction aimed at the evaluation of the potential benefit of such primary HEMS interventions as compared with classical EMS ground transport. Methods & results This prospective study was conducted from July 1, 2007 to June 15, 2012. Successive patients with ST-segment elevation myocardial infarction (STEMI) eligible for percutaneous coronary intervention (PCI) were included. Simulated ground-based access times were computed using a digital cartographic program, allowing the estimation of healthcare system delay from call to admission to the catheterisation laboratory. During the study period, 4485 patients benefited from HEMS activations. Of these patients, 342 (8%) suffering from STEMI were transferred for primary PCI. Median primary response time time was 11 min (IQR: 8 - 14 min) using the helicopter and 32 min (25 – 44 min) using road transport. Median transport time using HEMS was 12 min (9 – 15 min) and 50 min (36 – 56 min) by road. The median system delay using HEMS was 52 min (45 – 60 min), while this time was 110 min (95 – 126 min) by road. Finally, the system delay median gain was 60 min (47 – 72 min). Conclusions Using HEMS in a rural region allows STEMI patients to benefit from appropriate rescue care with similar delays as those seen in urban patients.
Disciplines :
Public health, health care sciences & services
Author, co-author :
MOENS, Didier ;  Centre Hospitalier Universitaire de Liège - CHU > Urgences
Stipulante, Samuel ;  Université de Liège - ULiège > Form. doct. sc. santé publique
Donneau, Anne-Françoise ;  Université de Liège - ULiège > Département des sciences de la santé publique > Informatique médicale et biostatistique
HARTSTEIN, Gary ;  Centre Hospitalier Universitaire de Liège - CHU > Urgences
Pirotte, Olivier
D'Orio, Vincenzo ;  Université de Liège - ULiège > Département des sciences cliniques > Médecine d'urgence - bioch. et phys. hum. normales et path.
Ghuysen, Alexandre ;  Université de Liège - ULiège > Département des sciences de la santé publique > Réanimation - Urgence extrahospitalière
Language :
English
Title :
Air versus ground transport of patients with acute myocardial infarction: Experience in a rural-based helicopter medical service
Publication date :
2015
Journal title :
European Journal of Emergency Medicine
ISSN :
0969-9546
eISSN :
1473-5695
Publisher :
Lippincott Williams & Wilkins, London, United Kingdom
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 13 March 2014

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