Factors Associated with 24-hour Mortality of Patients Rescued by Emergency Aeromedical Team of Somdejprajaotaksin Maharaj Hospital
Main Article Content
Abstract
Background: Emergency aeromedical services have been operational in Tak Province since 2012 to help the critically-illed patients from the remote mountainous areas, and subsequently developed by
Somdejprajaotaksin Maharaj Hospital. The outcome of this service has not been investigated.
Study Objective: To determine the outcomes of emergency aeromedical service by Somdejprajaotaksin Maharaj Hospital and factors associated with the 24-hour mortality.
Materials and methods: A cross-sectional descriptive study was conducted among the emergent patients who were transported with helicopters by the aeromedical service of Somdejprajaotaksin Maharaj
Hospital between January 2015 and September 2020. Demographic and transportation data were analyzed and compared between the patients who survived and died within 24 hours after transfer using an
exact probability test.
Results: There were 40 patients who received 38 flights of aeromedical transport. Most of them were helicopter emergency medical service (70%). Two-thirds of the patients lived in Umphang District. The most
common disease groups were critically-illed children (25.0%), obstetrics-gynecology (22.5%) and newborn (10.0%). Fifty-five percent of helicopters were supported by the Thai Army. Four patients died within 24
hours after hospitalization and the mortality rate was 10%. Age, gender, disease group, level of acuity, mission type, destination hospital, flight activation time, total mission time and personnel in aeromedical team were not associated with the 24-hour mortality.
Conclusion: The 24-hour mortality rate of emergent patients rescued by emergency aeromedical team of Somdejprajaotaksin Maharaj Hospital was 10%. There were no significant factors associated with this mortality.
Article Details
บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร
References
อัจฉริยะ แพงมา, ญาดา เผือกขำ, บรรณาธิการ. คู่มือแนวทางการปฏิบัติการส่งต่อผู้ป่วยฉุกเฉินด้วยอากาศยาน พ.ศ.2557 Emergency aeromedical service guideline revision 2014. กรุงเทพฯ: ช่อระกาการพิมพ์; 2557.
Gilboy N, Tanabe P, Travers DA, Rosenau AM, Eitel DR. Emergency severity index, version 4: Implementation handbook. AHRQ Publication No.05-0046-2. Rockville, MD: Agency for Healthcare Research and Quality; 2005.
National Institute of Emergency Medicine. Guidelines to follow the rules, criteria and procedures to sort and prioritize emergency care at the emergency room, according to the Emergency Medical Board. [internet]. 2013 [cited 2020 Oct 30]. Available from: https://www.niems.go.th/1/Ebook/Detail/269?group=21
Pangma A, Taneepanichskul S. The outcome of emergency patient transported by public air ambulance service in Thailand. J Health Res. 2017;31(1):129–35.
Chang JC, Huang HH, Chang SH, Chen YR, Fan JS, Chen YC, et al. Clinical predictors of outcomes in patients undergoing emergency air medical transport from Kinmen to Taiwan. Medicine (Baltimore). 2017;96(44):e8440.
Chen WL, Ma HP, Wu CH, Chiou HY, Yen Y, Chiu WT, et al. Clinical research of mortality in emergency air medical transport. Biomed Res Int. 2014;2014:767402.
Alstrup K, Petersen JAK, Sollid S, Johnsen SP, Rognås L. Mortality and hospitalisation in the Danish Helicopter Emergency Medical Service (HEMS) population from 2014 to 2018: a national population-based study of HEMS triage. BMJ Open. 2020;10(8):e038718.
Rzonca P, Swiezewski SP, Jalali R, Gotlib J, Gałazkowski R. Helicopter emergency medical service (HEMS) response in rural areas in Poland: retrospective study. Int J Environ Res Public Health. 2019;16(9):1532.
Kornhall, D, Näslund R, Klingberg C, Schiborr R, Gellerfors M. The mission characteristics of a newly implemented rural helicopter emergency medical service. BMC Emerg Med. 2018:18:28.
Singh JM, MacDonald RD, Bronskill SE, Schull MJ. Incidence and predictors of critical events during urgent air-medical transport. CMAJ. 2009;181(9):579–84.
Black RE, Mayer T, Walker ML, Christison EL, Johnson DG, Matlak ME, Storrs B, Clark P. Special report. Air transport of pediatric emergency cases. N Engl J Med. 1982;307(23):1465–8.
Ohara M, Shimizu Y, Satoh H, Kasai T, Takano S, Fujiwara R, et al. Safety and usefulness of emergency maternal transport using helicopter. J Obstet Gynaecol Res. 2008;34(2):189–94.
Garner A, Rashford S, Lee A, Bartolacci R. Addition of physicians to paramedic helicopter services decreases blunt trauma mortality. Aust N Z J Surg. 1999;69(10):697–701.
Schmidt U, Frame SB, Nerlich ML, Rowe DW, Enderson BL, Maull KI, et al. On-scene helicopter transport of patients with multiple injuries--comparison of a German and an American system. J Trauma. 1992;33(4):548–53; discussion 553–5.