Impact of discontinuing a hospital-based air ambulance service on trauma patient outcomes

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39 Citations (Scopus)

Abstract

Background: The clinical benefit of aeromedical transportation of injured patients in the civilian population has been debated. The purpose of this study was to examine the effects of discontinuing a hospital-based helicopter transport program on trauma patient outcomes, with the hypothesis that the loss of an air ambulance would result in increased transport time and increased mortality among severely injured patients. Methods: Data on injury severity and patient outcomes were collected prospectively for the 12 months immediately preceding and 24 months following discontinuation of the helicopter ambulance service. Transport time, mortality rate, and hospital length of stay was compared. Results: The number of trauma patient admissions decreased 12%, with a 17% decrease in admissions of severely injured patients. Transport time decreased, with no change in mortality. Conclusion: Discontinuation of a hospital-based air ambulance service did not increase transport time or increase mortality for trauma patients.

Original languageEnglish (US)
Pages (from-to)486-491
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume52
Issue number3
StatePublished - 2002

Fingerprint

Air Ambulances
Wounds and Injuries
Mortality
Length of Stay
Transportation of Patients
Aircraft
Patient Admission
Population

Keywords

  • Air ambulance
  • Hospital length-of-stay
  • Mortality
  • Transport time
  • Trauma

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Impact of discontinuing a hospital-based air ambulance service on trauma patient outcomes",
abstract = "Background: The clinical benefit of aeromedical transportation of injured patients in the civilian population has been debated. The purpose of this study was to examine the effects of discontinuing a hospital-based helicopter transport program on trauma patient outcomes, with the hypothesis that the loss of an air ambulance would result in increased transport time and increased mortality among severely injured patients. Methods: Data on injury severity and patient outcomes were collected prospectively for the 12 months immediately preceding and 24 months following discontinuation of the helicopter ambulance service. Transport time, mortality rate, and hospital length of stay was compared. Results: The number of trauma patient admissions decreased 12{\%}, with a 17{\%} decrease in admissions of severely injured patients. Transport time decreased, with no change in mortality. Conclusion: Discontinuation of a hospital-based air ambulance service did not increase transport time or increase mortality for trauma patients.",
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journal = "Journal of Trauma and Acute Care Surgery",
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T1 - Impact of discontinuing a hospital-based air ambulance service on trauma patient outcomes

AU - Chappell, Vicky L.

AU - Mileski, William

AU - Wolf, Steven

AU - Gore, Dennis

PY - 2002

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N2 - Background: The clinical benefit of aeromedical transportation of injured patients in the civilian population has been debated. The purpose of this study was to examine the effects of discontinuing a hospital-based helicopter transport program on trauma patient outcomes, with the hypothesis that the loss of an air ambulance would result in increased transport time and increased mortality among severely injured patients. Methods: Data on injury severity and patient outcomes were collected prospectively for the 12 months immediately preceding and 24 months following discontinuation of the helicopter ambulance service. Transport time, mortality rate, and hospital length of stay was compared. Results: The number of trauma patient admissions decreased 12%, with a 17% decrease in admissions of severely injured patients. Transport time decreased, with no change in mortality. Conclusion: Discontinuation of a hospital-based air ambulance service did not increase transport time or increase mortality for trauma patients.

AB - Background: The clinical benefit of aeromedical transportation of injured patients in the civilian population has been debated. The purpose of this study was to examine the effects of discontinuing a hospital-based helicopter transport program on trauma patient outcomes, with the hypothesis that the loss of an air ambulance would result in increased transport time and increased mortality among severely injured patients. Methods: Data on injury severity and patient outcomes were collected prospectively for the 12 months immediately preceding and 24 months following discontinuation of the helicopter ambulance service. Transport time, mortality rate, and hospital length of stay was compared. Results: The number of trauma patient admissions decreased 12%, with a 17% decrease in admissions of severely injured patients. Transport time decreased, with no change in mortality. Conclusion: Discontinuation of a hospital-based air ambulance service did not increase transport time or increase mortality for trauma patients.

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KW - Trauma

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