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The Effectiveness Evaluation of Helicopter Ambulance Transport among Neurotrauma Patients in Korea.

Authors
Park, KD | Seo, SJ | Oh, CH | Kim, SH  | Cho, JM
Citation
Journal of Korean Neurosurgical Society, 56(1). : 42-47, 2014
Journal Title
Journal of Korean Neurosurgical Society
ISSN
2005-37111598-7876
Abstract
OBJECTIVE: Helicopter ambulance transport (HAT) is a highly resource-intensive

facility that is a well-established part of the trauma transport system in many

developed countries. Here, we review the benefit of HAT for neurosurgical

patients in Korea. METHODS: This retrospective study followed neurotrauma

patients who were transferred by HAT to a single emergency trauma center over a

period of 2 years. The clinical benefits of HAT were measured according to the

necessity of emergency surgical intervention and the differences in the time

taken to transport patients by ground ambulance transport (GAT) and HAT. RESULTS:

Ninety-nine patients were transferred to a single university hospital using HAT,

of whom 32 were taken to the neurosurgery department. Of these 32 patients, 10

(31.3%) needed neurosurgical intervention, 14 (43.8%) needed non-neurosurgical

intervention, 3 (9.4%) required both, and 11 (34.4%) did not require any

intervention. The transfer time was faster using HAT than the estimated time

needed for GAT, although for a relatively close distance (<50 km) without ground

obstacles (mountain or sea) HAT did not improve transfer time. The cost

comparison showed that HAT was more expensive than GAT (3,292,000 vs. 84,000 KRW,

p<0.001). CONCLUSION: In this Korean-based study, we found that HAT has a

clinical benefit for neurotrauma cases involving a transfer from a distant site

or an isolated area. A more precise triage for using HAT should be considered to

prevent overuse of this expensive transport method.
Keywords
DOI
10.3340/jkns.2014.56.1.42
PMID
25289124
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
Ajou Authors
김, 세혁
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