지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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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.
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참고문헌 (21)
참고문헌 신청
Babu MA / 2011 / Is trauma transfer influenced by factors other than medical need? An examination of insurance status and transfer in patients with mild head injury / Neurosurgery 69:659~667
Biewener A / 2004 / Impact of helicopter transport and hospital level on mortality of polytrauma patients / J Trauma 56:94~98
Bricolo AP / 1984 / Extradural hematoma : toward zero mortality. A prospective study / Neurosurgery 14:8~12
Carlson AP / 2010 / Low rate of delayed deterioration requiring surgical treatment in patients transferred to a tertiary care center for mild traumatic brain injury / Neurosurg Focus 29:E3
Chamoun RB / 2009 / Outcome in patients with blunt head trauma and a Glasgow Coma Scale score of 3 at presentation / J Neurosurg 111:683~687
Biewener A / 2004 / Impact of helicopter transport and hospital level on mortality of polytrauma patients / J Trauma 56:94~98
Bricolo AP / 1984 / Extradural hematoma : toward zero mortality. A prospective study / Neurosurgery 14:8~12
Carlson AP / 2010 / Low rate of delayed deterioration requiring surgical treatment in patients transferred to a tertiary care center for mild traumatic brain injury / Neurosurg Focus 29:E3
Chamoun RB / 2009 / Outcome in patients with blunt head trauma and a Glasgow Coma Scale score of 3 at presentation / J Neurosurg 111:683~687
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