Characteristics of Emergency Neurological Patients Who Were Transported by Helicopter Emergency Medical Services in Tochigi, Japan.
Adolescent
Adult
Aged
Aged, 80 and over
Air Ambulances
Child
Child, Preschool
Craniocerebral Trauma
/ epidemiology
Emergencies
Emergency Medical Services
Female
Humans
Incidence
Infant
Infant, Newborn
Japan
/ epidemiology
Male
Middle Aged
Nervous System Diseases
/ epidemiology
Prognosis
Retrospective Studies
Seizures
/ epidemiology
Stroke
/ epidemiology
Time Factors
Young Adult
Japan
geographic distribution
helicopter emergency medical services
neurological emergency
stroke
Journal
The Tohoku journal of experimental medicine
ISSN: 1349-3329
Titre abrégé: Tohoku J Exp Med
Pays: Japan
ID NLM: 0417355
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
entrez:
30
9
2021
pubmed:
1
10
2021
medline:
9
10
2021
Statut:
ppublish
Résumé
In Japan, reports on the association of individual characteristics, and geographical distance and time with clinical outcomes for neurological emergencies involving helicopter emergency medical services (HEMS) are scarce. Using Tochigi HEMS data (2010-2018), we assessed the characteristics of 1,170 emergency neurological patients (e.g., stroke, neurotrauma, and seizure) at the base hospital, which covered 58% of all HEMS patients in the prefecture. After initial treatment in the emergency room, emergency physicians confirmed the clinical outcomes of each patient compared to those at the incident sites (recovery/non-recovery). We calculated the geographic distance from the base hospital to each incident site, and estimated and adjusted odds ratios (aOR) and 95% confidence intervals (CI) for non-recovery against distance. The mean distance between the incident site and base hospital was 22.0 ± 11.7 km, and 77.4% of patients recovered following initial treatment. Two peak age groups were observed among emergency neurological diseases, including seizures in patients who were aged < 5 years and stroke and neurotrauma in patients who were aged 70-80 years. The percentages of stroke, traumatic head and brain injury, and seizure were 35.8%, 29.2%, and 22.8%, respectively. The incidence of stroke (aOR = 11.8, 95% CI 6.86-20.3) and neurotrauma (aOR = 4.86, 95% CI 2.78-8.51) independently predicted a poor prognosis. However, no significant association was observed with the distance from the base hospital. Therefore, in the Tochigi prefecture, geographical disparities may not affect the short-term prognosis of patients with neurological emergencies who were transported by HEMS.
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM