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February 2, 2017Journal of the American Heart AssociationOpen Access

Outcomes of Physician‐Staffed Versus Non‐Physician‐Staffed Helicopter Transport for ST‐Elevation Myocardial Infarction

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Why the study?

Does physician-staffed helicopter transport reduce in-hospital adverse events in STEMI patients transferred for PCI compared to non-physician-staffed transport?

Population

398 STEMI patients transferred for primary or rescue percutaneous coronary intervention at 2 hospitals…

Comparison

Physician-staffed helicopter emergency medical… vs Non-physician-staffed helicopter emergency…

Design

Cohort

Follow-up

In-hospital

Authors

SGSverrir I. GunnarssonAssociation for Symbolic LogicJMJoseph MitchellUppsala Monitoring CentreMBMary S. Busch

Discussion

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Implication

Physician-staffed HEMS was associated with fewer in-hospital adverse events in STEMI transfers; leaves open whether randomized data would confirm benefit.

Structured PICO

Does physician-staffed helicopter transport reduce in-hospital adverse events in STEMI patients transferred for PCI compared to non-physician-staffed transport?

P
Population
398 STEMI patients transferred for primary or rescue percutaneous coronary intervention at 2 hospitals between 2006 and 2014.
I
Intervention
Physician-staffed helicopter emergency medical service (Physician-HEMS)
C
Comparator
Non-physician-staffed helicopter emergency medical service (Standard-HEMS)
O
Outcome
Serious in-hospital adverse events (including cardiac arrest, cardiogenic shock, and serious arrhythmias)composite

Physician-staffed helicopter transport for STEMI patients is associated with shorter ECG-to-balloon times and a lower risk of serious in-hospital adverse events compared to non-physician-staffed transport.

Cite This Study

Gunnarsson et al. (2017) studied this question.

synapsesocial.com/papers/6a73810977f4bbdd886c386ahttps://doi.org/10.1161/jaha.116.004936

Topics

STEMI management
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

  1. 1Physician staffed helicopter emergency medical service dispatch via centralised control or directly by crew – case identification rates and effect on the Sydney paediatric trauma system2012 · 25 citations