Long-term Evaluation of Patients Treated by an Emergency Medical Helicopter

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02175862

Enrollment

1791

Registered

2014-06-26

Start date

2009-12-31

Completion date

2014-05-31

Last updated

2015-10-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Wounds and Injuries

Keywords

Helicopter Emergency Medical Service, Trauma, Early retirement, ISS, Quality of life

Brief summary

In May 2010 the first danish physician-staffed Helicopter Emergency Medical Service (PS-HEMS) was implemented in Region Zealand and the Capital Region (excluding Bornholm) of Denmark. In relation to the introduction of PS-HEMS, a team of collaborators lead by Rasmus Hesselfeldt, conducted an observational study to investigate the possible effects on time to definitive care, secondary transfers and 30-day mortality in a before and after design. Results showed reduced time from first dispatch to arrival at the trauma centre from 218 min to 90 min. Secondary transfers to the trauma centre dropped from 50 % to 34 % and 30-day mortality significantly reduced from 29 % to 14 % in the year after implementation. The present study is an observational cohort study with long-term follow-up of the same trauma population as mentioned above. Patients were followed until may 1st, 2014. Primary outcome is early retirement and secondary outcomes are quality of life and mortality. The investigators hypothesize that a greater proportion of trauma patients in the after period will remain in occupation after approx. 3 to 4.5 years compared with trauma patients treated in the before period.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Inclusion criteria

* Patients treated by a trauma team in the catchment area of PS-HEMS. For all labor market attachment analysis the investigators only include patients between 18 to 60 years of age. For all other analysis (mortality and quality of life) there are no age limits.

Exclusion criteria

* Patients transported by private means or by the police. * Patients who at the emergency department were categorized as non-trauma patients.

Design outcomes

Primary

Measure	Time frame	Description
Labor market attachment	3 - 4.5 years after trauma	Primary analysis: Risk of early retirement Secondary analysis: Risk of reduced work capability

Secondary

Measure	Time frame	Description
Health-related quality of life	3 - 4.5 years after trauma	Health-related quality of life is measured using the Danish version of the Short Form 36 (SF-36) questionaire.
All cause mortality	3 - 4.5 years after trauma	Primary analysis: Risk of death. Secondary analysis: Predictors of death

Countries

Denmark

Outcome results