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Purpose <p>The objective of this study was to provide an overview of dispatches and procedures performed by a Dutch P-HEMS-team during a nine-year period.</p> Methods <p>In this retrospective cohort study, all non-cancelled dispatches of the Rotterdam P-HEMS team between January 1, 2015 and December 31, 2023, were analyzed. Dispatches were stratified by specific medical conditions and age. Furthermore, data on P-HEMS specific procedures were collected and temporal trends were analyzed.</p> Results <p>During the nine-year study period, the P-HEMS-team was dispatched 36,242 times, of which 18,396 (50.8%) dispatches were cancelled before arrival on scene. In 17,846 (49.2%) non-cancelled dispatches, the P-HEMS team assessed 18,199 patients. The main reasons for dispatch were trauma (62.9% in adults, 41.5% in children), out of hospital cardiac arrest (14.8% in adults, 9.8% in children) and neurological disorders (6.8% in adults, 22.3% in children). The number of annual non-cancelled dispatches increased from 1,605 to 2,114 (31.7% increase) during the study period, mostly due to an increase in dispatches for non-traumatic conditions. One or more P-HEMS specific procedures were performed in 7,793 (43.2%) of patients. The most frequently performed procedures were administration of P-HEMS specific medication (<i>n</i> = 6,298; 34.9%) and drug assisted advanced airway management (<i>n</i> = 5,348; 29.7%).</p> Conclusion <p>Over a nine-year period, there has been an increasing demand for P-HEMS care in the Southwestern part of the Netherlands for traumatic and non-traumatic conditions. P-HEMS specific procedures were performed in 43.2% of patients attended by the P-HEMS team. This proportion has remained fairly stable during the study period.</p>

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Patient profiles and P-HEMS specific interventions performed by a HEMS team in the netherlands; A retrospective cohort study of 18,199 patients

  • 期刊论文

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  • 发表日期：

    2025年10月14日

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  • Mehdi Badaoui,
  • Niek J. Vianen,
  • Jan C. Van Ditshuizen,
  • Iscander M. Maissan,
  • Robert-Jan Houmes,
  • Michael H.J. Verhofstad,
  • Esther M.M. Van Lieshout,
  • Mark G. Van Vledder

摘要

Purpose

The objective of this study was to provide an overview of dispatches and procedures performed by a Dutch P-HEMS-team during a nine-year period.

Methods

In this retrospective cohort study, all non-cancelled dispatches of the Rotterdam P-HEMS team between January 1, 2015 and December 31, 2023, were analyzed. Dispatches were stratified by specific medical conditions and age. Furthermore, data on P-HEMS specific procedures were collected and temporal trends were analyzed.

Results

During the nine-year study period, the P-HEMS-team was dispatched 36,242 times, of which 18,396 (50.8%) dispatches were cancelled before arrival on scene. In 17,846 (49.2%) non-cancelled dispatches, the P-HEMS team assessed 18,199 patients. The main reasons for dispatch were trauma (62.9% in adults, 41.5% in children), out of hospital cardiac arrest (14.8% in adults, 9.8% in children) and neurological disorders (6.8% in adults, 22.3% in children). The number of annual non-cancelled dispatches increased from 1,605 to 2,114 (31.7% increase) during the study period, mostly due to an increase in dispatches for non-traumatic conditions. One or more P-HEMS specific procedures were performed in 7,793 (43.2%) of patients. The most frequently performed procedures were administration of P-HEMS specific medication (n = 6,298; 34.9%) and drug assisted advanced airway management (n = 5,348; 29.7%).

Conclusion

Over a nine-year period, there has been an increasing demand for P-HEMS care in the Southwestern part of the Netherlands for traumatic and non-traumatic conditions. P-HEMS specific procedures were performed in 43.2% of patients attended by the P-HEMS team. This proportion has remained fairly stable during the study period.