Long-term follow-up of trauma patients before and after implementation of a Physician-Staffed Helicopter: a prospective observational study

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Long-term follow-up of trauma patients before and after implementation of a Physician-Staffed Helicopter : a prospective observational study. / Funder, K.S.; Rasmussen, Lars S.; Lohse, Nicolai; Siersma, Volkert; Hesselfeldt, Rasmus; Steinmetz, Jacob.

I: Injury, Bind 47, Nr. 1, 01.2016, s. 7-13.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Funder, KS, Rasmussen, LS, Lohse, N, Siersma, V, Hesselfeldt, R & Steinmetz, J 2016, 'Long-term follow-up of trauma patients before and after implementation of a Physician-Staffed Helicopter: a prospective observational study', Injury, bind 47, nr. 1, s. 7-13. https://doi.org/10.1016/j.injury.2015.10.032

APA

Funder, K. S., Rasmussen, L. S., Lohse, N., Siersma, V., Hesselfeldt, R., & Steinmetz, J. (2016). Long-term follow-up of trauma patients before and after implementation of a Physician-Staffed Helicopter: a prospective observational study. Injury, 47(1), 7-13. https://doi.org/10.1016/j.injury.2015.10.032

Vancouver

Funder KS, Rasmussen LS, Lohse N, Siersma V, Hesselfeldt R, Steinmetz J. Long-term follow-up of trauma patients before and after implementation of a Physician-Staffed Helicopter: a prospective observational study. Injury. 2016 jan;47(1):7-13. https://doi.org/10.1016/j.injury.2015.10.032

Author

Funder, K.S. ; Rasmussen, Lars S. ; Lohse, Nicolai ; Siersma, Volkert ; Hesselfeldt, Rasmus ; Steinmetz, Jacob. / Long-term follow-up of trauma patients before and after implementation of a Physician-Staffed Helicopter : a prospective observational study. I: Injury. 2016 ; Bind 47, Nr. 1. s. 7-13.

Bibtex

@article{0fc742387c5c409cb8f10ac994202921,
title = "Long-term follow-up of trauma patients before and after implementation of a Physician-Staffed Helicopter: a prospective observational study",
abstract = "Introduction: The first Danish Helicopter Emergency Medical Service (HEMS) was introduced May 1st2010. The implementation was associated with lower 30-day mortality in severely injured patients. Theaim of this study was to assess the long-term effects of HEMS on labour market affiliation and mortalityof trauma patients.Methods: Prospective, observational study with a maximum follow-up time of 4.5 years. Traumapatients from a 5-month period prior to the implementation of HEMS (pre-HEMS) were compared withpatients from the first 12 months after implementation (post-HEMS). All analyses were adjusted for sex,age and Injury Severity Score.Results: Of the total 1994 patients, 1790 were eligible for mortality analyses and 1172 (n = 297 preHEMSand n = 875 post-HEMS) for labour market analyses. Incidence rates of involuntary earlyretirement or death were 2.40 per 100 person-years pre-HEMS and 2.00 post-HEMS; corresponding to ahazard ratio (HR) of 0.72 (95{\%} confidence interval (CI) 0.44–1.17; p = 0.18). The HR of involuntary earlyretirement was 0.79 (95{\%} CI 0.44–1.43; p = 0.43). The prevalence of reduced work ability after three yearswere 21.4{\%} vs. 17.7{\%}, odds ratio (OR) = 0.78 (CI 0.53–1.14; p = 0.20). The proportions of patients on socialtransfer payments at least half the time during the three-year period were 30.5{\%} vs. 23.4{\%}, OR = 0.68 (CI0.49–0.96; p = 0.03). HR for mortality was 0.92 (CI 0.62–1.35; p = 0.66).Conclusions: The implementation of HEMS was associated with a significant reduction in time on socialtransfer payments. No significant differences were found in involuntary early retirement rate, long-termmortality, or work ability.",
author = "K.S. Funder and Rasmussen, {Lars S.} and Nicolai Lohse and Volkert Siersma and Rasmus Hesselfeldt and Jacob Steinmetz",
year = "2016",
month = "1",
doi = "10.1016/j.injury.2015.10.032",
language = "English",
volume = "47",
pages = "7--13",
journal = "Injury",
issn = "0020-1383",
publisher = "Elsevier",
number = "1",

}

RIS

TY - JOUR

T1 - Long-term follow-up of trauma patients before and after implementation of a Physician-Staffed Helicopter

T2 - a prospective observational study

AU - Funder, K.S.

AU - Rasmussen, Lars S.

AU - Lohse, Nicolai

AU - Siersma, Volkert

AU - Hesselfeldt, Rasmus

AU - Steinmetz, Jacob

PY - 2016/1

Y1 - 2016/1

N2 - Introduction: The first Danish Helicopter Emergency Medical Service (HEMS) was introduced May 1st2010. The implementation was associated with lower 30-day mortality in severely injured patients. Theaim of this study was to assess the long-term effects of HEMS on labour market affiliation and mortalityof trauma patients.Methods: Prospective, observational study with a maximum follow-up time of 4.5 years. Traumapatients from a 5-month period prior to the implementation of HEMS (pre-HEMS) were compared withpatients from the first 12 months after implementation (post-HEMS). All analyses were adjusted for sex,age and Injury Severity Score.Results: Of the total 1994 patients, 1790 were eligible for mortality analyses and 1172 (n = 297 preHEMSand n = 875 post-HEMS) for labour market analyses. Incidence rates of involuntary earlyretirement or death were 2.40 per 100 person-years pre-HEMS and 2.00 post-HEMS; corresponding to ahazard ratio (HR) of 0.72 (95% confidence interval (CI) 0.44–1.17; p = 0.18). The HR of involuntary earlyretirement was 0.79 (95% CI 0.44–1.43; p = 0.43). The prevalence of reduced work ability after three yearswere 21.4% vs. 17.7%, odds ratio (OR) = 0.78 (CI 0.53–1.14; p = 0.20). The proportions of patients on socialtransfer payments at least half the time during the three-year period were 30.5% vs. 23.4%, OR = 0.68 (CI0.49–0.96; p = 0.03). HR for mortality was 0.92 (CI 0.62–1.35; p = 0.66).Conclusions: The implementation of HEMS was associated with a significant reduction in time on socialtransfer payments. No significant differences were found in involuntary early retirement rate, long-termmortality, or work ability.

AB - Introduction: The first Danish Helicopter Emergency Medical Service (HEMS) was introduced May 1st2010. The implementation was associated with lower 30-day mortality in severely injured patients. Theaim of this study was to assess the long-term effects of HEMS on labour market affiliation and mortalityof trauma patients.Methods: Prospective, observational study with a maximum follow-up time of 4.5 years. Traumapatients from a 5-month period prior to the implementation of HEMS (pre-HEMS) were compared withpatients from the first 12 months after implementation (post-HEMS). All analyses were adjusted for sex,age and Injury Severity Score.Results: Of the total 1994 patients, 1790 were eligible for mortality analyses and 1172 (n = 297 preHEMSand n = 875 post-HEMS) for labour market analyses. Incidence rates of involuntary earlyretirement or death were 2.40 per 100 person-years pre-HEMS and 2.00 post-HEMS; corresponding to ahazard ratio (HR) of 0.72 (95% confidence interval (CI) 0.44–1.17; p = 0.18). The HR of involuntary earlyretirement was 0.79 (95% CI 0.44–1.43; p = 0.43). The prevalence of reduced work ability after three yearswere 21.4% vs. 17.7%, odds ratio (OR) = 0.78 (CI 0.53–1.14; p = 0.20). The proportions of patients on socialtransfer payments at least half the time during the three-year period were 30.5% vs. 23.4%, OR = 0.68 (CI0.49–0.96; p = 0.03). HR for mortality was 0.92 (CI 0.62–1.35; p = 0.66).Conclusions: The implementation of HEMS was associated with a significant reduction in time on socialtransfer payments. No significant differences were found in involuntary early retirement rate, long-termmortality, or work ability.

U2 - 10.1016/j.injury.2015.10.032

DO - 10.1016/j.injury.2015.10.032

M3 - Journal article

C2 - 26559352

VL - 47

SP - 7

EP - 13

JO - Injury

JF - Injury

SN - 0020-1383

IS - 1

ER -

ID: 157319133