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BioMed Research InternationalVolume 2014 2014, Article ID 767402, 5 pages

Research Article

Institute of Injury Prevention and Control, Taipei Medical University, Taipei 110, Taiwan

College of Public Health and Nutrition, Taipei Medical University, Taipei 110, Taiwan

International SOS, Taipei 104, Taiwan

Department of Emergency, College of Medicine and Shuang Ho Hospital, Taipei Medical University, Taipei 235, Taiwan

Department of Surgery, College of Medicine and Shuang Ho Hospital, Taipei Medical University, Taipei 235, Taiwan

Taipei Medical University, Taipei 110, Taiwan

Ministry of Health and Welfare, Taipei 115, Taiwan

Received 19 March 2014; Accepted 30 April 2014; Published 4 August 2014

Academic Editor: Kuo-Sheng Hung

Copyright © 2014 Wan-Lin Chen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. EAMT in Taiwan has experienced increasing demand in the past few years. The objective is to analyze the trend of EAMT in the past six years and mortality rate within three days of patients undergoing interfacility transport in Taiwan. Material and Method. We conducted a retrospective review of patients who were airlifted from remote islands to main island between 2006 and 2011. Main outcome measures are EAMT number EAMT-N, EAMT per thousand population EAMT frequency, EAMT-F, number of mortality Mor-N, and mortality rate within three days after EAMT Mor-R. Results and Discussion. Overall mortality rate is 7.54% in 1684 airlifted patients. Acute myocardial infarction AMI, 26.3% and traumatic brain injury TBI, 25.8% comprise the majority in diagnosis 52.1%. However, Mor-R in these two categories is significantly low in AMI 3.5% and TBI 5.1%. Conclusion. The present study demonstrates that physician density is not related to EAMT-N but to physician number. As general population ages 10%, the average age of patient who underwent EAMT doubled 21%. This study also leaves room for discussion regarding futile medical care. The results can be used as a reference for increasing utilization of EAMT in current National Health Care Scheme.





Autor: Wan-Lin Chen, Hon-Ping Ma, Chih-Hsiung Wu, Hung-Yi Chiou, Yun Yen, Wen-Ta Chiu, and Shin-Han Tsai

Fuente: https://www.hindawi.com/



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