Air Medical Transportation for Severe Acute Pancreatitis Patients over an Extra Long Distance: Is It Safe Enough?

Objective. Severe acute pancreatitis (SAP) patients usually develop persistent organ dysfunction which causes the majority of deaths. It is important for SAP patients to receive centralized diagnosis and treatment in an experienced tertiary center. China, as a vast country with uneven distribution o...

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Main Authors: Lin Gao, Jingzhu Zhang, Kun Gao, Yiyuan Pan, Xiaotao Qin, Jie Zhang, Jing Zhou, Guotao Lu, Weiqin Li, Zhihui Tong
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2018/3826084
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author Lin Gao
Jingzhu Zhang
Kun Gao
Yiyuan Pan
Xiaotao Qin
Jie Zhang
Jing Zhou
Guotao Lu
Weiqin Li
Zhihui Tong
author_facet Lin Gao
Jingzhu Zhang
Kun Gao
Yiyuan Pan
Xiaotao Qin
Jie Zhang
Jing Zhou
Guotao Lu
Weiqin Li
Zhihui Tong
author_sort Lin Gao
collection DOAJ
description Objective. Severe acute pancreatitis (SAP) patients usually develop persistent organ dysfunction which causes the majority of deaths. It is important for SAP patients to receive centralized diagnosis and treatment in an experienced tertiary center. China, as a vast country with uneven distribution of medical resources, should take advantage of air medical transportation to meet the challenge of patient transfer among different regions. The aim of this study was to evaluate the safety and effectiveness of air transport for SAP patients via extra long distance. Methods. This was a retrospective analysis of all air medical transportations for SAP patients admitted to Jinling Hospital from January 2010 to December 2016. The general characteristics, transportation process, and clinical outcomes of these patients were recorded, and the safety and effectiveness of air transport were evaluated. Results. All the 20 SAP patients were successfully transferred by chartered aircraft without any occurrence of severe transport-associated complications. The mean transport time was 5.86 hours and the average transport distance was 1530 kilometers. The majority of SAP patients got timely intervention and the ultimate mortality rate was 15%. Conclusions. Air medical transport appears to be safe and effective for SAP patients with vital organ dysfunctions during the extra long-distance transportation.
format Article
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institution Kabale University
issn 1687-6121
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language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Gastroenterology Research and Practice
spelling doaj-art-939fabc428c34c739796ce6a1dcebc532025-02-03T06:44:38ZengWileyGastroenterology Research and Practice1687-61211687-630X2018-01-01201810.1155/2018/38260843826084Air Medical Transportation for Severe Acute Pancreatitis Patients over an Extra Long Distance: Is It Safe Enough?Lin Gao0Jingzhu Zhang1Kun Gao2Yiyuan Pan3Xiaotao Qin4Jie Zhang5Jing Zhou6Guotao Lu7Weiqin Li8Zhihui Tong9Surgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, No. 305 Zhongshan East Road, Nanjing, 210002 Jiangsu, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, No. 305 Zhongshan East Road, Nanjing, 210002 Jiangsu, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, No. 305 Zhongshan East Road, Nanjing, 210002 Jiangsu, ChinaDepartment of Intensive Care Unit, Suzhou Hospital Affiliated to Nanjing Medical University, No. 16 Baita West Road, Suzhou, 215002 Jiangsu, ChinaHope Assist Medical Assistance Service Company, No. 1111 Tower A, Chaoyang SOHO, Beijing 100020, ChinaHope Assist Medical Assistance Service Company, No. 1111 Tower A, Chaoyang SOHO, Beijing 100020, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, No. 305 Zhongshan East Road, Nanjing, 210002 Jiangsu, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, No. 305 Zhongshan East Road, Nanjing, 210002 Jiangsu, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, No. 305 Zhongshan East Road, Nanjing, 210002 Jiangsu, ChinaSurgical Intensive Care Unit (SICU), Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, No. 305 Zhongshan East Road, Nanjing, 210002 Jiangsu, ChinaObjective. Severe acute pancreatitis (SAP) patients usually develop persistent organ dysfunction which causes the majority of deaths. It is important for SAP patients to receive centralized diagnosis and treatment in an experienced tertiary center. China, as a vast country with uneven distribution of medical resources, should take advantage of air medical transportation to meet the challenge of patient transfer among different regions. The aim of this study was to evaluate the safety and effectiveness of air transport for SAP patients via extra long distance. Methods. This was a retrospective analysis of all air medical transportations for SAP patients admitted to Jinling Hospital from January 2010 to December 2016. The general characteristics, transportation process, and clinical outcomes of these patients were recorded, and the safety and effectiveness of air transport were evaluated. Results. All the 20 SAP patients were successfully transferred by chartered aircraft without any occurrence of severe transport-associated complications. The mean transport time was 5.86 hours and the average transport distance was 1530 kilometers. The majority of SAP patients got timely intervention and the ultimate mortality rate was 15%. Conclusions. Air medical transport appears to be safe and effective for SAP patients with vital organ dysfunctions during the extra long-distance transportation.http://dx.doi.org/10.1155/2018/3826084
spellingShingle Lin Gao
Jingzhu Zhang
Kun Gao
Yiyuan Pan
Xiaotao Qin
Jie Zhang
Jing Zhou
Guotao Lu
Weiqin Li
Zhihui Tong
Air Medical Transportation for Severe Acute Pancreatitis Patients over an Extra Long Distance: Is It Safe Enough?
Gastroenterology Research and Practice
title Air Medical Transportation for Severe Acute Pancreatitis Patients over an Extra Long Distance: Is It Safe Enough?
title_full Air Medical Transportation for Severe Acute Pancreatitis Patients over an Extra Long Distance: Is It Safe Enough?
title_fullStr Air Medical Transportation for Severe Acute Pancreatitis Patients over an Extra Long Distance: Is It Safe Enough?
title_full_unstemmed Air Medical Transportation for Severe Acute Pancreatitis Patients over an Extra Long Distance: Is It Safe Enough?
title_short Air Medical Transportation for Severe Acute Pancreatitis Patients over an Extra Long Distance: Is It Safe Enough?
title_sort air medical transportation for severe acute pancreatitis patients over an extra long distance is it safe enough
url http://dx.doi.org/10.1155/2018/3826084
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