Ground Same Intratransport Efficacy as Air for Acute Aortic Diseases

Mark Rose; Carina Newton; Benchaa Boualam; Mubariz Hassan; Nancy Bogne; Jordan Mitchell; Safura Tanveer; Laura Tiffany; Stephen Thom; Quincy K Tran

doi:10.1016/j.amj.2019.01.003

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Ground Same Intratransport Efficacy as Air for Acute Aortic Diseases

Journal article

Peer reviewed

Ground Same Intratransport Efficacy as Air for Acute Aortic Diseases

Mark Rose, Carina Newton, Benchaa Boualam, Mubariz Hassan, Nancy Bogne, Jordan Mitchell, Safura Tanveer, Laura Tiffany, Stephen Thom and Quincy K Tran

Air medical journal, Vol.38(3), pp.188-194

05/2019

DOI: 10.1016/j.amj.2019.01.003

PMID: 31122585

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Abstract

Patients with acute aortic diseases (AAoD) usually require transfer to tertiary centers for possible surgical care, for which intratransport management represents important continuing spectrum of care. There is little information comparing intratransport efficacy of air (ART) vs ground transport (GRT), nor how effectively they manage these patients' pain. Our study aims to compare how effective ART and GRT manage patients' intratransport HR, pressure. Charts were reviewed of adult patients interhospital transferred to a quaternary academic center (UMMC) between 01/01/2011 and 09/30/2015. Outcomes were percentages of patients achieving target hemodynamic parameters, mortality. We analyzed 226 patients, 58 (26%) transported by Air and 102 (45%) type A dissection. Ground transport was associated with higher percentage of patients with target HR 60-80 bpm comparing to ART (58% vs 43%, 95% CI 0.3-0.99). Both ART and GRT were associated with similar frequencies of patients achieving target SBP and adequate pain control. Time intervals from transfer request to surgery, and mortality were similar for both types of transport. Ground transport teams were more successful at achieving predefined target heart rate than Air transport. Intra-transport management of other vital signs and pain were equally effectively between both Air and Ground transport.

Acute Disease

Air Ambulances - statistics & numerical data

Ambulances - statistics & numerical data

Aortic Diseases - therapy

Emergency Medical Services - methods

Emergency Medical Services - statistics & numerical data

Female

Heart Rate

Humans

Male

Middle Aged

Patient Transfer - methods

Patient Transfer - statistics & numerical data

Retrospective Studies

Time Factors

Details

Title: Subtitle: Ground Same Intratransport Efficacy as Air for Acute Aortic Diseases
Creators: Mark Rose - University of Maryland, Baltimore
Carina Newton - University of Maryland, College Park
Benchaa Boualam - University of Maryland, College Park
Mubariz Hassan - University of Maryland, Baltimore
Nancy Bogne - University of Maryland, College Park
Jordan Mitchell - University of Maryland, College Park
Safura Tanveer - University of Maryland, College Park
Laura Tiffany - University of Maryland, College Park
Stephen Thom - University of Maryland, Baltimore
Quincy K Tran - University of Maryland, Baltimore
Resource Type: Journal article
Publication Details: Air medical journal, Vol.38(3), pp.188-194
DOI: 10.1016/j.amj.2019.01.003
PMID: 31122585
NLM abbreviation: Air Med J
ISSN: 1067-991X
eISSN: 1532-6497
Language: English
Date published: 05/2019
Academic Unit: Internal Medicine
Record Identifier: 9984920562802771

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