BACKGROUND: The effect of physician-staffed @entity341 (HEMS) on @entity583 ( @entity583 ) @entity1 transfer is unknown. The purpose of this study was to evaluate the characteristics and outcomes of physician-staffed HEMS (Physician-HEMS) versus non-physician-staffed (Standard-HEMS) in @entity1 with @entity583 . METHODS AND RESULTS: We studied 398 @entity583 @entity1 transferred by either Physician-HEMS (n=327) or Standard-HEMS (n=71) for primary or rescue percutaneous coronary intervention at 2 hospitals between 2006 and 2014. Data were collected from electronic medical records and each institution's contribution to the National Cardiovascular Data Registry. Baseline characteristics were similar between groups. Median electrocardiogram-to-balloon time was longer for the Standard-HEMS group than for the Physician-HEMS group (118 vs 107  minutes; P=0.002). The Standard-HEMS group was more likely than the Physician-HEMS group to receive @entity1242 (37% vs 15%; P<0.001) and opioid analgesics (42.3% vs 21.7%; P<0.001) during transport. In-hospital adverse outcomes, including @entity1167 , @entity1455 , and serious @entity943 , were more common in the Standard-HEMS group (25.4% vs 11.3%; P=0.002). After adjusting for age, sex, Killip class, and transport time, @entity1 transferred by Standard-HEMS had increased risk of any serious in-hospital adverse event (odds ratio=2.91; 95% CI=1.39-6.06; P=0.004). In-hospital mortality was not statistically different between the 2 groups (9.9% in the Standard-HEMS group vs 4.9% in the Physician-HEMS group; P=0.104). CONCLUSIONS: @entity1 with @entity583 transported by Standard-HEMS had longer transport times, higher rates of @entity1242 and opioid administration, and higher rates of adjusted in-hospital events. Efforts to better understand optimal transport strategies in @entity583 @entity1 are needed.

Outcomes of Physician-Staffed Versus Non-Physician-Staffed Helicopter Transport for ST-Elevation XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity943 :: ('MESH:D001145', 'Disease') :: ['arrhythmias'] @entity1242 :: ('MESH:D005996', 'Chemical') :: ['nitroglycerin'] @entity341 :: ('MESH:D004630', 'Disease') :: ['helicopter emergency medical service'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity583 :: ('MESH:D009203', 'Disease') :: ['STEMI', 'ST-elevation myocardial infarction'] @entity1455 :: ('MESH:D012770', 'Disease') :: ['cardiogenic shock']
@entity583 :: (MESH:D009203,Disease) :: ['Myocardial Infarction']
