Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

The Danish helicopter emergency medical service database: high quality data with great potential

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Education in the placement of ultrasound-guided peripheral venous catheters: a systematic review

    Research output: Contribution to journalReviewResearchpeer-review

  2. Ketamine versus propofol for rapid sequence induction in trauma patients: a retrospective study

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Symptoms presented during emergency telephone calls for patients with spontaneous subarachnoid haemorrhage

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

BACKGROUND: The Danish Helicopter Emergency Medical Service (HEMS) is part of the Danish pre-hospital response offering advanced patient care on scene and during rapid transport to definitive care. Monitoring HEMS performance and the quality of critical care has high national as well as international priority underlining the need for research in this field. The data quality of the Danish HEMS database is unknown. Furthermore, a set of quality indicators (QI) developed by an international collaboration group (EQUIPE) potentially for use in physician-staffed EMS, has recently been presented. The aim of the current study was to present the design and data quality of the Danish helicopter database, and to evaluate the coverage of available variables in the database according to the QIs proposed.

METHOD: The study included all helicopter dispatches between October 1st 2014 and April 30th 2018. The database layout and data entering procedure, as well as the key variables and data completeness were described. Furthermore, missing data and misclassifications were addressed. Lastly, the 26 QIs proposed by the EQUIPE-collaboration were evaluated for coverage in the HEMS database.

RESULTS: A total of 13,392 missions were included in the study. The database includes a broad spectrum of mission- and patient-specific data related to the pre-hospital pathway of acutely ill or injured patients in a national coverage. Missing data for the majority of variables is less than 6.5%. The percentage of completed report forms has increased over time and reached 99.9% in 2018. Misclassification were observed for 294 patients in the study period corresponding to 3,7%. Less than half of the QIs proposed by the EQUIPE-collaboration group were directly available from the database.

CONCLUSIONS: Helicopter Emergency Medical Services in Denmark are a new and sparsely investigated health care provider. The database contains nearly all missions dispatched by the five regional Emergency Medical Dispatch Centres. Generally, the data quality is considered high with great potential for future research. Potential quality indicators as proposed by the EQUIPE-collaboration group could inspire the configuration and design of the next version of Hemsfile creating an even more solid basis for research and quality improvement.

Original languageEnglish
Article number38
JournalScandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Volume27
Issue number1
ISSN1757-7241
DOIs
Publication statusPublished - 5 Apr 2019

    Research areas

  • Air Ambulances/standards, Aircraft, Critical Care/standards, Data Accuracy, Databases, Factual, Denmark, Emergency Medical Dispatch/methods, Emergency Medical Services/standards, Female, Humans, Male, Quality Improvement

ID: 59418416