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Fixed-wing medical transport crashes: characteristics associated with fatal outcomes.
MedLine Citation:
PMID:  21549287     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: Previous studies within the aeromedical literature have looked at factors associated with fatal outcomes in helicopter medical transport, but no analysis has been conducted on fixed-wing aeromedical flights. The purpose of this study was to look at fatality rates in fixed-wing aeromedical transport and compare them with general aviation and helicopter aeromedical flights.
METHODS: This study looked at factors associated with fatal outcomes in fixed-wing aeromedical flights, using the National Transportation Safety Board Aviation Accident Incident Database from 1984 to 2009.
RESULTS: Fatal outcomes were significantly higher in medical flights (35.6 vs. 19.7%), with more aircraft fires (20.3 vs. 10.5%) and on-ground collisions (5.1 vs. 2.0%) compared with commercial flights. Aircraft fires occurred in 12 of the 21 fatal crashes (57.1%), compared with only 2 of the 38 nonfatal crashes (5.3%) (P < .001). In the multiple logistic regression model, the only factor with increased odds of a fatal outcome was the presence of a fire (56.89; 95% CI, 4.28-808.23).
CONCLUSIONS: Similar to published studies in helicopter medical transport, postcrash fires are the primary factor associated with fatal outcomes in fixed-wing aeromedical flights.
Authors:
Daniel A Handel; Thomas R Yackel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Air medical journal     Volume:  30     ISSN:  1532-6497     ISO Abbreviation:  Air Med. J.     Publication Date:    2011 May-Jun
Date Detail:
Created Date:  2011-05-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9312325     Medline TA:  Air Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  149-52     Citation Subset:  H    
Copyright Information:
Copyright © 2011 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
Affiliation:
Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Health & Science University, Portland, OR.; Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR.
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