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Observational Study
. 2022 Dec;81(1):2014634.
doi: 10.1080/22423982.2021.2014634.

Medical evacuations in Greenland in 2018: a descriptive study

Helena Breum Pedersen  1   2 , Bastian Breum Pedersen  1 , Mark Biilmann  1 , Malik Møller  3 , Nicolai Lohse  4   5 , Peter Vedsted  6   7 , Søren Mikkelsen  1   2
Affiliations
Observational Study

Medical evacuations in Greenland in 2018: a descriptive study

Helena Breum Pedersen et al. Int J Circumpolar Health. 2022 Dec.

Abstract

Information regarding medical evacuations in Greenland is sparse. This study provides an overview of incidence, costs, and diagnoses leading to medical evacuations in Greenland in 2018. This is a retrospective, observational study. Patients with a valid Danish civil personal registration number were included. Data were obtained by scrutinising the itinerary of the Greenland travel coordination office and the medical records. 481 patients were identified. Forty-nine patients were excluded. 432 patients were analysed. Two-thirds of the evacuations were carried out within Greenland. The overall incidence of evacuations was 7.7 evacuations per 1,000 inhabitants per year. This differed, however, between the five different health regions. The cost of a medical evacuation ranged from less than 4,800 US dollars to more than 50,000 US dollars per case. Pregnancy and childbirth accounted for the majority of evacuations in women (31.2%) while diseases within the circulatory system and digestive tract accounted for the majority of evacuations in men (39.8%). The costs of medical evacuations may be reduced when combining evacuations of more than one patient. This indicates that combining evacuations of multiple patients from one health region by applying mandatory use of a central coordinating service may be beneficial.

Keywords: Greenland medical evacuations; arctic evacuation; health care system in Greenland; interhospital transports.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
An overview of Greenland and its health regions
Figure 2.
Figure 2.
Flowchart depicting the number of patients in the study
See this image and copyright information in PMC

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