Prehospital medical problem reporting is essential in the management of helicopter emergency medical services (HEMS) operations. The consensus-based template for reporting and documenting in physician-staffed prehospital services exists and the classification of medical problems presented in the template is widely used in research and quality improvement. However, validation of the reported prehospital medical problem is lacking. This study aimed to describe the in-hospital diagnoses, patient characteristics and medical interventions in different categories of medical problems. This retrospective, observational registry study examined the 10 most common in-hospital International Statistical Classification of Disease (ICD-10) diagnoseswithin different prehospital medical problem categories, defined by the HEMS physician/paramedic immediately after the mission was completed. Data were gathered from a national HEMS quality registry and a national hospital discharge registry. Patient characteristics and medical interventions related to different medical problem categories are also described. A total of 33,844 patients were included in the analyses. All the medical problem categories included a broad spectrum of ICD-10 diagnoses (the number of diagnosis classes per medical problem category ranged from 73 to 403). The most frequent diagnoses were mainly consistent with the reported medical problems. Overlapping of ICD-10 diagnoses was mostly seen in two medical problem categories: stroke and acute neurology excluding stroke. Additionally, typical patient characteristics and disturbances in vital signs were related to adequate medical problem categories. Medical problems reported by HEMS personnel have adequate correspondence to hospital discharge diagnoses. However, the classification of cerebrovascular accidents remains challenging.

中文翻译：

---

院前重症监护中的标准化数据收集：医疗问题类别与出院诊断的比较

院前医疗问题报告对于直升机紧急医疗服务 (HEMS) 运营的管理至关重要。存在用于报告和记录由医生配备的院前服务的基于共识的模板，并且模板中呈现的医疗问题分类被广泛用于研究和质量改进。然而，缺乏对所报告的院前医疗问题的验证。本研究旨在描述不同类别医疗问题的住院诊断、患者特征和医疗干预措施。这项回顾性、观察性登记研究检查了不同院前医疗问题类别中的 10 种最常见的院内国际疾病统计分类 (ICD-10) 诊断，由 HEMS 医生/护理人员在任务完成后立即定义。数据来自国家 HEMS 质量登记处和国家出院登记处。还描述了与不同医疗问题类别相关的患者特征和医疗干预措施。共有 33,844 名患者被纳入分析。所有医疗问题类别包括广泛的 ICD-10 诊断（每个医疗问题类别的诊断类别数量从 73 到 403 不等）。最常见的诊断主要与报告的医疗问题一致。ICD-10 诊断的重叠主要出现在两个医学问题类别中：中风和不包括中风的急性神经病学。此外，典型的患者特征和生命体征紊乱与适当的医疗问题类别有关。HEMS 人员报告的医疗问题与出院诊断有充分的对应关系。然而，脑血管意外的分类仍然具有挑战性。