{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T08:08:23Z","timestamp":1778400503685,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Chilean Patagonia faces major challenges due to geographic isolation and harsh climate, which limit access to emergency healthcare and result in a heavy reliance on air transport. We aimed to quantify the demand for healthcare and describe the epidemiologic profile of acute, time-sensitive conditions requiring aeromedical evacuation in the Los Lagos and Ays\u00e9n regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a descriptive observational study analyzing aeromedical evacuations to higher levels of care during the 2022-24 period. We included trauma, myocardial infarction, stroke, respiratory failure, obstetric emergencies, psychiatric emergencies, and other clinical conditions. Data from the Emergency Medical Care System of Los Lagos and the Ays\u00e9n Health Service were analyzed using descriptive statistics and\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      tests to compare population-adjusted transfer incidences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We analyzed 2415 evacuations (57% in Ays\u00e9n, 43% in Los Lagos). The transfer incidence in Ays\u00e9n was nearly 12 times higher than in Los Lagos. Severe trauma was the most common cause (15%), followed by acute abdomen (10%) and respiratory diseases (9%). Significant regional differences were found in Ays\u00e9n, where trauma and respiratory conditions predominated, whereas in Los Lagos, trauma and acute abdomen were most frequent. Older adults in Ays\u00e9n had the highest incidences per 100,000 inhabitants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Regional disparities in evacuation rates reveal profound territorial inequalities and logistical barriers. Addressing these systemic failures requires the decentralization of advanced diagnostic tools and the establishment of dedicated aeromedical crews stationed within isolated regions to ensure health equity in Chilean Patagonia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10806032261448154","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T13:57:08Z","timestamp":1778075828000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidence and Epidemiologic Profile of Time-Sensitive Conditions Requiring Aeromedical Evacuation in the Isolated Areas of Chilean Patagonia"],"prefix":"10.1177","author":[{"given":"Pedro","family":"Arcos Gonz\u00e1lez","sequence":"first","affiliation":[{"name":"Universidad de Oviedo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcos","family":"Saldivia Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Universidad de Oviedo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2907-4081","authenticated-orcid":false,"given":"Jos\u00e9 Antonio","family":"Cernuda Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Universidad de Oviedo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Regional Government of Los Lagos. Los Lagos Region: Background Information. Accessed July 2 2025. http:\/\/www.goreloslagos.cl"},{"key":"e_1_3_2_3_2","unstructured":"Regional Government of Ays\u00e9n. Regional Development Strategy Ays\u00e9n Region 2010\u20132030. 2010. Accessed July 2 2025. http:\/\/www.goreaysen.cl\/estrategia-regional-de-desarrollo-aysen"},{"key":"e_1_3_2_4_2","unstructured":"Cid Burboa F Salas Daza Y. Spatial analysis of effective access to healthcare in Chile. Red de Repositorios Latinamericanos. http:\/\/repositorioslatinoamericanos.uchile.cl\/handle\/2250\/4432958"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13371"},{"key":"e_1_3_2_6_2","unstructured":"Austral Road. Details of the bimodal route. Accessed July 4 2025. http:\/\/carretera-austral.cl\/detalles-de-la-ruta-bimodal-en-carretera-austral"},{"key":"e_1_3_2_7_2","unstructured":"Climate Change Office Climatology Section Chilean Meteorological Directorate General Directorate of Civil Aviation. Annual Report on Climate Change in Chile. 2025. Accessed July 5 2025. http:\/\/www.dgac.gob.cl\/reporte-evolucion-del-clima-2024"},{"key":"e_1_3_2_8_2","unstructured":"National Institute of Statistics of Chile. Estimates and Projections of the Population of Chile 2002\u20132035. 2019. Accessed July 6 2025. http:\/\/www.ine.gob.cl\/docs\/default-source\/proyecciones-de-poblacion\/publicaciones-y-anuarios\/base-2017\/ine_estimaciones-y-proyecciones-2002-2035_base-2017_reg_%C3%A1rea_s%C3%ADntesis.pdf?sfvrsn=aaeb88e7_5"},{"key":"e_1_3_2_9_2","unstructured":"Chilean Undersecretary of Tourism. Subsecretar\u00eda de Turismo. Accessed July 5 2025. https:\/\/www.subturismo.gob.cl\/."},{"key":"e_1_3_2_10_2","unstructured":"Government of Chile. More than 700 air transfers of critically ill COVID-19 patients have been carried out during the pandemic. Gobierno de Chile; 2021. Accessed July 7 2025. http:\/\/www.gob.cl\/noticias\/mas-de-700-traslados-aereos-de-pacientes-criticos-covid-19-se-han-realizado-durante-la-pandemia"},{"key":"e_1_3_2_11_2","unstructured":"North Atlantic Treaty Organization. North Atlantic Treaty Organization Term. NATO. Accessed July 6 2025. http:\/\/nso.nato.int\/natoterm\/Web.mvc"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8305.2010.00454.x"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.941464"},{"key":"e_1_3_2_14_2","unstructured":"World Health Organization. Medical Evacuation in Emergencies: A Guidance for Medical Teams and Specialized Care Teams. WHO; 2025. Accessed July 8 2025. http:\/\/iris.who.int\/bitstream\/handle\/10665\/381815\/9789240112513-eng.pdf?sequence=1&isAllowed=y"},{"key":"e_1_3_2_15_2","unstructured":"Undersecretariat for Regional and Administrative Development of Chile. Study to Identify Isolated Localities. 2012. Accessed July 8 2025. https:\/\/www.subdere.gov.cl\/sites\/default\/files\/documentos\/metodologia_03072013.pdf"},{"key":"e_1_3_2_16_2","unstructured":"Pan American Health Organization. Summary Sheet on Health Inequalities Chile. 2000. Accessed July 6 2025. http:\/\/hia.paho.org\/en\/country-profiles\/chile"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032261448154","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10806032261448154","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032261448154","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T07:16:41Z","timestamp":1778397401000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10806032261448154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,6]]},"references-count":15,"alternative-id":["10.1177\/10806032261448154"],"URL":"https:\/\/doi.org\/10.1177\/10806032261448154","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,6]]},"article-number":"10806032261448154"}}