Emergency department admission and mortality of the non-transported emergency medical service patients: a cohort study from Northern Finland
| العنوان: | Emergency department admission and mortality of the non-transported emergency medical service patients: a cohort study from Northern Finland |
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| المؤلفون: | Lasse Raatiniemi, Sanna Lahtinen, Janne Liisanantti, Ari Ehrola, Lauri Laukkanen, Timo Kaakinen |
| المصدر: | Emergency Medicine Journal. 39:443-450 |
| بيانات النشر: | BMJ, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Emergency Medical Services, medicine.medical_specialty, Abdominal pain, business.industry, Medical record, General Medicine, Emergency department, Northern finland, Critical Care and Intensive Care Medicine, Abdominal Pain, Cohort Studies, Patient safety, Hyperglycemia, Cohort, Emergency medicine, Emergency Medicine, Emergency medical services, Humans, Medicine, medicine.symptom, Emergency Service, Hospital, business, Finland, Retrospective Studies, Cohort study |
| الوصف: | ObjectivesA high number of emergency medical service (EMS) patients are not transported to hospital by ambulance. Various non-transport protocols and guidelines have been implemented by different EMS providers. The present study examines subsequent tertiary care ED and hospital admission and mortality of the patients assessed and not transported by EMS in Northern Finland and evaluates the factors predicting these outcomes.MethodsData from EMS missions with a registered non-transportation code during 1 January 2018–31 December 2018 were screened retrospectively. EMS charts were retrieved from a local EMS database and data concerning hospital admission and mortality were collected from the medical records of Oulu University Hospital, Oulu, Finland.ResultsA total of 12 530 EMS non-transport missions were included. Of those, a total of 344 (2.7%) patients were admitted to tertiary care ED in 48 hours after the EMS contact, and 229 (1.8%) of them were further admitted to the hospital. Patients with the dispatch code ‘abdominal pain’, clinical presentation with fever or hyperglycaemia, physician phone consultation and a decision not to transport during night hours were associated with a higher risk of ED admission within 48 hours after EMS contact. Overall 48-hour and 30-day mortalities of non-transported patients were 0.2% (n=25) and 1.0% (n=128), respectively.ConclusionIn this cohort, the rate of subsequent tertiary care ED admission and mortality in the non-transported EMS patients was low. Dispatch code abdominal pain, clinical presentation with fever or hyperglycaemia, physician phone consultation and night-hours increased the risk of ED admission within 48 hours after EMS contact. |
| تدمد: | 1472-0213 1472-0205 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f613d74d981a49b800817a6ec971bf81 https://doi.org/10.1136/emermed-2020-209914 |
| رقم الأكسشن: | edsair.doi.dedup.....f613d74d981a49b800817a6ec971bf81 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14720213 14720205 |
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