Emergency department admission and mortality of the non-transported emergency medical service patients: a cohort study from Northern Finland
Objectives A 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 mortal...
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Online Access: | http://dx.doi.org/10.1136/emermed-2020-209914 https://syndication.highwire.org/content/doi/10.1136/emermed-2020-209914 |
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crjcrbmj:10.1136/emermed-2020-209914 2024-06-23T07:55:30+00:00 Emergency department admission and mortality of the non-transported emergency medical service patients: a cohort study from Northern Finland Laukkanen, Lauri Lahtinen, Sanna Raatiniemi, Lasse Ehrola, Ari Kaakinen, Timo Liisanantti, Janne 2021 http://dx.doi.org/10.1136/emermed-2020-209914 https://syndication.highwire.org/content/doi/10.1136/emermed-2020-209914 en eng BMJ Emergency Medicine Journal volume 39, issue 6, page 443-450 ISSN 1472-0205 1472-0213 journal-article 2021 crjcrbmj https://doi.org/10.1136/emermed-2020-209914 2024-05-30T08:18:58Z Objectives A 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. Methods Data 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. Results A 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. Conclusion In 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. Article in Journal/Newspaper Northern Finland The BMJ Emergency Medicine Journal emermed-2020-209 |
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Objectives A 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. Methods Data 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. Results A 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. Conclusion In 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. |
format |
Article in Journal/Newspaper |
author |
Laukkanen, Lauri Lahtinen, Sanna Raatiniemi, Lasse Ehrola, Ari Kaakinen, Timo Liisanantti, Janne |
spellingShingle |
Laukkanen, Lauri Lahtinen, Sanna Raatiniemi, Lasse Ehrola, Ari Kaakinen, Timo Liisanantti, Janne Emergency department admission and mortality of the non-transported emergency medical service patients: a cohort study from Northern Finland |
author_facet |
Laukkanen, Lauri Lahtinen, Sanna Raatiniemi, Lasse Ehrola, Ari Kaakinen, Timo Liisanantti, Janne |
author_sort |
Laukkanen, Lauri |
title |
Emergency department admission and mortality of the non-transported emergency medical service patients: a cohort study from Northern Finland |
title_short |
Emergency department admission and mortality of the non-transported emergency medical service patients: a cohort study from Northern Finland |
title_full |
Emergency department admission and mortality of the non-transported emergency medical service patients: a cohort study from Northern Finland |
title_fullStr |
Emergency department admission and mortality of the non-transported emergency medical service patients: a cohort study from Northern Finland |
title_full_unstemmed |
Emergency department admission and mortality of the non-transported emergency medical service patients: a cohort study from Northern Finland |
title_sort |
emergency department admission and mortality of the non-transported emergency medical service patients: a cohort study from northern finland |
publisher |
BMJ |
publishDate |
2021 |
url |
http://dx.doi.org/10.1136/emermed-2020-209914 https://syndication.highwire.org/content/doi/10.1136/emermed-2020-209914 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
Emergency Medicine Journal volume 39, issue 6, page 443-450 ISSN 1472-0205 1472-0213 |
op_doi |
https://doi.org/10.1136/emermed-2020-209914 |
container_title |
Emergency Medicine Journal |
container_start_page |
emermed-2020-209 |
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1802648132875452416 |