Accuracy of dispatch and prehospital triage performance in poisonings – A retrospective study from northern Finland
BACKGROUND: Increasing numbers of dispatches place a burden on EMS; this study sought to assess the prehospital evaluation of poisoned patients transported to hospital. The primary aim of this study was to measure dispatch centre and EMS provider performance as well as factors contributing to the re...
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ftpubmed:oai:pubmedcentral.nih.gov:10092780 2023-06-06T11:57:49+02:00 Accuracy of dispatch and prehospital triage performance in poisonings – A retrospective study from northern Finland Koskela, Lauri Raatiniemi, Lasse Ehrola, Ari Kaakinen, Timo Lahtinen, Sanna Liisanantti, Janne 2022-10-12 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092780/ http://www.ncbi.nlm.nih.gov/pubmed/36183301 https://doi.org/10.1111/aas.14152 en eng John Wiley and Sons Inc. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092780/ http://www.ncbi.nlm.nih.gov/pubmed/36183301 http://dx.doi.org/10.1111/aas.14152 © 2022 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. Acta Anaesthesiol Scand Research Articles Text 2022 ftpubmed https://doi.org/10.1111/aas.14152 2023-04-16T01:10:31Z BACKGROUND: Increasing numbers of dispatches place a burden on EMS; this study sought to assess the prehospital evaluation of poisoned patients transported to hospital. The primary aim of this study was to measure dispatch centre and EMS provider performance as well as factors contributing to the recognition of poisoning among prehospital patients. The secondary aim was to compare triage performance between dispatch centres and EMS providers. METHODS: A retrospective single‐centre study in Northern Finland was conducted. Patients suspected as poisonings by dispatch centres as well as other EMS‐transported patients who received a diagnosis of poisoning in hospital between June 1, 2015 and June 1, 2017, were included. RESULTS: There were a total of 1668 poisoning‐related EMS missions. Dispatch centres suspected poisonings with sensitivity of 79.9% (95% CI 76.7–82.9) and specificity of 98.9% (95% CI 98.9–99.0) when all EMS missions were taken into account. In a logistic regression model, decreased state of consciousness as dispatch code (OR 7.18, 95% CI 1.90–27.05) and intravenous fluid resuscitation (OR 6.58, 95% CI 1.34–32.37) were associated with EMS transport providers not recognizing poisoning. Overtriage rate appeared significantly higher (33.6%, 95% CI 28.6–39.2) for dispatch when compared with transport (17.8%, 95% CI 13.9–22.6). CONCLUSION: Dispatch centres seem to suspect poisonings fairly accurately. Poisonings unrecognized by EMS providers may be linked with intravenous fluid resuscitation and decreased patient consciousness. Overtriage appears to resolve somewhat from dispatch to transport. There were no fatal poisonings in this study population. Text Northern Finland PubMed Central (PMC) Acta Anaesthesiologica Scandinavica 67 1 112 119 |
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Research Articles Koskela, Lauri Raatiniemi, Lasse Ehrola, Ari Kaakinen, Timo Lahtinen, Sanna Liisanantti, Janne Accuracy of dispatch and prehospital triage performance in poisonings – A retrospective study from northern Finland |
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Research Articles |
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BACKGROUND: Increasing numbers of dispatches place a burden on EMS; this study sought to assess the prehospital evaluation of poisoned patients transported to hospital. The primary aim of this study was to measure dispatch centre and EMS provider performance as well as factors contributing to the recognition of poisoning among prehospital patients. The secondary aim was to compare triage performance between dispatch centres and EMS providers. METHODS: A retrospective single‐centre study in Northern Finland was conducted. Patients suspected as poisonings by dispatch centres as well as other EMS‐transported patients who received a diagnosis of poisoning in hospital between June 1, 2015 and June 1, 2017, were included. RESULTS: There were a total of 1668 poisoning‐related EMS missions. Dispatch centres suspected poisonings with sensitivity of 79.9% (95% CI 76.7–82.9) and specificity of 98.9% (95% CI 98.9–99.0) when all EMS missions were taken into account. In a logistic regression model, decreased state of consciousness as dispatch code (OR 7.18, 95% CI 1.90–27.05) and intravenous fluid resuscitation (OR 6.58, 95% CI 1.34–32.37) were associated with EMS transport providers not recognizing poisoning. Overtriage rate appeared significantly higher (33.6%, 95% CI 28.6–39.2) for dispatch when compared with transport (17.8%, 95% CI 13.9–22.6). CONCLUSION: Dispatch centres seem to suspect poisonings fairly accurately. Poisonings unrecognized by EMS providers may be linked with intravenous fluid resuscitation and decreased patient consciousness. Overtriage appears to resolve somewhat from dispatch to transport. There were no fatal poisonings in this study population. |
format |
Text |
author |
Koskela, Lauri Raatiniemi, Lasse Ehrola, Ari Kaakinen, Timo Lahtinen, Sanna Liisanantti, Janne |
author_facet |
Koskela, Lauri Raatiniemi, Lasse Ehrola, Ari Kaakinen, Timo Lahtinen, Sanna Liisanantti, Janne |
author_sort |
Koskela, Lauri |
title |
Accuracy of dispatch and prehospital triage performance in poisonings – A retrospective study from northern Finland |
title_short |
Accuracy of dispatch and prehospital triage performance in poisonings – A retrospective study from northern Finland |
title_full |
Accuracy of dispatch and prehospital triage performance in poisonings – A retrospective study from northern Finland |
title_fullStr |
Accuracy of dispatch and prehospital triage performance in poisonings – A retrospective study from northern Finland |
title_full_unstemmed |
Accuracy of dispatch and prehospital triage performance in poisonings – A retrospective study from northern Finland |
title_sort |
accuracy of dispatch and prehospital triage performance in poisonings – a retrospective study from northern finland |
publisher |
John Wiley and Sons Inc. |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092780/ http://www.ncbi.nlm.nih.gov/pubmed/36183301 https://doi.org/10.1111/aas.14152 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
Acta Anaesthesiol Scand |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092780/ http://www.ncbi.nlm.nih.gov/pubmed/36183301 http://dx.doi.org/10.1111/aas.14152 |
op_rights |
© 2022 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
op_doi |
https://doi.org/10.1111/aas.14152 |
container_title |
Acta Anaesthesiologica Scandinavica |
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67 |
container_issue |
1 |
container_start_page |
112 |
op_container_end_page |
119 |
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1767966186802249728 |