Scholarlink

Objectives <p>This study investigated the patient safety of prehospital Emergency Medical Service (EMS) non-conveyance decisions by examining EMS reassessments on-scene, hospital admission, and mortality within 48&#xa0;h among non-conveyed patients. Secondarily, we described proportions of patients within each dispatch code needing reassessment and hospital admission and explored predictors of these outcomes.</p> Methods <p>This register-based study included all EMS assignments in the Central Denmark Region from January 1st, 2022, to December 31st, 2023, resulting in EMS-initiated non-conveyance. We estimated the proportion of patients reassessed on-scene by EMS providers, admitted to hospital or deceased within 48&#xa0;h. Predictors of reassessment and hospital admission were explored using regression models.</p> Results <p>During the 2-year period, 17.402 patients were non-conveyed. Among these, 4.70% (95% CI: 4.40–5.03%) were reassessed by EMS providers, 4.92% (95% CI: 4.60–5.25%) were admitted to the hospital within 48&#xa0;h, and 14 patients died within 48&#xa0;h (0.08%, 95% CI: 0.04–0.13%). Patients with ‘ear, nose and throat’ complaints had a high risk of needing EMS reassessment (17.6%, 95% CI: 11.5–25.2%) and hospital admission (16.0%, 95% CI: 10.2–23.5%). Furthermore, the risk was high in patients with ‘seizures’, ‘non-traumatic bleeding’ and ‘psychiatry/suicidal ideation’. Male sex, older age, and abnormal vital signs were identified as predictors.</p> Conclusions <p>Within 48&#xa0;h, mortality was low and few non-conveyed patients were reassessed by the EMS and admitted to the hospital. This suggests that non-conveyance is generally a safe practice. However, caution is needed when considering males, older patients, those with specific complaints, and abnormal vital signs.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Patient safety in non-conveyance within prehospital emergency medical services: a register-based study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年5月22日

查看全文
  • Frederikke Amalie Møller,
  • Martin Faurholdt Gude,
  • Rasmus Østergaard Nielsen,
  • Tine Bennedsen Gehrt

摘要

Objectives

This study investigated the patient safety of prehospital Emergency Medical Service (EMS) non-conveyance decisions by examining EMS reassessments on-scene, hospital admission, and mortality within 48 h among non-conveyed patients. Secondarily, we described proportions of patients within each dispatch code needing reassessment and hospital admission and explored predictors of these outcomes.

Methods

This register-based study included all EMS assignments in the Central Denmark Region from January 1st, 2022, to December 31st, 2023, resulting in EMS-initiated non-conveyance. We estimated the proportion of patients reassessed on-scene by EMS providers, admitted to hospital or deceased within 48 h. Predictors of reassessment and hospital admission were explored using regression models.

Results

During the 2-year period, 17.402 patients were non-conveyed. Among these, 4.70% (95% CI: 4.40–5.03%) were reassessed by EMS providers, 4.92% (95% CI: 4.60–5.25%) were admitted to the hospital within 48 h, and 14 patients died within 48 h (0.08%, 95% CI: 0.04–0.13%). Patients with ‘ear, nose and throat’ complaints had a high risk of needing EMS reassessment (17.6%, 95% CI: 11.5–25.2%) and hospital admission (16.0%, 95% CI: 10.2–23.5%). Furthermore, the risk was high in patients with ‘seizures’, ‘non-traumatic bleeding’ and ‘psychiatry/suicidal ideation’. Male sex, older age, and abnormal vital signs were identified as predictors.

Conclusions

Within 48 h, mortality was low and few non-conveyed patients were reassessed by the EMS and admitted to the hospital. This suggests that non-conveyance is generally a safe practice. However, caution is needed when considering males, older patients, those with specific complaints, and abnormal vital signs.