ArticleScandinavian journal of trauma, resuscitation and emergency medicine2018
Patient and case characteristics associated with 'no paramedic treatment' for low-acuity cases referred for emergency ambulance dispatch following a secondary telephone triage: a retrospective cohort study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- The Economic Impact of Community Paramedics Within Emergency Medical Services: A Systematic Review.Applied health economics and health policy · 2024Pooled it
- Examining the alignment between an intervention-based paramedic model of care and 9-1-1 utilization.BMC health services research · 2026Observational
- Article
- Paramedic Education and Training for the Management of Patients Presenting with Low-Acuity Clinical Conditions: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Paramedic Education to Support the Use of Low-Acuity Care Pathways: A Scoping Review Protocol.Nursing reports (Pavia, Italy) · 2023Article
- Paramedic management of back pain: a scoping review.BMC emergency medicine · 2022Article
- Determining the sensitivity of emergency dispatcher and paramedic diagnosis of stroke: statewide registry linkage study.Journal of the American College of Emergency Physicians open · 2022Article
- A Retrospective Review of Patient Records and Factors Associated with Decisions Made by Community Nurse-Paramedics' in Finland.Nursing reports (Pavia, Italy) · 2021Article
- Revision of the Protocol of the Telephone Triage System in Tokyo, Japan.Emergency medicine international · 2021Article
- Article
- Article
- Changing role of EMS -analyses of non-conveyed and conveyed patients in Finland.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Differences between cases admitted to hospital and discharged from the emergency department after emergency medical services transport.BMJ open · 2019Observational
- Article
- Linking Data From the Australian Stroke Clinical Registry With Ambulance and Emergency Administrative Data in Victoria.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPredicting case types that are unlikely to be treated by paramedics can aid in managing demand for emergency ambulances by identifying cases suitable for alternative management pathways. The aim of this study was to identify the patient characteristics and triage outcomes associated with 'no paramedic treatment' for cases referred for emergency ambulance dispatch following secondary telephone triage.
methodsA retrospective cohort analysis was conducted of cases referred for emergency ambulance dispatch following secondary telephone triage between September 2009 and June 2012. Multivariable logistic regression modelling was used to identify explanatory variables associated with 'no paramedic treatment'.
resultsThere were 19,041 cases eligible for inclusion in this study over almost three years, of which 8510 (44.7%) were not treated after being sent an emergency ambulance following secondary triage. Age, time of day, pain, triage guideline group, and comorbidities were associated with 'no paramedic treatment'. In particular, cases 0-4 years of age or those with psychiatric conditions were significantly less likely to be treated by paramedics, and increasing pain resulted in higher rates of paramedic treatment.
conclusionsThis study highlights that case characteristics can be used to identify particular case types that may benefit from care pathways other than emergency ambulance dispatch. This process is also useful to identify gaps in the alternative care pathways currently available. These findings offer the opportunity to optimise secondary telephone triage services to support their strategic purpose of minimising unnecessary emergency ambulance demand and to match the right case with the right care pathway.
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Registered trials
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