ArticleScandinavian journal of trauma, resuscitation and emergency medicine2018
The final assessment and its association with field assessment in patients who were transported by the emergency medical service.
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 11 papers.
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Who cites it
11 citing papers in PubMed.
- Competence required while caring for people living with mental illness in the ambulance care setting: a Delphi study.Discover mental health · 2025Article
- Epidemiology of patients assessed for trauma by Swedish ambulance services: a retrospective registry study.BMC emergency medicine · 2024Article
- On Scene Injury Severity Prediction (OSISP) model for trauma developed using the Swedish Trauma Registry.BMC medical informatics and decision making · 2023Article
- Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.BMC emergency medicine · 2022Article
- A registry-based observational study comparing emergency calls assessed by emergency medical dispatchers with and without support by registered nurses.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Observational
- Outpatient care in acute and prehospital emergency medicine by emergency medical and patient transport service over a 10-year period: a retrospective study based on dispatch data from a German emergency medical dispatch centre (OFF-RESCUE).BMC emergency medicine · 2021Article
- Article
- Characteristics of non-conveyed patients in emergency medical services (EMS): a one-year prospective descriptive and comparative study in a region of Sweden.BMC emergency medicine · 2020Article
- Towards definitions of time-sensitive conditions in prehospital care.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Interrupted transport by the emergency medical service in stroke/transitory ischemic attack: A consequence of changed treatment routines in prehospital emergency care.Brain and behavior · 2019Article
- Prehospital and Emergency Care in Adult Patients with Acute Traumatic Brain Injury.Medical sciences (Basel, Switzerland) · 2019Review
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Authors and funding
7 authors.
Funding
Abstract
backgroundIn patients who call for the emergency medical service (EMS), there is a knowledge gap with regard to the final assessment after arriving at hospital and its association with field assessment.
aimIn a representative population of patients who call for the EMS, to describe a) the final assessment at hospital discharge and b) the association between the assessment in the field and the assessment at hospital discharge.
methodsThirty randomly selected patients reached by a dispatched ambulance each month between 1 Jan and 31 Dec 2016 in one urban, one rural and one mixed ambulance organisation in Sweden took part in the study. The exclusion criteria were age < 18 years, dead on arrival, transport between health-care facilities and secondary missions. Each patient received a unique code based on the ICD code at hospital discharge and field assessment.
resultsIn all, 1080 patients took part in the study, of which 1076 (99.6%) had a field assessment code. A total of 894 patients (83%) were brought to a hospital and an ICD code (ICD-10-SE) was available in 814 patients (91% of these cases and 76% of all cases included in the study). According to these ICD codes, the most frequent conditions were infection (15%), trauma (15%) and vascular disease (9%). The most frequent body localisation of the condition was the thorax (24%), head (16%) and abdomen (13%). In 118 patients (14% of all ICD codes), the condition according to the ICD code was judged as time critical. Among these cases, field assessment was assessed as potentially appropriate in 75% and potentially inappropriate in 12%.
conclusionAmong patients reached by ambulance in Sweden, 83% were transported to hospital and, among them, 14% had a time-critical condition. In these cases, the majority were assessed in the field as potentially appropriate, but 12% had a potentially inappropriate field assessment. The consequences of these findings need to be further explored.
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