ArticleBMJ paediatrics open2019
Outcomes in children evaluated but not transported by ambulance personnel: retrospective cohort study.
Article in BMJ paediatrics open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Children and young people assessed by ambulance clinicians in a sparsely populated circumpolar region: non-conveyance and subsequent healthcare contacts in Northern Sweden.International journal of circumpolar health · 2026Article
- Patient safety and predictors for subsequent healthcare contact after self-care referral from Swedish ambulance services: a retrospective cohort study.BMC emergency medicine · 2026Article
- Patient safety in non-conveyance within prehospital emergency medical services: a register-based study.Internal and emergency medicine · 2026Article
- Pediatric Outcomes of Emergency Medical Services Non-Transport Before and During the COVID-19 Pandemic.The western journal of emergency medicine · 2024Article
- Ambulance quality and outcome measures for general non-conveyed populations (AQUA): A scoping review.PloS one · 2024Article
- Caregiver Perceptions Regarding Alternative Emergency Medical Services Dispositions for Children: A Cross-Sectional Survey Analysis.The western journal of emergency medicine · 2022Article
- Why do infants need out-of-hospital emergency medical services? A retrospective, population-based study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Paediatric prehospital emergencies and restrictions during the COVID-19 pandemic: a population-based study.BMJ paediatrics open · 2020Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNot all children with an out-of-hospital emergency medical contact are transported by ambulance to the emergency department (ED). Non-transport means that after on-scene evaluation and possible treatment, ambulance personnel may advise the patient to monitor the situation at home or may refer the patient to seek medical attention by other means of transport. As selecting the right patients for ambulance transport is critical for optimising patient safety and resource use, we studied outcomes in non-transported children to identify possible risk groups that could benefit from ambulance transport.
methodsIn a population-based retrospective cohort study of all children aged 0-15 years encountered but not transported by ambulance in Helsinki, Finland, between 1 January 2014 and 31 December 2016, we evaluated (1) 12-month mortality, (2) intensive care admissions, (3) unscheduled ED contacts within the following 96 hours after the non-transport decision and (4) the clinical status of the child on presentation to ED in the case of a secondary ED visit.
resultsOf all children encountered by out-of-hospital emergency medical services, 3579/7765 (46%) were not transported to ED by ambulance. There was no mortality or intensive care admissions related to the non-transport. The risk factors for an unscheduled secondary ED visit after a non-transport decision were young age (p=0.001), non-transport decision during the early morning hours (p<0.001) and certain dispatch codes, including 'dyspnoea' (p<0.001), 'vomiting/diarrhoea' (p=0.030) and 'mental illness' (p=0.019). We did not detect deterioration in patients' clinical presentation at ED traceable to non-transport decisions.
conclusionsNot transporting all children by ambulance after an out-of-hospital emergency medical contact was not associated with deaths, intensive care admissions or significant deterioration in general condition in our study population and healthcare system. Special attention and a formal non-transport protocol are warranted in certain subgroups, including infants.
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