ArticleBMJ open2019
Prehospital time and mortality in patients requiring a highest priority emergency medical response: a Danish registry-based cohort study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Association Between Rurality and Mortality: Observational Study of Spanish and United States Prehospital Emergency Care Cohorts.Healthcare (Basel, Switzerland) · 2026Article
- Geographic distribution of EMS missions and patient conditions in suburban and rural Sweden: a retrospective observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
- Differences in prehospital emergency medical care between urban and rural regions based on acute coronary syndrome-the MONAH1 study.Wiener medizinische Wochenschrift (1946) · 2026Article
- Performance of a modified Sequential Organ Failure Assessment score in pre-hospital critical care to predict short-term mortality: a prospective, multicentre, validation cohort study.EClinicalMedicine · 2025Article
- Machine learning to improve predictive performance of prehospital early warning scores.Scientific reports · 2025Article
- A classification system for identifying patients dead on ambulance arrival: a prehospital medical record review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Engineering a Two-Component Hemostat for the Treatment of Internal Bleeding through Wound-Targeted Crosslinking.Advanced healthcare materials · 2023Article
- What factors contribute towards ambulance on-scene times for suspected stroke patients? An observational study.European stroke journal · 2023Observational
- More emergency patients presenting with chest pain.PloS one · 2023Article
- Knowledge, Attitudes, and Perceptions Regarding CPR Among Non-medical Staff at a Medical School in South Africa.Cureus · 2023Article
- The impact of regionalized trauma care on the distribution of severely injured patients in the Netherlands.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Relationship Between Prehospital Time and 24-h Mortality in Road Traffic-Injured Patients in Laos.World journal of surgery · 2022Observational
- Article
- Prehospital time and mortality in polytrauma patients: a retrospective analysis.BMC emergency medicine · 2021Article
- Article
- Pre-hospital factors and survival after out-of-hospital cardiac arrest according to population density, a nationwide study.Resuscitation plus · 2020Article
- Intubation during a medevac flight: safety and effect on total prehospital time in the helicopter emergency medical service system.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Pre-hospital triage performance and emergency medical services nurse's field assessment in an unselected patient population attended to by the emergency medical services: a prospective observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Observational
- Prehospital Point-Of-Care Lactate Increases the Prognostic Accuracy of National Early Warning Score 2 for Early Risk Stratification of Mortality: Results of a Multicenter, Observational Study.Journal of clinical medicine · 2020Article
- Impact of coronavirus disease 2019 on the mortality of patients who received emergency transportation: a population-based cross-sectional study.Acute medicine & surgeryArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the association between time from emergency medical service vehicle dispatch to hospital arrival and 1-day and 30-day mortality.
designRegister-based cohort study.
settingNorth Denmark Region (≈8000 km
participantsWe included all highest priority dispatched ambulance transports in North Denmark Region in 2006-2012.
interventionsUsing logistic regression and the g-formula approach, we examined the association between time from emergency dispatch to hospital arrival and mortality for presumed heart, respiratory, cerebrovascular and other presumed medical conditions, as well as traffic or other accidents, as classified by emergency dispatch personnel.
main outcome measures1-day and 30-day mortality.
resultsAmong 93 167 individuals with highest priority ambulances dispatched, 1948 (2.1%) were dead before the ambulance arrived and 19 968 (21.4%) were transported to the hospital under highest priority (median total prehospital time from dispatch to hospital arrival 47 min (25%-75%: 35-60 min); 95th percentile 84 min). Among 18 709 with population data, 1-day mortality was 10.9% (n=2038), and was highest for patients with dyspnoea (20.4%) and lowest for patients with traffic accidents (2.8%). Thirty-day mortality was 18.3% and varied between 36.6% (patients with dyspnoea) and 3.7% (traffic accidents). One-day mortality was not associated with total prehospital time, except for presumed heart conditions, where longer prehospital time was associated with decreased mortality: adjusted OR for >60 min vs 0-30 min was 0.61 (95% CI 0.40 to 0.91). For patients with dyspnoea, OR for >60 min vs 0-30 min was 0.90 (95% CI 0.56 to 1.45), for presumed cerebrovascular conditions OR 1.41 (95% CI 0.53 to 3.78), for other presumed medical conditions OR 0.84 (95% CI 0.70 to 1.02), for traffic accidents OR 0.65 (95% CI 0.29 to 1.48) and for other accidents OR 0.84 (95% CI 0.47 to 1.51). Similar findings were found for 30-day mortality.
conclusionsIn this study, where time from emergency dispatch to hospital arrival mainly was <80 min, there was no overall relation between this prehospital time measure and mortality.
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