ArticleBMJ open2020
Non-conveyance in the ambulance service: a population-based cohort study in Stockholm, Sweden.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed, 61 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
- Article
- Patient safety and predictors for subsequent healthcare contact after self-care referral from Swedish ambulance services: a retrospective cohort study.BMC emergency medicine · 2026Article
- Bracing for the next wave: A critical incident study of frontline decision-making, adaptation and learning in ambulance care during COVID-19.Journal of advanced nursing · 2025Article
- Article
- An analysis of characteristics and associated factors for re-contacts after EMS non-conveyance: a retrospective cohort study in the Netherlands.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Exploring care pathways of patients conveyed by emergency medical services (EMS) through electronic health records.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- An analysis of ambulance re-contacts after non-conveyance: a retrospective cohort study in the Netherlands.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Navigating oneself through the eyes of the other - meanings of encountering ambulance clinicians while being in a suicidal process.International journal of qualitative studies on health and well-being · 2024Article
- Treat and release: an observational study of non-conveyed high-acuity dispatches in a Danish emergency medical system.Internal and emergency medicine · 2024Observational
- Serious conditions among conveyed and non-conveyed patients presenting with nonspecific chief complaints to the ambulance service.BMC emergency medicine · 2024Article
- Correlation between the accuracy of the emergency response centre's urgency assessment and emergency medical services non-conveyance: a retrospective register-based study in Finland.BMC emergency medicine · 2024Article
- Factors influencing non-conveyance care encounters in the ambulance service, registered nurses experiences - a qualitative study.BMC nursing · 2024Article
- Epidemiology of prehospital emergency calls according to patient transport decision in a middle eastern emergency care environment: Retrospective cohort-based.Health science reports · 2024Article
- Patient experience of non-conveyance in the EMS of Southwest Finland: a descriptive survey study.BMC emergency medicine · 2024Article
- The non-conveyance of trauma patients in Swedish emergency medical services: a retrospective observational study of the trauma population not transported to an emergency department.BMC emergency medicine · 2024Observational
- Ambulance quality and outcome measures for general non-conveyed populations (AQUA): A scoping review.PloS one · 2024Article
- Ambulance deployment without transport: a retrospective difference analysis for the description of emergency interventions without patient transport in Bavaria.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Understanding patient non-transport decision theories in the pre-hospital setting: a narrative review.International journal of emergency medicine · 2023Review
- Mental health emergencies attended by ambulances in the United Kingdom and the implications for health service delivery: A cross-sectional study.Journal of health services research & policy · 2023Observational
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesNon-conveyed patients represent a significant proportion of all patients cared for by ambulance services in the western world. However, scientific knowledge on non-conveyance is sparse. Therefore, the aim of this study was to describe the prevalence of non-conveyance, investigate associations and compare patients' characteristics, drug administration, initial problems and vital signs between non-conveyed and conveyed patients.
designA population-based retrospective cohort study.
settingThe study setting area, Stockholm, Sweden, has a population of 2.3 million inhabitants, with seven emergency hospitals. Annually, approximately 210 000 assignments are performed by 73 ambulances. All ambulance assignments performed from 1 January to 31 December 2015 were included.
resultsIn total, 23 603 ambulance assignments ended in non-conveyance-13.8% of all ambulance assignments performed in 2015. Compared with conveyed patients, non-conveyed patients were younger and more often female (median age 50.1 years for non-conveyed vs 61.7 years for conveyed; female=52 %, both p values <0.001). Approximately half of all ambulance assignments ending in non-conveyance were initially prioritised and dispatched as the highest priority. Non-conveyed patients were more often assessed by ambulance clinicians as presenting non-specific symptoms or symptoms related to psychiatric problems. Low blood glucose levels were highly associated with non-conveyance (adjusted OR (AOR): 15; 95 % CI 11.18 to 20.13), although non-conveyed patients presented abnormal vital signs across all categories of vital signs. Moreover, drugs were more often administered to younger non-conveyed patients. Older patients were more often conveyed and administered drugs once conveyed (AOR: 1.29; 95 % CI 1.07 to 1.56).
conclusionsThis study shows that non-conveyed patients represent a non-negligible proportion of all patients in contact with ambulance services. In general, most cases of non-conveyance occur at the highest dispatch level, to a large extent involve younger patients, and features problems assessed by ambulance clinicians as non-specific or related to psychiatric symptoms.
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