Evidence map›Paper›PMID 33267796›Full record

ArticleBMC emergency medicine2020

Characteristic patterns of emergency ambulance assignments for older adults compared with adults requiring emergency care at home in Sweden: a total population study.

Anna Hjalmarsson, Mats Holmberg, Margareta Asp, Gunnel Östlund, Kent W Nilsson, Birgitta Kerstis

Abstract read
In one paragraph

Article in BMC emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Observational
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  16. The dialogue as decision support; lived experiences of extended collaboration when an ambulance is called.International journal of qualitative studies on health and well-being · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anna HjalmarssonSchool of Health, Care and Social Welfare, Mälardalen University, Eskilstuna Västerås, Sweden. anna.hjalmarsson@mdh.se.ORCID 0000-0002-5758-7610
Mats HolmbergFaculty of Health and Life Sciences, Linneaus University, Växjö, Sweden.
Margareta AspSchool of Health, Care and Social Welfare, Mälardalen University, Eskilstuna Västerås, Sweden.
Gunnel ÖstlundSchool of Health, Care and Social Welfare, Mälardalen University, Eskilstuna Västerås, Sweden.
Kent W NilssonSchool of Health, Care and Social Welfare, Mälardalen University, Eskilstuna Västerås, Sweden.
Birgitta KerstisSchool of Health, Care and Social Welfare, Mälardalen University, Eskilstuna Västerås, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the vast majority of older adults in Sweden live in their private homes throughout life, the emergency medical services need to adapt accordingly. Hence, we aimed to describe characteristic patterns of dyadic staffed emergency ambulance assignments for older adults aged > 70 years compared with adults aged 18-69 years requiring emergency care at home in Sweden.

methodsA descriptive retrospective study was performed using anonymized registry data from the emergency medical services in a region of Sweden during 2017-2018. One-sample χ

resultsOf all included emergency ambulance assignments (n = 28,533), 59.9% involved older adults, of which 53.8% were women. The probability for older adults to receive the highest priority was decreased for both dispatch (p < 0.001, odds ratio [OR] 0.63, 95% confidence interval [CI] 0.59-0.66), and transport priorities (p < 0.001, OR 0.74, 95% CI 0.68-0.80). Older adults were more likely to receive dispatch priority levels 2 (p < 0.001, OR 1.48, 95% CI 1.40-1.56), and 3 (p < 0.001, OR 1.73, 95% CI 1.46-2.06). The older adults were similarly more likely to receive transport priority level 3 (p < 0.001, OR 1.40, 95% CI 1.28-1.52) compared with adults. Age had a small but additive effect in relation to on-scene time (p < 0.001, R

conclusionThe issues of the lower priority level preponderance, and the decreased probability for receiving the highest priority warrant further attention in future research and clinical practice.

Indexed as

AdolescentAdultAgedAged, 80 and overAmbulancesEmergency Medical ServicesFemaleHome Care ServicesHumansMaleMiddle AgedRetrospective StudiesSwedenAmbulanceCharacteristicsEmergency medical servicesOlder adults

Identifiers

PMID33267796
PMCPMC7709262

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.