ArticleActa anaesthesiologica Scandinavica2022
Ambulance crew-initiated non-conveyance in the Helsinki EMS system-A retrospective cohort study.
Article in Acta anaesthesiologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Scoping review on alternative care options for patients calling the ambulance.BMC emergency medicine · 2026Pooled it
- "We need to accept our limited resources": a qualitative study exploring ambulance clinicians' experiences of working conditions when caring for patients with breathlessness.BMC emergency medicine · 2026Article
- "I just needed help": a qualitative study of patients' experiences with a single responder ambulance.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Demographic and clinical characteristics of frequent users of emergency medical services in Türkiye.Turkish journal of medical sciences · 2026Article
- Characteristics and causes in patients presenting with convulsions in the Danish prehospital setting.Scandinavian journal of trauma, resuscitation and emergency medicine · 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
- Risk screening by the emergency medical services identifies older patients at risk of emergency department readmission: a retrospective observational study.Aging clinical and experimental research · 2025Observational
- 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
- 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
- Prediction of the future number of fall-related emergency medical services calls in older individuals.International journal of emergency medicine · 2024Article
- Role identities of emergency medical services personnel and their associations with intention to leave the profession.BMC emergency medicine · 2024Article
- Factors influencing non-conveyance care encounters in the ambulance service, registered nurses experiences - a qualitative study.BMC nursing · 2024Article
- Paramedic Education and Training for the Management of Patients Presenting with Low-Acuity Clinical Conditions: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Ambulance quality and outcome measures for general non-conveyed populations (AQUA): A scoping review.PloS one · 2024Article
- Prehospital COVID-19 patients discharged at the scene - an observational study.BMC emergency medicine · 2023Observational
- Rethinking non-urgent EMS conveyance to ED during night-time - a pilot study in Southwest Finland.BMC emergency medicine · 2023Article
- Epidemiological Determinants of Patient Non-Conveyance to the Hospital in an Emergency Medical Service Environment.International journal of environmental research and public health · 2023Article
Corrections and comments
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8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAmbulance patients are usually transported to the hospital in the emergency medical service (EMS) system. The aim of this study was to describe the non-conveyance practice in the Helsinki EMS system and to report mortality following non-conveyance decisions.
methodsAll prehospital patients ≥16 years attended by the EMS but not transported to a hospital during 2013-2017 were included in the study. EMS mission- and patient-related factors were collected and examined in relation to patient death within 30 days of the EMS non-conveyance decision.
resultsThe EMS performed 324,207 missions with a patient during the study period. The patient was not transported in 95,909 (29.6%) missions; 72,233 missions met the study criteria. The patient mean age (standard deviation) was 59.5 (22.5) years; 55.5% of patients were female. The most common dispatch codes were malaise (15.0%), suspected decline in vital signs (14.0%), and falling over (12.9%). A total of 960 (1.3%) patients died within 30 days after the non-conveyance decision. Multivariate logistic regression analysis revealed that mortality was associated with the patient's inability to walk (odds ratio 3.19, 95% confidence interval 2.67-3.80), ambulance dispatch due to shortness of breath (2.73, 2.27-3.27), decreased level of consciousness (2.72, 1.75-4.10), decreased blood oxygen saturation (2.64, 2.27-3.06), and abnormal systolic blood pressure (2.48, 1.79-3.37).
conclusionOne-third of EMS missions did not result in patient transport to the hospital. Thirty-day mortality was 1.3%. Abnormalities in multiple respiratory-related vital signs were associated with an increased likelihood of death within 30 days.
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