ArticleBundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz2022
[Differences between emergency medical services operations with and without patient transport : A retrospective analysis of dispatch center data in a territorial state].
Article in Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- [Emergency physician expertise in the emergency medical services of tomorrow: requirements in the context of an evolving emergency care system].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Review
- 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
- Association between using a prehospital assessment unit and hospital admission and mortality: a matched cohort study.BMJ open · 2023Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of the emergency medical services (EMS) in Bavaria has been increasing for years. We hypothesized that emergency response without patient transport (RoT) is often an expression of inadequate alert planning. The aim of the study was to describe the differences between the integrated dispatch centers (ILSs) for such operations with regard to the characteristics of transport quotas and ranges according to the reason for deployment as well as times and days of the week.
methodRetrospective cross-sectional study of data from all 26 ILSs in the Free State of Bavaria in 2018. Transport quotas for emergency operations for essential reasons without emergency physician involvement were analyzed comparatively in relation to dispatch center area, time of day, and day of the week. Deployments were categorized as RoT or ambulance deployment with transport (TP).
resultsOf 510,145 call-outs, 147,621 (28.9%) were RoT and 362,524 (71.1%) were TP. There were significant regional differences in the transport quotas for all deployment reasons investigated. The highest range among the ILSs was found for the deployment reasons "fire alarm system" (16.8 percentage points), "personal emergency response system" (16.1%), and "heart/circulation" (14.6%). In the morning hours, the number of calls decreases with increasing TP. The fewest RoT took place between 8 and 10 am. The days of the week analysis revealed small differences in the frequency of RoT on Mondays as well as on weekends without planning relevance.
conclusionWe found significant differences in the ranges. This could indicate locally different alert planning specifications or dispatching decisions by the ILS. The control centers probably have considerable potential for controlling and improving resource allocation.
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