Evidence map›Paper›PMID 37510636›Full record

ArticleInternational journal of environmental research and public health2023

Epidemiological Determinants of Patient Non-Conveyance to the Hospital in an Emergency Medical Service Environment.

Hassan Farhat, Cyrine Abid, Kawther El Aifa, Padarath Gangaram, Andre Jones, Mohamed Chaker Khenissi, Moncef Khadhraoui, Imed Gargouri, Loua Al-Shaikh, James Laughton and 1 more

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Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

11 authors.

Hassan FarhatAmbulance Service, Hamad Medical Corporation, Doha P.O. Box 3050, Qatar.ORCID 0000-0001-5448-9401
Cyrine AbidFaculty of Medicine, University of Sfax, Sfax P.O. Box 3000, Tunisia.ORCID 0000-0003-2358-6510
Kawther El AifaAmbulance Service, Hamad Medical Corporation, Doha P.O. Box 3050, Qatar.
Padarath GangaramAmbulance Service, Hamad Medical Corporation, Doha P.O. Box 3050, Qatar.ORCID 0000-0001-5282-5045
Andre JonesAmbulance Service, Hamad Medical Corporation, Doha P.O. Box 3050, Qatar.
Mohamed Chaker KhenissiAmbulance Service, Hamad Medical Corporation, Doha P.O. Box 3050, Qatar.
Moncef KhadhraouiHigher Institute of Biotechnology, University of Sfax, Sfax P.O. Box 3038, Tunisia.ORCID 0000-0002-0216-4549
Imed GargouriFaculty of Medicine, University of Sfax, Sfax P.O. Box 3000, Tunisia.
Loua Al-ShaikhAmbulance Service, Hamad Medical Corporation, Doha P.O. Box 3050, Qatar.
James LaughtonFaculty of Health Sciences, Durban University of Technology, P.O. Box 1334, Durban 4000, South Africa.ORCID 0000-0002-9486-5157
Guillaume AlinierAmbulance Service, Hamad Medical Corporation, Doha P.O. Box 3050, Qatar.ORCID 0000-0003-4255-4450

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increasing prevalence of comorbidities worldwide has spurred the need for time-effective pre-hospital emergency medical services (EMS). Some pre-hospital emergency calls requesting EMS result in patient non-conveyance. Decisions for non-conveyance are sometimes driven by the patient or the clinician, which may jeopardize the patients' healthcare outcomes. This study aimed to explore the distribution and determinants of patient non-conveyance to hospitals in a Middle Eastern national Ambulance Service that promotes the transportation of all emergency call patients and does not adopt clinician-based non-conveyance decision.

methodsUsing R Language, descriptive, bivariate, and binary logistic regression analyses were conducted for 334,392 multi-national patient non-conveyance emergency calls from June 2018 to July 2022, from a total of 1,030,228 calls to which a response unit was dispatched.

resultsAfter data pre-processing, 237,862 cases of patient non-conveyance to hospital were retained, with a monthly average of 41.96% (

conclusionsDespite exercising a cautious protocol by encouraging patient transportation to hospital, patient non-conveyance seems to be a problem in the healthcare system that strains the pre-hospital medical response teams' resources. Policies and regulations should be adopted to encourage individuals to access other primary care centers when required rather than draining emergency services for non-emergency situations.

Indexed as

Emergency Medical ServicesAdolescentAdultAmbulancesEmergency Service, HospitalFemaleHospitalsHumansMaleTransportation of PatientsYoung Adultemergency medical servicesMiddle Eastnon-conveyanceparamedicspre-hospital environment

Identifiers

PMID37510636
PMCPMC10379159

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.