Evidence map›Paper›PMID 41291500›Full record

Observational studyBMC emergency medicine2025

Utilization, awareness, and predictors of emergency medical services use in India: a prospective observational study.

Devika Jabagodu Lingappa, Sai Deepak Alli, Sachin Nayak Sujir, Freston Marc Sirur, Vrinda Lath, Divya D Pai, K Akash

Abstract readObservational Study
In one paragraph

Observational study in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Devika Jabagodu LingappaDepartment of Emergency Medical Technology, Manipal College of Health Professions, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Sai Deepak Alli *Department of Emergency Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Sachin Nayak Sujir *Department of Emergency Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India. sachin2sujir@gmail.com.
Freston Marc SirurDepartment of Emergency Medical Technology, Manipal College of Health Professions, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Vrinda LathDepartment of Emergency Medical Technology, Manipal College of Health Professions, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Divya D PaiDepartment of Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
K AkashDepartment of Emergency Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesThis study aims to investigate the utilization patterns, awareness and factors influencing utilization of emergency medical services among patients reporting to the emergency department of a tertiary care hospital in India. METHODOLOGY: It is a prospective observational study, conducted at the Emergency Department (ED) of a tertiary care hospital in an urban setting in Southern India, conducted over 45 days in November and December 2024, among 434 patients aged ≥ 18 years. Data was collected using a pre-structured proforma covering demographics, triage category, transportation mode, and EMS awareness. Statistical analysis was performed using R version 4.4.3 software and JAMOVI statistics software version 2.4.11. Descriptive and inferential statistics, including chi-square tests and logistic regression analyses, were applied.

resultsAmong the 434 patients enrolled, 47% (204) of participants arrived by ambulance, predominantly males. Among trauma and non-trauma patients, non-trauma cases were more common. Patients in higher triage categories, such as P1 and P2 (as per the Emergency Severity Index, ESI), were more likely to be transported by ambulance than those in the lower triage category, P3. However, awareness about EMS was limited to only 43% (188) of the study population; among them, 56.3% (106) only knew the name of emergency medical services without having basic knowledge about them in India. Overall, 45.8% of the study population reported having no awareness about EMS in India or other countries. Logistic regression analysis showed that triage category (OR = 0.31, p < 0.001), EMS awareness (OR = 1.67, p = 0.029), and perceived severity of the patient's condition (OR = 1.20, p < 0.001) were predictors for higher utilisation of ambulance services.

conclusionThe study reveals significant gaps in EMS awareness, infrastructure, preference for private transport and highlights the key predictors of EMS utilization. There is an urgent need for public education, centralised EMS and policy reforms to enhance EMS utilization.

Indexed as

Emergency Medical ServicesEmergency Service, HospitalHealth Knowledge, Attitudes, PracticeAdolescentAdultAgedAmbulancesFemaleHumansIndiaMaleMiddle AgedProspective StudiesTertiary Care CentersTriageYoung AdultAmbulance useEmergency medical servicesEMS AwarenessGeospatial mapping & analysisIndiaPredictors of EMS

Identifiers

PMID41291500
PMCPMC12645763

What OpenQuestion holds

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LicenceCC BY
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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.