Factors associated with the difficulty in hospital acceptance at the scene by emergency medical service personnel: a population-based study in Osaka City, Japan.
Factors associated with the difficulty in hospital acceptance at the scene by emergency medical service personnel: a population-based study in Osaka City, Japan.
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DOI：
10.1136/bmjopen-2016-013849
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发表时间：
2016-10-26
期刊：
影响因子：
2.9
通讯作者：
Shimazu T
中科院分区：
文献类型：
--
作者：
Katayama Y;Kitamura T;Kiyohara K;Iwami T;Kawamura T;Hayashida S;Yoshiya K;Ogura H;Shimazu T
探讨急诊医疗服务（EMS）人员在现场的医院接受困难与院前人口统计学因素和EMS呼叫原因之间的关系。一项回顾性观察性研究。日本大坂市。2013年1月至2013年12月，通过EMS运送至医疗机构的患者共计100 649例。现场医院接收困难的定义是EMS人员给医疗机构打了≥5个电话，直到决定运送。多变量分析被用来评估医院接受困难和院前因素和EMS呼叫的原因之间的关系。多变量分析显示，老年人、外国人、意识丧失、假日/周末和夜间与现场医院接受困难呈正相关。急救电话的原因是煤气中毒（调整后OR 3.281，95% CI 1.201 - 8.965），攻击性创伤（调整OR 2.662，95% CI 2.390 - 2.966），自我诱导药物滥用/煤气中毒（调整后OR 4.527，95%CI 3.921 ~ 5.228）和自伤（调整后OR 1.708，95%CI 1.369 ~ 2.130）与现场医院接受困难呈正相关。大坂市的救护车记录显示，某些院前因素（如夜间）与现场医院接收困难呈正相关，而EMS呼叫的原因（如自我诱导的药物滥用/气体中毒）也是现场医院接收困难的积极预测因素。
To investigate the association between the difficulty in hospital acceptance at the scene by emergency medical service (EMS) personnel and prehospital demographic factors and reasons for EMS calls. A retrospective, observational study. Osaka City, Japan. A total of 100 649 patients transported to medical institutions by EMS from January 2013 to December 2013. The definition of difficulty in hospital acceptance at the scene was EMS personnel making ≥5 phone calls to medical institutions until a decision to transport was determined. Multivariable analysis was used to assess the relationship between difficulty in hospital acceptance and prehospital factors and reasons for EMS calls. Multivariable analysis showed the elderly, foreigners, loss of consciousness, holiday/weekend, and night-time to be positively associated with difficulty in hospital acceptance at the scene. As reasons for EMS calls, gas poisoning (adjusted OR 3.281, 95% CI 1.201 to 8.965), trauma by assault (adjusted OR 2.662, 95% CI 2.390 to 2.966), self-induced drug abuse/gas poisoning (adjusted OR 4.527, 95% CI 3.921 to 5.228) and self-induced trauma (adjusted OR 1.708, 95% CI 1.369 to 2.130) were positively associated with the difficulty in hospital acceptance at the scene. Ambulance records in Osaka City showed that certain prehospital factors such as night-time were positively associated with difficulty in hospital acceptance at the scene, and reasons for EMS calls, such as self-induced drug abuse/gas poisoning, were also positive predictors for difficulty in hospital acceptance at the scene.
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影响因子：
2.4
作者：
Durant, Edward;Fahimi, Jahan
通讯作者：
Fahimi, Jahan
DOI：
10.1080/10903129708958797
发表时间：
1997-04-01
期刊：
Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
影响因子：
--
作者：
Glushak, C;Delbridge, T R;Garrison, H G
通讯作者：
Garrison, H G
影响因子：
4.4
作者：
Moden, Birgit;Ohlsson, Henrik;Rosvall, Maria
通讯作者：
Rosvall, Maria
影响因子：
2.4
作者：
Savage, David W.;Woolford, Douglas G.;Wood, David
通讯作者：
Wood, David
影响因子：
2.5
作者：
Irisawa T;Iwami T;Kitamura T;Nishiyama C;Sakai T;Tanigawa-Sugihara K;Hayashida S;Nishiuchi T;Shiozaki T;Tasaki O;Kawamura T;Hiraide A;Shimazu T
通讯作者：
Shimazu T