To Örebro University

oru.seÖrebro University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Outcomes in patients not conveyed by emergency medical services (EMS): a one-year prospective study
Örebro University, School of Health Sciences.ORCID iD: 0000-0001-7885-694X
Örebro University, School of Health Sciences. Örebro University Hospital. Department of Health Sciences in Gjøvik, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Gjøvik, Norway.ORCID iD: 0000-0002-2157-8579
Faculty of Caring Science, Centre for Prehospital Research, Work Life and Social Welfare, University of Borås, Borås, Sweden.
Örebro University, School of Health Sciences.ORCID iD: 0000-0003-2411-1795
Show others and affiliations
2022 (English)In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, E-ISSN 1757-7241, Vol. 30, no 1, article id 40Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The decision to not convey patients has become common in emergency medical services worldwide. A substantial proportion (12-51%) of the patients seen by emergency medical services are not conveyed by those services. The practice of non-conveyance is a result of the increasing and changing demands on the acute care system. Research focusing on the outcomes of the decision by emergency medical services to not convey patients is needed.

AIM: The aim was to describe outcomes (emergency department visits, admission to in-hospital intensive care units and mortality, all within seven days) and their association with the variables (sex, age, day of week, time of day, emergency signs and symptoms codes, triage level colour, and destination) for non-conveyed patients.

METHODS: This was a prospective analytical study with consecutive inclusion of all patients not conveyed by emergency medical services. Patients were included between February 2016 and January 2017. The study was conducted in Region Örebro county, Sweden. The region consists of both rural and urban areas and has a population of approximately 295,000. The region had three ambulance departments that received approximately 30,000 assignments per year.

RESULTS: The result showed that no patient received intensive care, and 18 (0.7%) patients died within seven days after the non-conveyance decision. Older age was associated with a higher risk of hospitalisation and death within seven days after a non-conveyance decision.

CONCLUSIONS: Based on the results of this one-year follow-up study, few patients compared to previous studies were admitted to the hospital, received intensive care or died within seven days. This study contributes insights that can be used to improve non-conveyance guidelines and minimise the risk of patient harm.

Place, publisher, year, edition, pages
BioMed Central, 2022. Vol. 30, no 1, article id 40
Keywords [en]
Ambulance, Emergency medical services, Non-conveyance, Non-transport, Outcome measures, Quality, Triage
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-99611DOI: 10.1186/s13049-022-01023-3ISI: 000810663900001PubMedID: 35698086Scopus ID: 2-s2.0-85131838754OAI: oai:DiVA.org:oru-99611DiVA, id: diva2:1670481
Note

Funding agency:

Research committee of the county council of Örebro OLL-942072 OLL-960656 OLL-840471

Available from: 2022-06-16 Created: 2022-06-16 Last updated: 2024-01-17Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Höglund, ErikSchröder, AgnetaMöller, MargaretaOhlsson-Nevo, Emma

Search in DiVA

By author/editor
Höglund, ErikSchröder, AgnetaMöller, MargaretaOhlsson-Nevo, Emma
By organisation
School of Health SciencesÖrebro University Hospital
In the same journal
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Nursing

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 61 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf