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Factors associated with the difficulty in hospital acceptance at the scene by emergency medical service personnel: a population-based study in Osaka City, Japan.

Abstract：

OBJECTIVES: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. DESIGN:A retrospective, observational study. SETTING:Osaka City, Japan. PARTICIPANTS:A total of 100 649 patients transported to medical institutions by EMS from January 2013 to December 2013. PRIMARY OUTCOME MEASUREMENTS: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. RESULTS: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. CONCLUSIONS: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.

journal_name

BMJ Open

journal_title

BMJ open

authors

Katayama Y,Kitamura T,Kiyohara K,Iwami T,Kawamura T,Hayashida S,Yoshiya K,Ogura H,Shimazu T

doi

10.1136/bmjopen-2016-013849

subject

Has Abstract

pub_date

2016-10-26 00:00:00

pages

e013849

issue

10

issn

2044-6055

pii

bmjopen-2016-013849

journal_volume

6

pub_type

杂志文章

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