Characteristics and Outcomes of Patient Transport to the Hospital by Emergency Medical Services (EMS); a Cross-sectional Study
Archives of Academic Emergency Medicine,
Vol. 11 No. 1 (2023),
15 November 2022
,
Page e69
https://doi.org/10.22037/aaem.v11i1.2112
Abstract
Introduction: To enhance the efficiency, it is essential to understand the patterns of service users and develop policies that facilitate effective personnel and resource management. This study aimed to compare the characteristic and outcomes of patients who were transferred to emergency department (ED) by emergency medical services (EMS) and patients transported by other means.
Methods: This retrospective cross-sectional study was conducted at Srinagarind Hospital, Thailand, over a 5-year period from 2017-2021. The baseline characteristics, treatment modalities, and outcomes of patients who were transported to ED using EMS and Non-EMS were gathered and compared using STATA software.
Results: The study included 15,501 patients with the median age of 51 (interquartile range (IQR): 23-71) years who were referred by EMS over the five-year period (51.72% male). EMS patients had significantly higher median age (51 (23 - 71) vs. 37 (21 - 60); p < 0.001) with male preference (p < 0.001). In the EMS group, the triage level 1 (need for resuscitation) was higher than the non-EMS group (p < 0.001), most of the patients referred following trauma (p < 0.001), and the frequency of cardiac arrest was considerably higher than non-EMS group (2.54% vs 0.05%; p < 0.001). Patients in the EMS group received a higher number of blood tests (p < 0.001), plain radiographic exams (p < 0.001), computerized tomography (CT) scans (p < 0.001), and complex procedures (p < 0.001) than the non-EMS group. The EMS group had a greater number of hospital admissions (p < 0.001) and intensive care unit (ICU) admissions (p < 0.001) compared to the non-EMS group. The EMS group exhibited a significantly higher mortality rate compared to the non-EMS group (p < 0.001).
Conclusion: The population utilizing EMS services had higher median age, higher frequency of emergency cases and trauma related complaint, higher need for treatment interventions and imaging procedures, higher rate of hospital and ICU admissions, as well as higher rate of mortality compared to the non-EMS group.
- Ambulances
- Emergency service
- hospital
- Emergency medical services
- Health policy
- Mortality
How to Cite
References
Parkinson B, Meacock R, Checkland K, Sutton M. Unseen patterns of preventable emergency care: emergency department visits for ambulatory care sensitive conditions. J Health Serv Res Policy. 2022;27(3):232-41.
Samuels-Kalow ME, Agrawal P, Rodriguez G, Zeidan A, Love JS, Monette D, et al. Post-Roe emergency medicine: policy, clinical, training, and individual implications for emergency clinicians. Acad Emerg Med. 2022;29(12):1414-21.
Ienghong K, Cheung LW, Tiamkao S, Bhudhisawasdi V, Apiratwarakul K. The impact of prehospital point of care ultrasounds on emergency patients length of stay in Thailand. J Multidiscip Healthc. 2023;16:219-26.
Apiratwarakul K, Suzuki T, Celebi I, Tiamkao S, Bhudhisawasdi V, Pearkao C, et al. "Motorcycle Ambulance" policy to promote health and sustainable development in large cities. Prehosp Disaster Med. 2022;37(1):78-83.
Lim YJ, Park SY. Increased prehospital emergency medical service time interval and nontransport rate of patients with fever using emergency medical services before and after covid-19 in Busan, Korea. J Korean Med Sci. 2023;38(9):e69.
Huabbangyang T, Trakulsrichai S, Yuksen C, Sricharoen P. The impact of the coronavirus disease 2019 (covid-19) pandemic on the use of emergency medical services system in Bangkok, Thailand. Open Access Emerg Med. 2022;14:429-40.
Phattharapornjaroen P, Nimnuan W, Sanguanwit P, Atiksawedparit P, Phontabtim M, Mankong Y. Characteristics and outcomes of out-of-hospital cardiac arrest patients before and during the covid-19 pandemic in Thailand. Int J Emerg Med. 2022;15(1):46.
Brennan M, Dyer S, Jonasson J, Salvia J, Segal L, Serino E, et al. The policy case for designating EMS teams for vulnerable patient populations: evidence from an intervention in Boston. Health Care Manag Sci. 2023.
Gebru AA, Mosadeghrad AM, Sari AA. Perceptions of leadership, motivation, structure, and assurance for implementation of emergency medical services in Ethiopia: perspectives of emergency medical services case teams based on focus group discussions. Hum Antibodies. 2019;27(S1):53-71.
Hui H. The influence mechanism of education on health from the sustainable development perspective. J Environ Public Health. 2022;2022:7134981.
Pochaisan O, Pattanarattanamolee R, Pongphuttha W, Chadbunchachai W, Nakahara S. Development of an emergency medical services system in Thailand: roles of the universal health coverage and the national lead agency. Emerg Med Australas. 2021;33(4):756-8.
Ienghong K, Cheung LW, Tiamkao S, Bhudhisawasdi V, Apiratwarakul K. The utilization of handheld ultrasound devices in a prehospital setting. Prehosp Disaster Med. 2022;37(3):355-9.
Lumjeaksuwan M, Patcharasopit S, Seksanpanit C, Sritharo N, Aeampuck A, Wittayachamnankul B. The trend of emergency department visits among the elderly in Thailand. WHO South East Asia J Public Health. 2021; 10(1):25-8.
Monsomboon A, Chongwatcharasatit T, Chanthong P, Chakorn T, Prapruetkit N, Surabenjawong U, et al. Characteristics and factors associated with mortality in palliative patients visiting the emergency department of a large tertiary hospital in Thailand. BMC Palliat Care. 2022;21(1):115.
Aljabri D, Albinali H. Public awareness and use of 997 emergency medical service phone number during the covid-19 pandemic. Front Public Health. 2022;10:937202.
Sultan M, Abebe Y, Tsadik AW, Ababa A, Yesus AG, Mould-Millman NK. Trends and barriers of emergency medical service use in Addis Ababa; Ethiopia. BMC Emerg Med. 2019;19(1):28.
Birmingham LE, Lanese BG, McNinch N, Furda C. Medicaid expansion and emergency medical service transports. J Health Care Poor Underserved. 2021;32(4):2030-42.
Nishi A, Singkham P, Takasaki Y, Ichikawa M, Chadbunchachai W, Shibuya K, et al. Motorcycle helmet use to reduce road traffic deaths in Thailand. Bull World Health Organ. 2018;96(8):514-A.
Najafi H, Bahramali E, Bijani M, Dehghan A, Amirkhani M, Balaghi Inaloo M. Comparison of the outcomes of EMS vs. Non-EMS transport of patients with ST-segment elevation myocardial infarction (STEMI) in Southern Iran: a population-based study. BMC Emerg Med. 2022;22(1):46.
Harjola P, Tarvasmaki T, Barletta C, Body R, Capsec J, Christ M, et al. The emergency department arrival mode and its relations to ED management and 30-day mortality in acute heart failure: an ancillary analysis from the EURODEM study. BMC Emerg Med. 2022;22(1):27.
Greene HM, Maguire-Jack K, Malthaner L, Truelove A, Leonard JC. The relationship between emergency medical services use and social service needs in a pediatric emergency department population. Child Abuse Neg. 2022;125:105482.
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