学術雑誌論文

学術雑誌論文

text

BMJ Open. 2016, 6(10), p. e013849

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

BMJ Publishing Group

英語

text

2016-10-26

https://doi.org/10.1136/bmjopen-2016-013849

Katayama Y, Kitamura T, Kiyohara K, et al. Factors associated with the difficulty in hospital acceptance at the scene by emergency medical service personnel: a population-based study in Osaka City, Japan. BMJ Open 2016;6:e013849. doi: 10.1136/bmjopen-2016-013849

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.

© 2016 BMJ Publishing Group Ltd. This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

78402

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

BMJ Publishing Group

英語

2016-10-26

BMJ Open

6

10

e013849

https://doi.org/10.1136/bmjopen-2016-013849

27798040

https://hdl.handle.net/11094/78402