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

Katayama, Yusuke; Kitamura, Tetsuhisa; Kiyohara, Kosuke; Iwami, Taku; Kawamura, Takashi; Hayashida, Sumito; Yoshiya, Kazuhisa; Ogura, Hiroshi; Shimazu, Takeshi

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

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

Katayama, Yusuke; Kitamura, Tetsuhisa; Kiyohara, Kosuke et al.

BMJ Open, 2016, 6(10), e013849

Number of Access:1,115（2025-12-11 22:39 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/78402

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Title	Factors associated with the difficulty in hospital acceptance at the scene by emergency medical service personnel: A population-based study in Osaka City, Japan
Creator	NRID 1000050747144 1000050747144 ORCID 0000-0003-2585-4259 0000-0003-2585-4259 researchmap permalink orion2013 orion2013 Scopus Author ID 56470235000 56470235000 CreatorName Katayama, Yusuke
	NRID 1000030639810 1000030639810 ORCID 0000-0003-0107-0580 0000-0003-0107-0580 researchmap permalink Kitamura_T Kitamura_T Scopus Author ID 22234282700 22234282700 CreatorName Kitamura, Tetsuhisa
	NRID 1000080581834 1000080581834 CreatorName Kiyohara, Kosuke
	NRID 1000060437291 1000060437291 CreatorName Iwami, Taku
	NRID 1000010252230 1000010252230 CreatorName Kawamura, Takashi
	CreatorName Hayashida, Sumito
	NRID 1000040379201 1000040379201 CreatorName Yoshiya, Kazuhisa
	NRID 1000070301265 1000070301265 researchmap permalink read0054647 read0054647 Scopus Author ID 7202495132 7202495132 CreatorName Ogura, Hiroshi
	NRID 1000050196474 1000050196474 CreatorName Shimazu, Takeshi
Subject	emergency medical service
	hospital acceptance
	pre-hospital factors
Description	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
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.
Publisher	BMJ Publishing Group
Source Title	BMJ Open
Volume (Issue)	6(10)
Page	e013849
Date of Issued	2016-10-26
Language	English
Handle URL	https://hdl.handle.net/11094/78402
eISSN	20446055
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1136/bmjopen-2016-013849
Relation.isIdenticalTo	PMID 27798040
Access Rights	open access
CopyRight	© 2016 BMJ Publishing Group Ltd. This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCMI Type	Text
DCTERMS.bibliographicCitation	BMJ Open. 2016, 6(10), p. e013849
DC.title	Factors associated with the difficulty in hospital acceptance at the scene by emergency medical service personnel: A population-based study in Osaka City, Japan
DC.creator	Katayama, Yusuke
	Kitamura, Tetsuhisa
	Kiyohara, Kosuke
	Iwami, Taku
	Kawamura, Takashi
	Hayashida, Sumito
	Yoshiya, Kazuhisa
	Ogura, Hiroshi
	Shimazu, Takeshi
DC.publisher	BMJ Publishing Group
DC.language' scheme='DCTERMS.RFC1766	English
DC.type' scheme='DCTERMS.DCMIType	Text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2016-10-26
DC.identifier	https://doi.org/10.1136/bmjopen-2016-013849
DC.subject	emergency medical service
	hospital acceptance
	pre-hospital factors
DC.description	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
DCTERMS.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.
DC.rights	© 2016 BMJ Publishing Group Ltd. This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
DC.format	78402
citation_title	Factors associated with the difficulty in hospital acceptance at the scene by emergency medical service personnel: A population-based study in Osaka City, Japan
citation_author	Katayama, Yusuke
	Kitamura, Tetsuhisa
	Kiyohara, Kosuke
	Iwami, Taku
	Kawamura, Takashi
	Hayashida, Sumito
	Yoshiya, Kazuhisa
	Ogura, Hiroshi
	Shimazu, Takeshi
citation_publisher	BMJ Publishing Group
citation_language	English
citation_date	2016-10-26
citation_journal_title	BMJ Open
citation_volume	6
citation_issue	10
citation_firstpage	e013849
citation_doi	https://doi.org/10.1136/bmjopen-2016-013849
citation_pmid	27798040
citation_public_url	https://hdl.handle.net/11094/78402

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

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