Prediction of a time-sensitive condition among patients with dizziness assessed by the emergency medical services
Dublin Core
Title
Prediction of a time-sensitive condition among patients with dizziness assessed by the emergency medical services
Subject
Prehospital, Dizziness, Outcome, Diagnosis, Time sensitive
Description
Background: Dizziness is a relatively common symptom among patients who call for the emergency medical
services (EMS).
Aim: To identify factors of importance for the early identification of a time-sensitive condition behind the symptom
of dizziness among patients assessed by the EMS.
Methods: All patients assessed by the EMS and triaged using Rapid Emergency Triage and Treatment (RETTS) for
adults code 11 (=dizziness) in the 660,000 inhabitants in the Municipality of Gothenburg, Sweden, in 2016, were
considered for inclusion. The patients were divided into two groups according to the final diagnosis (a timesensitive condition, yes or no).
Results: There were 1536 patients who fulfilled the inclusion criteria, of which 96 (6.2%) had a time-sensitive
condition. The majority of these had a stroke/transitory ischaemic attack (TIA). Eight predictors of a time-sensitive
condition were identified. Three were associated with a reduced risk: 1) the dizziness was of a rotatory type, 2) the
dizziness had a sudden onset and 3) increasing body temperature. Five were associated with an increased risk: 1)
sudden onset of headache, 2) a history of head trauma, 3) symptoms of nausea or vomiting, 4) on treatment with
anticoagulants and 5) increasing systolic blood pressure.
Conclusion: Among 1536 patients who were triaged by the EMS for dizziness, 6.2% had a time-sensitive condition.
On the arrival of the EMS, eight factors were associated with the risk of having a time-sensitive condition. All these
factors were linked to the type of symptoms or to clinical findings on the arrival of the EMS or to the recent clinical
history
services (EMS).
Aim: To identify factors of importance for the early identification of a time-sensitive condition behind the symptom
of dizziness among patients assessed by the EMS.
Methods: All patients assessed by the EMS and triaged using Rapid Emergency Triage and Treatment (RETTS) for
adults code 11 (=dizziness) in the 660,000 inhabitants in the Municipality of Gothenburg, Sweden, in 2016, were
considered for inclusion. The patients were divided into two groups according to the final diagnosis (a timesensitive condition, yes or no).
Results: There were 1536 patients who fulfilled the inclusion criteria, of which 96 (6.2%) had a time-sensitive
condition. The majority of these had a stroke/transitory ischaemic attack (TIA). Eight predictors of a time-sensitive
condition were identified. Three were associated with a reduced risk: 1) the dizziness was of a rotatory type, 2) the
dizziness had a sudden onset and 3) increasing body temperature. Five were associated with an increased risk: 1)
sudden onset of headache, 2) a history of head trauma, 3) symptoms of nausea or vomiting, 4) on treatment with
anticoagulants and 5) increasing systolic blood pressure.
Conclusion: Among 1536 patients who were triaged by the EMS for dizziness, 6.2% had a time-sensitive condition.
On the arrival of the EMS, eight factors were associated with the risk of having a time-sensitive condition. All these
factors were linked to the type of symptoms or to clinical findings on the arrival of the EMS or to the recent clinical
history
Creator
C. Magnusson, J. Gärskog, E. Lökholm, J. Stenström, R. Wetter, C. Axelsson, M. Andersson Hagiwara, N. Packendorff, K. Jood, T. Karlsson and J. Herlitz
Publisher
BMC Emergency Medicine
Date
(2021) 21:38
Contributor
Fajar bagus W
Format
PDF
Language
Indonesia
Type
Text
Files
Collection
Citation
C. Magnusson, J. Gärskog, E. Lökholm, J. Stenström, R. Wetter, C. Axelsson, M. Andersson Hagiwara, N. Packendorff, K. Jood, T. Karlsson and J. Herlitz , “Prediction of a time-sensitive condition among patients with dizziness assessed by the emergency medical services,” Repository Horizon University Indonesia, accessed April 26, 2025, https://repository.horizon.ac.id/items/show/3779.