Serious conditions among conveyed and non-conveyed patients presenting with nonspecific chief complaints to the ambulance service

Serious conditions among conveyed and non-conveyed patients presenting with nonspecific chief complaints to the ambulance service

A retrospective cohort study of patients ≥ 18 years of age presenting with NSCs to the ambulance service in Stockholm Region between January 1st, 2013 and December 31st, 2013. Patients were identified via the ambulance service electronic health record and followed via records from the the National Patient Register and Causes of Death Registry at Sweden’s National Board for Health and Welfare. Descriptive statistics as well as regression analyses were used.

A total of 4744 patients were included with a median age of 76 years. A serious condition was present in 1398 (29.5%) of the patients. After index assessment by the ambulance service, 3780 (79.7%) were conveyed of which 1334 (35.3%) had serious conditions, compared to 964 (20.3%) who were non-conveyed of which 64 (6.6%) had serious conditions. 30-day mortality was 372 (9.8%) in the conveyance group compared to 32 (3.3%) in the non-conveyance group. If serious conditions were present, the mortality rates were 269 (20.2%) in the conveyance group compared to 11 (17.2%) in the non-conveyance group.

Robert Ivic-Morén, Katarina Bohm, Veronica Vicente, Emelie Arvidsson, Maaret Castrén & Lisa Kurland

https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01106-7

BMC Emergency Medicine

23 oktober 2024

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