Social Inequalities in Emergency Call and Emergency Response Patterns
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 80,829
- 试验地点
- 1
- 主要终点
- Emergency response level
研究概览
简要总结
Background:
Inequality in access to healthcare is a challenge internationally. Despite that medical emergency calls can be considered as access point to pre-hospital emergency care and hospital admission in emergency situations, no data on inequality in access to healthcare through emergency calls is reported in the international literature.
Study aims:
The aim of this study is two-fold:
- to evaluate the association between socio-economic characteristics of citizens and first-time emergency call in the Capital Region of Denmark
- to evaluate the association between socio-economic characteristics of citizens with an emergency call and the priority level of the response provided by the emergency medical dispatch center in the Capital Region of Denmark.
Method: Observational register based study of adult citizens in the Capital Region of Denmark. Educational level, household income and employment are used as socioeconomic indicators. The unique civil registration number will be used to link data from the Emergency Medical Dispatch Center with data from the Civil Registration System, Danish registers on personal labor market affiliation, the Danish Populations Education Register, the Danish Income Statistics Registry and the national patient registry. Logistic regression models will be used for the association between socio economic indicators and first time emergency calls and the association between socioeconomic indicators and the priority level of the response provided.
详细描述
Background:
In prehospital emergency medicine, emergency medical dispatchers play an essential role as gatekeepers to emergency care from the emergency medical services and possibly hospital admissions. Dispatching is the task of handling emergency calls in terms of appropriate triage, delivery of pre-arrival instructions and management of resources to citizens calling for help. Research within out-of-hospital cardiac arrest has shown that medical dispatchers can contribute to increased survival, if cardiac arrest is identified through the emergency call, and telephone assisted cardiopulmonary resuscitation is initiated. Optimal performance in the links of the chain of survival is not only dependent on good performance of healthcare professionals in the prehospital setting, but also on the persons initiating resuscitation and calling for help. This is not only true for OHCA but also other life-threatening situations and the outcome may be affected by the interaction between the person calling for help and the medical dispatcher responding to the call and providing advice and an adequate response from the emergency medical services. Research in this area is, however, at an early stage. Inequality in access to healthcare is a challenge internationally. Despite that medical emergency calls can be considered as access point to pre-hospital emergency care and hospital admission in emergency situations, no data on inequality in access to healthcare through emergency calls is reported in the international literature.
Study Objective:
The aim of the study is two-fold:
- To evaluate the association between socio-economic characteristics of citizens and first-time emergency call in the Capital Region of Denmark
- To evaluate the association between socio-economic characteristics of citizens with an emergency call and the emergency response provided by the emergency medical dispatch center in the Capital Region of Denmark.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Medical emergency calls registered in the EMS database in the Capital region of Denmark, in which the individual patients live in the capital region of Denmark and have data from central registries (civil registration number and socioeconomic variables of interest)registered.
- •Citizens ≥18 years of age
- •Study part 1:
- •* All medical emergency calls in the period 12/1-2011-11/30-2013 with a civil registration number
- •Study part 2:
- •* All medical emergency calls with a medical contact cause (chest pain, intoxication, breathing difficulties, abdominal pain/back pain, altered level of consciousness, seizures and unconscious/lifeless adult) in the period 12/1-2011-11/30-2013 with a civil registration number and a complete contact cause registered.
排除标准
- •Calls from citizens with no civil registration number recorded
- •Medical emergency calls from citizens <18 years old
- •Emergency calls for citizens outside RegionH
- •Non first time calls
结局指标
主要结局
Emergency response level
时间窗: 12/1-2011 - 11/30-2013 (up to 24 months)
Emergency response level provided by emergency medical dispatchers during emergency calls. This outcome will be divided into four levels: 1) Red (immediate response with lights and siren); 2) Orange (immediate response without lights and siren); 3) Yellow/green (non-urgent response with appropriate available resource); 4) Blue (medical advice). Information about emergency responce level is registered electronically and will be obtained from the database at the EMS Copenhagen.
Emergency call
时间窗: 12/1-2011 - 11/30-2013 (up to 24 months)
First time emergency calls registered electronically at the EMS Copenhagen concerning citizens with recidence in the Capital Region of Denmark. The information will be obtained from the database at the EMS Copenhagen.
次要结局
未报告次要终点