Trends of the Pre-hospital Emergency Care Spectrum in Beijing From 2005 to 2014: A Retrospective Analysis
- Conditions
- Emergencies [Disease/Finding]
- Interventions
- Procedure: Prehospital care
- Registration Number
- NCT02645877
- Lead Sponsor
- Peking University People's Hospital
- Brief Summary
This was a retrospective analysis of a cohort of all emergency care patients in Beijing from January 2005 to December 2014. This aim of this study was to analyze the trends in pre-hospital emergency care need and the emergency response times, with the intention of aiding the government to optimize medical resources and improve pre-hospital emergency care.
- Detailed Description
Pre-hospital emergency care is a very important part of Emergency Medical Service (EMS) System, crucial to patients' life support, disability and mortality rate reduction. The level of pre-hospital emergency care reflects the comprehensive ability of the organizational, management and public welfare of a country. Beijing Emergency Center and Beijing Red Cross Emergency Center are in the charge of all the pre-hospital emergency care in Beijing, which respectively subordinate to Beijing government and Chinese Red Cross Society. This study collected the data of 3,909,746 cases from these two pre-hospital care centers from January, 2005 to December, 2014 and retrospective analyzed the pre-hospital emergency call demand and first aid related time. The results of this study can help the government optimize medical resources; strengthen the prevention of related emergency diseases. The changes and trends of pre-hospital care disease spectrum also present the same problems and situation of developing megacities like Beijing. Based on the meticulous work in these 2 centers, this study has collected the most complete pre-hospital emergency care data in China.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 3909746
- All patients treated by pre-hospital care from the Beijing Emergency Medical Center and Beijing Red Cross Emergency Center from January 2005 to December 2014
- missing data
- duplicate records
- no identifiable chief cause cases
- not emergency cases
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Prehospital care Prehospital care All pre-hospital service data were collected from January 2005 to December 2014 from the Beijing Emergency Center and Beijing Red Cross Emergency Center, which oversee all pre-hospital care in Beijing. The major illnesses were classified into 34 disease spectrum categories according to the Medical Priority Dispatch System (MPDS) which total includes 34 diseases. Data on pre-hospital emergency demand and first aid-related time intervals were analyzed to determine trends over the period.
- Primary Outcome Measures
Name Time Method Cause of the emergency 10 years The chief complaints of the patients were classified into 34 illnesses according to the Medical Priority Dispatch System (MPDS) which total includes 34 diseases.
- Secondary Outcome Measures
Name Time Method Emergency care-related time 10 years Emergency care-related time included emergency response time (ERT), active response time (ART), and passive response time (PRT). ART was defined as the time from emergency call to ambulance departure time; PRT was from departure time to arrival time at the pre-hospital center; ERT was the time from the emergency call to arrival time.
The pre-hospital emergency call demand 10 years Total number of pre-hospital emergency calls, reduces the number of missing record, records with no identifiable chief complaint, repeated data, not-emergency care.
Trial Locations
- Locations (2)
Beijing Emergency Center, Beijing, China
🇨🇳Beijing, Beijing, China
Beijing Red Cross Emergency center
🇨🇳Beijing, Beijing, China