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  • Castrén, MaaretKarolinska Institutet (author)

Non-specific complaints in the ambulance; predisposing structural factors

  • Article/chapterEnglish2015

Publisher, publication year, extent ...

  • 2015-05-15
  • BioMed Central,2015
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:oru-69406
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-69406URI
  • https://doi.org/10.1186/s12873-015-0034-5DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:225971395URI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

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  • Funding agencies:Karolinska InstitutetFalck Foundation
  • BACKGROUND: The pre-hospital assessment non-specific complaint (NSC) often applies to patients whose diagnosis does not match any other specific assessment correlating to particular symptoms or diseases, though some previous studies have found them to be related to serious underlying conditions. The aim was to identify whether the structural factors such as urgency according to the dispatch priority of the Emergency Medical Communication Centre (EMCC) or work load in the Emergency Medical Services (EMS) are predisposing factors for the assessment of NSC instead of a specific assessment.METHODS: All patients with assessed condition NSCs by the EMS to Södersjukhuset during 2011 (n = 493) were compared with gender- and age-matched controls (n = 493), which were randomly drawn from all patients with specific conditions in the EMS, regarding day of week, time of day and priority set by EMCC with chi-squared tests and multivariate logistic regression models.RESULTS: Among patients with NSCs, more were females (58 %) and the median age was 82. Almost all patients were categorized with NSCs during the daytime (8 a.m. to 9 p.m.), i.e. 450 (91 %) as compared to 373 (75 %) of those with specific conditions (p < 0.01). The risk of having an EMS dispatched as low priority by the EMCC was almost doubled among patients with NSCs compared to controls (OR 1.97, 95 % CI 1.38-2.79).CONCLUSIONS: Since patients with NSCs appear most frequently during the hours with most transportations for the EMS, i.e. 10 a.m. to 2 p.m., and the risk of having the assessment NSC was doubled if the EMCC dispatched EMS as low priority, structural factors might be predisposing factors for the assessment.

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  • Kurland, Lisa,1960-Karolinska Institutet(Swepub:oru)lkd (author)
  • Liljegard, SofiaDepartment of Clinical Science and Education at Södersjukhuset, Karolinska Institutet, Stockholm, Sweden (author)
  • Djärv, ThereseKarolinska Institutet (author)
  • Karolinska InstitutetDepartment of Clinical Science and Education at Södersjukhuset, Karolinska Institutet, Stockholm, Sweden (creator_code:org_t)

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  • In:BMC Emergency Medicine: BioMed Central151471-227X

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Castrén, Maaret
Kurland, Lisa, 1 ...
Liljegard, Sofia
Djärv, Therese
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
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BMC Emergency Me ...
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Örebro University
Karolinska Institutet

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