Long-Term Mortality in Patients Transferred by Emergency Medical Services: Prospective Cohort Study
This study aimed to determine the long-term mortality (one-year follow-up) associated with patients transferred by Emergency Medical Services (EMS), and to reveal the determinants (causes and risk factors). This was a multicenter, prospective, observational, controlled, ambulance-based study of adul...
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| Veröffentlicht in: | Prehospital and disaster medicine 2023-06, Vol.38 (3), p.352-359 |
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| creator | Enriquez de Salamanca Gambara, Rodrigo Sanz-García, Ancor Martín-Conty, José L. Polonio-López, Begoña del Pozo Vegas, Carlos Martín-Rodríguez, Francisco López-Izquierdo, Raúl |
| description | This study aimed to determine the long-term mortality (one-year follow-up) associated with patients transferred by Emergency Medical Services (EMS), and to reveal the determinants (causes and risk factors).
This was a multicenter, prospective, observational, controlled, ambulance-based study of adult patients transferred by ambulance to emergency departments (EDs) from October 2019 through July 2021 for any cause. A total of six Advanced Life Support (ALS) units, 38 Basic Life Support (BLS) units, and five hospitals from Spain were included. Physiological, biochemical, demographic, and reasons for transfer variables were collected. A longitudinal analysis was performed to determine the factors associated to long-term mortality (any cause).
The final cohort included 1,406 patients. The one-year mortality rate was 21.6% (n = 304). Mortality over the first two days reached 5.2% of all the patients; between Day 2 and Day 30, reached 5.3%; and between Day 31 and Day 365, reached 11.1%. Low Glasgow values, elevated lactate levels, elevated blood urea nitrogen (BUN) levels, low oxygen saturation, high respiratory rate, as well as being old and suffering from circulatory diseases and neurological diseases were risk factors for long-term mortality.
The quick identification of patients at risk of long-term worsening could provide an opportunity to customize care through specific follow-up. |
| doi_str_mv | 10.1017/S1049023X23005800 |
| format | Article |
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This was a multicenter, prospective, observational, controlled, ambulance-based study of adult patients transferred by ambulance to emergency departments (EDs) from October 2019 through July 2021 for any cause. A total of six Advanced Life Support (ALS) units, 38 Basic Life Support (BLS) units, and five hospitals from Spain were included. Physiological, biochemical, demographic, and reasons for transfer variables were collected. A longitudinal analysis was performed to determine the factors associated to long-term mortality (any cause).
The final cohort included 1,406 patients. The one-year mortality rate was 21.6% (n = 304). Mortality over the first two days reached 5.2% of all the patients; between Day 2 and Day 30, reached 5.3%; and between Day 31 and Day 365, reached 11.1%. Low Glasgow values, elevated lactate levels, elevated blood urea nitrogen (BUN) levels, low oxygen saturation, high respiratory rate, as well as being old and suffering from circulatory diseases and neurological diseases were risk factors for long-term mortality.
The quick identification of patients at risk of long-term worsening could provide an opportunity to customize care through specific follow-up.</description><identifier>ISSN: 1049-023X</identifier><identifier>ISSN: 1945-1938</identifier><identifier>EISSN: 1945-1938</identifier><identifier>DOI: 10.1017/S1049023X23005800</identifier><identifier>PMID: 37272384</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Adult ; Ambulance services ; Ambulances ; Blood pressure ; Cardiac arrest ; Cohort analysis ; Comorbidity ; Consciousness ; Emergency medical care ; Emergency Medical Services ; Emergency Service, Hospital ; Emergency services ; Epidemiology ; Evacuations & rescues ; Guardians ; Health care ; Health services ; Heart rate ; Hemoglobin ; Hospitals ; Humans ; Informed consent ; Mortality ; Nursing homes ; Original Research ; Oxygen saturation ; Patients ; Physiology ; Prospective Studies ; Risk Factors ; Urea ; Vital signs</subject><ispartof>Prehospital and disaster medicine, 2023-06, Vol.38 (3), p.352-359</ispartof><rights>The Author(s), 2023. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-a33ffe1f0b50f4dcf0c0c61f9e713ce0945af0073c8f42e74d76420d75a3dec23</citedby><cites>FETCH-LOGICAL-c373t-a33ffe1f0b50f4dcf0c0c61f9e713ce0945af0073c8f42e74d76420d75a3dec23</cites><orcidid>0000-0002-5024-5108</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1049023X23005800/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,315,781,785,27929,27930,55633</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37272384$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Enriquez de Salamanca Gambara, Rodrigo</creatorcontrib><creatorcontrib>Sanz-García, Ancor</creatorcontrib><creatorcontrib>Martín-Conty, José L.</creatorcontrib><creatorcontrib>Polonio-López, Begoña</creatorcontrib><creatorcontrib>del Pozo Vegas, Carlos</creatorcontrib><creatorcontrib>Martín-Rodríguez, Francisco</creatorcontrib><creatorcontrib>López-Izquierdo, Raúl</creatorcontrib><title>Long-Term Mortality in Patients Transferred by Emergency Medical Services: Prospective Cohort Study</title><title>Prehospital and disaster medicine</title><addtitle>Prehosp. Disaster med</addtitle><description>This study aimed to determine the long-term mortality (one-year follow-up) associated with patients transferred by Emergency Medical Services (EMS), and to reveal the determinants (causes and risk factors).
This was a multicenter, prospective, observational, controlled, ambulance-based study of adult patients transferred by ambulance to emergency departments (EDs) from October 2019 through July 2021 for any cause. A total of six Advanced Life Support (ALS) units, 38 Basic Life Support (BLS) units, and five hospitals from Spain were included. Physiological, biochemical, demographic, and reasons for transfer variables were collected. A longitudinal analysis was performed to determine the factors associated to long-term mortality (any cause).
The final cohort included 1,406 patients. The one-year mortality rate was 21.6% (n = 304). Mortality over the first two days reached 5.2% of all the patients; between Day 2 and Day 30, reached 5.3%; and between Day 31 and Day 365, reached 11.1%. Low Glasgow values, elevated lactate levels, elevated blood urea nitrogen (BUN) levels, low oxygen saturation, high respiratory rate, as well as being old and suffering from circulatory diseases and neurological diseases were risk factors for long-term mortality.
The quick identification of patients at risk of long-term worsening could provide an opportunity to customize care through specific follow-up.</description><subject>Adult</subject><subject>Ambulance services</subject><subject>Ambulances</subject><subject>Blood pressure</subject><subject>Cardiac arrest</subject><subject>Cohort analysis</subject><subject>Comorbidity</subject><subject>Consciousness</subject><subject>Emergency medical care</subject><subject>Emergency Medical Services</subject><subject>Emergency Service, Hospital</subject><subject>Emergency services</subject><subject>Epidemiology</subject><subject>Evacuations & rescues</subject><subject>Guardians</subject><subject>Health care</subject><subject>Health services</subject><subject>Heart rate</subject><subject>Hemoglobin</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Informed consent</subject><subject>Mortality</subject><subject>Nursing homes</subject><subject>Original Research</subject><subject>Oxygen saturation</subject><subject>Patients</subject><subject>Physiology</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Urea</subject><subject>Vital signs</subject><issn>1049-023X</issn><issn>1945-1938</issn><issn>1945-1938</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUtrGzEQgEVJaJykP6CXIsgll01G0sra7a0YtwnYJGAXeltkaeQo7MOVdg377yMTt4GWnDQw33yaByGfGdwwYOp2xSAvgYtfXADIAuADmbAylxkrRXGS4pTODvkzch7jMwAvJZ9-JGdCccVFkU-IWXTtNltjaOiyC72ufT9S39JH3Xts-0jXQbfRYQho6Wak8wbDFlsz0iVab3RNVxj23mD8Sh9DF3doer9HOuueko6u-sGOl-TU6Trip-N7QX5-n69nd9ni4cf97NsiM0KJPtNCOIfMwUaCy61xYMBMmStRMWEQ0mDaAShhCpdzVLlV05yDVVILi4aLC3L96t2F7veAsa8aHw3WtW6xG2LFC84VFILJhF79gz53Q2hTdwdKikJO5UHIXimTJosBXbULvtFhrBhUhwtU_10g1Xw5modNg_ZvxZ-VJ0AcpbrZBG-3-Pb3-9oXEuiQXw</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Enriquez de Salamanca Gambara, Rodrigo</creator><creator>Sanz-García, Ancor</creator><creator>Martín-Conty, José L.</creator><creator>Polonio-López, Begoña</creator><creator>del Pozo Vegas, Carlos</creator><creator>Martín-Rodríguez, Francisco</creator><creator>López-Izquierdo, Raúl</creator><general>Cambridge University Press</general><general>Jems Publishing Company, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5024-5108</orcidid></search><sort><creationdate>20230601</creationdate><title>Long-Term Mortality in Patients Transferred by Emergency Medical Services: Prospective Cohort Study</title><author>Enriquez de Salamanca Gambara, Rodrigo ; 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Disaster med</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>38</volume><issue>3</issue><spage>352</spage><epage>359</epage><pages>352-359</pages><issn>1049-023X</issn><issn>1945-1938</issn><eissn>1945-1938</eissn><abstract>This study aimed to determine the long-term mortality (one-year follow-up) associated with patients transferred by Emergency Medical Services (EMS), and to reveal the determinants (causes and risk factors).
This was a multicenter, prospective, observational, controlled, ambulance-based study of adult patients transferred by ambulance to emergency departments (EDs) from October 2019 through July 2021 for any cause. A total of six Advanced Life Support (ALS) units, 38 Basic Life Support (BLS) units, and five hospitals from Spain were included. Physiological, biochemical, demographic, and reasons for transfer variables were collected. A longitudinal analysis was performed to determine the factors associated to long-term mortality (any cause).
The final cohort included 1,406 patients. The one-year mortality rate was 21.6% (n = 304). Mortality over the first two days reached 5.2% of all the patients; between Day 2 and Day 30, reached 5.3%; and between Day 31 and Day 365, reached 11.1%. Low Glasgow values, elevated lactate levels, elevated blood urea nitrogen (BUN) levels, low oxygen saturation, high respiratory rate, as well as being old and suffering from circulatory diseases and neurological diseases were risk factors for long-term mortality.
The quick identification of patients at risk of long-term worsening could provide an opportunity to customize care through specific follow-up.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><pmid>37272384</pmid><doi>10.1017/S1049023X23005800</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5024-5108</orcidid></addata></record> |
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| identifier | ISSN: 1049-023X |
| ispartof | Prehospital and disaster medicine, 2023-06, Vol.38 (3), p.352-359 |
| issn | 1049-023X 1945-1938 1945-1938 |
| language | eng |
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| source | MEDLINE; Cambridge University Press Journals Complete |
| subjects | Adult Ambulance services Ambulances Blood pressure Cardiac arrest Cohort analysis Comorbidity Consciousness Emergency medical care Emergency Medical Services Emergency Service, Hospital Emergency services Epidemiology Evacuations & rescues Guardians Health care Health services Heart rate Hemoglobin Hospitals Humans Informed consent Mortality Nursing homes Original Research Oxygen saturation Patients Physiology Prospective Studies Risk Factors Urea Vital signs |
| title | Long-Term Mortality in Patients Transferred by Emergency Medical Services: Prospective Cohort Study |
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