Epidemiological profile of emergency medical services in Japan: a population‐based descriptive study in 2016
Aim The aim of our study is to describe the characteristics of patients who use emergency medical services (EMS), EMS performance, and regional variations in Japan. Methods We undertook a nationwide, population‐based, descriptive review of anonymized ambulance transport records obtained from the Fir...
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| Veröffentlicht in: | Acute medicine & surgery 2020-01, Vol.7 (1), p.e485-n/a |
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| creator | Nakao, Shunichiro Katayama, Yusuke Kitamura, Tetsuhisa Hirose, Tomoya Sado, Junya Ishida, Kenichiro Tachino, Jotaro Umemura, Yutaka Kiguchi, Takeyuki Matsuyama, Tasuku Kiyohara, Kosuke Shimazu, Takeshi |
| description | Aim
The aim of our study is to describe the characteristics of patients who use emergency medical services (EMS), EMS performance, and regional variations in Japan.
Methods
We undertook a nationwide, population‐based, descriptive review of anonymized ambulance transport records obtained from the Fire and Disaster Management Agency in Japan. All emergency patients transported to emergency medical institutions by EMS personnel from January to December 2016 were enrolled in this study, excluding patients who were not transported.
Results
During the study period, 5,097,838 patients were transported to a hospital. Their median age was 69 years, 51.4% were male, and 56.5% were over 65 years old. Median durations from EMS call to EMS arrival on scene were similar among the regions, ranging from 7 to 9 min. However, the longest median duration from EMS call to hospital arrival was 38 min, and the shortest was 31 min across the regions. Among all patients, 350,865 (6.9%) were assessed as being in a severe condition, 14,410 (0.3%) were in very severe condition, and 74,780 (1.5%) were confirmed to be dead at the time of initial medical examination in the emergency department.
Conclusions
We described the characteristics of emergency patients and EMS performance in Japan. This registry serves as a basis for providing relevant information to improve prehospital emergency medical systems.
This observational study describes the characteristics of emergency patients and emergency medical services (EMS) performance in Japan in 2016. We report the results from 5,097,838 patients transported to an emergency medical institution by EMS personnel. We assessed comprehensive data on the characteristics of the emergency patients, EMS performance, and underlying regional variations. |
| doi_str_mv | 10.1002/ams2.485 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6992505</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2474349642</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4585-e4702d131e15316c880de4dbf761237ca224a8fffa96c376643a7abf3605137a3</originalsourceid><addsrcrecordid>eNp1kctu1DAUhi0EolWpxBMgS2zYpPgeDwukqio3FbEA1tYZ53hwlcTBTqaaHY_AM_IkeJhSlQUrWzqfv_PLPyFPOTvjjImXMBRxpqx-QI4F06KxlrcP792PyGkp14wxzpk0hj8mR1Iwrq2Vx2S8nGKHQ0x92kQPPZ1yCrFHmgLFAfMGR7-jA3Z_hgXzNnosNI70A0wwvqJApzQtPcwxjb9-_FxDwY52WHyO0xy3SMu8dLv9g7rTPCGPAvQFT2_PE_L1zeWXi3fN1ae37y_OrxqvtNUNqpaJjkuOXEtuvLWsQ9WtQ2u4kK0HIRTYEAKsjJetMUpCC-sgDdNctiBPyOuDd1rWNbzHcc7QuynHAfLOJYju38kYv7lN2jqzWgnNdBU8vxXk9H3BMrvrtOSxZnZCtUqqlVGiUi8OlM-plIzhbgNnbl-O25fjajkVfXY_0R34t4oKNAfgpn7_7r8id_7xs9gLfwML2poo</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2474349642</pqid></control><display><type>article</type><title>Epidemiological profile of emergency medical services in Japan: a population‐based descriptive study in 2016</title><source>Wiley Online Library Open Access</source><source>DOAJ Directory of Open Access Journals</source><source>Wiley Online Library Journals Frontfile Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Nakao, Shunichiro ; Katayama, Yusuke ; Kitamura, Tetsuhisa ; Hirose, Tomoya ; Sado, Junya ; Ishida, Kenichiro ; Tachino, Jotaro ; Umemura, Yutaka ; Kiguchi, Takeyuki ; Matsuyama, Tasuku ; Kiyohara, Kosuke ; Shimazu, Takeshi</creator><creatorcontrib>Nakao, Shunichiro ; Katayama, Yusuke ; Kitamura, Tetsuhisa ; Hirose, Tomoya ; Sado, Junya ; Ishida, Kenichiro ; Tachino, Jotaro ; Umemura, Yutaka ; Kiguchi, Takeyuki ; Matsuyama, Tasuku ; Kiyohara, Kosuke ; Shimazu, Takeshi</creatorcontrib><description>Aim
The aim of our study is to describe the characteristics of patients who use emergency medical services (EMS), EMS performance, and regional variations in Japan.
Methods
We undertook a nationwide, population‐based, descriptive review of anonymized ambulance transport records obtained from the Fire and Disaster Management Agency in Japan. All emergency patients transported to emergency medical institutions by EMS personnel from January to December 2016 were enrolled in this study, excluding patients who were not transported.
Results
During the study period, 5,097,838 patients were transported to a hospital. Their median age was 69 years, 51.4% were male, and 56.5% were over 65 years old. Median durations from EMS call to EMS arrival on scene were similar among the regions, ranging from 7 to 9 min. However, the longest median duration from EMS call to hospital arrival was 38 min, and the shortest was 31 min across the regions. Among all patients, 350,865 (6.9%) were assessed as being in a severe condition, 14,410 (0.3%) were in very severe condition, and 74,780 (1.5%) were confirmed to be dead at the time of initial medical examination in the emergency department.
Conclusions
We described the characteristics of emergency patients and EMS performance in Japan. This registry serves as a basis for providing relevant information to improve prehospital emergency medical systems.
This observational study describes the characteristics of emergency patients and emergency medical services (EMS) performance in Japan in 2016. We report the results from 5,097,838 patients transported to an emergency medical institution by EMS personnel. We assessed comprehensive data on the characteristics of the emergency patients, EMS performance, and underlying regional variations.</description><identifier>ISSN: 2052-8817</identifier><identifier>EISSN: 2052-8817</identifier><identifier>DOI: 10.1002/ams2.485</identifier><identifier>PMID: 32015883</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Age groups ; Emergency medical care ; Emergency medical service ; Emergency services ; epidemiology ; Fire departments ; Fire stations ; Fires ; Geography ; Illnesses ; Original ; Patients ; Population density ; Population-based studies ; prehospital care ; Regions</subject><ispartof>Acute medicine & surgery, 2020-01, Vol.7 (1), p.e485-n/a</ispartof><rights>2020 The Authors. published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine</rights><rights>2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.</rights><rights>2020. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4585-e4702d131e15316c880de4dbf761237ca224a8fffa96c376643a7abf3605137a3</citedby><cites>FETCH-LOGICAL-c4585-e4702d131e15316c880de4dbf761237ca224a8fffa96c376643a7abf3605137a3</cites><orcidid>0000-0003-2585-4259 ; 0000-0003-0107-0580 ; 0000-0001-5530-806X ; 0000-0001-5959-4569 ; 0000-0002-0423-7713</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992505/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992505/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,11543,27903,27904,45553,45554,46030,46454,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32015883$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakao, Shunichiro</creatorcontrib><creatorcontrib>Katayama, Yusuke</creatorcontrib><creatorcontrib>Kitamura, Tetsuhisa</creatorcontrib><creatorcontrib>Hirose, Tomoya</creatorcontrib><creatorcontrib>Sado, Junya</creatorcontrib><creatorcontrib>Ishida, Kenichiro</creatorcontrib><creatorcontrib>Tachino, Jotaro</creatorcontrib><creatorcontrib>Umemura, Yutaka</creatorcontrib><creatorcontrib>Kiguchi, Takeyuki</creatorcontrib><creatorcontrib>Matsuyama, Tasuku</creatorcontrib><creatorcontrib>Kiyohara, Kosuke</creatorcontrib><creatorcontrib>Shimazu, Takeshi</creatorcontrib><title>Epidemiological profile of emergency medical services in Japan: a population‐based descriptive study in 2016</title><title>Acute medicine & surgery</title><addtitle>Acute Med Surg</addtitle><description>Aim
The aim of our study is to describe the characteristics of patients who use emergency medical services (EMS), EMS performance, and regional variations in Japan.
Methods
We undertook a nationwide, population‐based, descriptive review of anonymized ambulance transport records obtained from the Fire and Disaster Management Agency in Japan. All emergency patients transported to emergency medical institutions by EMS personnel from January to December 2016 were enrolled in this study, excluding patients who were not transported.
Results
During the study period, 5,097,838 patients were transported to a hospital. Their median age was 69 years, 51.4% were male, and 56.5% were over 65 years old. Median durations from EMS call to EMS arrival on scene were similar among the regions, ranging from 7 to 9 min. However, the longest median duration from EMS call to hospital arrival was 38 min, and the shortest was 31 min across the regions. Among all patients, 350,865 (6.9%) were assessed as being in a severe condition, 14,410 (0.3%) were in very severe condition, and 74,780 (1.5%) were confirmed to be dead at the time of initial medical examination in the emergency department.
Conclusions
We described the characteristics of emergency patients and EMS performance in Japan. This registry serves as a basis for providing relevant information to improve prehospital emergency medical systems.
This observational study describes the characteristics of emergency patients and emergency medical services (EMS) performance in Japan in 2016. We report the results from 5,097,838 patients transported to an emergency medical institution by EMS personnel. We assessed comprehensive data on the characteristics of the emergency patients, EMS performance, and underlying regional variations.</description><subject>Age groups</subject><subject>Emergency medical care</subject><subject>Emergency medical service</subject><subject>Emergency services</subject><subject>epidemiology</subject><subject>Fire departments</subject><subject>Fire stations</subject><subject>Fires</subject><subject>Geography</subject><subject>Illnesses</subject><subject>Original</subject><subject>Patients</subject><subject>Population density</subject><subject>Population-based studies</subject><subject>prehospital care</subject><subject>Regions</subject><issn>2052-8817</issn><issn>2052-8817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kctu1DAUhi0EolWpxBMgS2zYpPgeDwukqio3FbEA1tYZ53hwlcTBTqaaHY_AM_IkeJhSlQUrWzqfv_PLPyFPOTvjjImXMBRxpqx-QI4F06KxlrcP792PyGkp14wxzpk0hj8mR1Iwrq2Vx2S8nGKHQ0x92kQPPZ1yCrFHmgLFAfMGR7-jA3Z_hgXzNnosNI70A0wwvqJApzQtPcwxjb9-_FxDwY52WHyO0xy3SMu8dLv9g7rTPCGPAvQFT2_PE_L1zeWXi3fN1ae37y_OrxqvtNUNqpaJjkuOXEtuvLWsQ9WtQ2u4kK0HIRTYEAKsjJetMUpCC-sgDdNctiBPyOuDd1rWNbzHcc7QuynHAfLOJYju38kYv7lN2jqzWgnNdBU8vxXk9H3BMrvrtOSxZnZCtUqqlVGiUi8OlM-plIzhbgNnbl-O25fjajkVfXY_0R34t4oKNAfgpn7_7r8id_7xs9gLfwML2poo</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Nakao, Shunichiro</creator><creator>Katayama, Yusuke</creator><creator>Kitamura, Tetsuhisa</creator><creator>Hirose, Tomoya</creator><creator>Sado, Junya</creator><creator>Ishida, Kenichiro</creator><creator>Tachino, Jotaro</creator><creator>Umemura, Yutaka</creator><creator>Kiguchi, Takeyuki</creator><creator>Matsuyama, Tasuku</creator><creator>Kiyohara, Kosuke</creator><creator>Shimazu, Takeshi</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2585-4259</orcidid><orcidid>https://orcid.org/0000-0003-0107-0580</orcidid><orcidid>https://orcid.org/0000-0001-5530-806X</orcidid><orcidid>https://orcid.org/0000-0001-5959-4569</orcidid><orcidid>https://orcid.org/0000-0002-0423-7713</orcidid></search><sort><creationdate>202001</creationdate><title>Epidemiological profile of emergency medical services in Japan: a population‐based descriptive study in 2016</title><author>Nakao, Shunichiro ; Katayama, Yusuke ; Kitamura, Tetsuhisa ; Hirose, Tomoya ; Sado, Junya ; Ishida, Kenichiro ; Tachino, Jotaro ; Umemura, Yutaka ; Kiguchi, Takeyuki ; Matsuyama, Tasuku ; Kiyohara, Kosuke ; Shimazu, Takeshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4585-e4702d131e15316c880de4dbf761237ca224a8fffa96c376643a7abf3605137a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Age groups</topic><topic>Emergency medical care</topic><topic>Emergency medical service</topic><topic>Emergency services</topic><topic>epidemiology</topic><topic>Fire departments</topic><topic>Fire stations</topic><topic>Fires</topic><topic>Geography</topic><topic>Illnesses</topic><topic>Original</topic><topic>Patients</topic><topic>Population density</topic><topic>Population-based studies</topic><topic>prehospital care</topic><topic>Regions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakao, Shunichiro</creatorcontrib><creatorcontrib>Katayama, Yusuke</creatorcontrib><creatorcontrib>Kitamura, Tetsuhisa</creatorcontrib><creatorcontrib>Hirose, Tomoya</creatorcontrib><creatorcontrib>Sado, Junya</creatorcontrib><creatorcontrib>Ishida, Kenichiro</creatorcontrib><creatorcontrib>Tachino, Jotaro</creatorcontrib><creatorcontrib>Umemura, Yutaka</creatorcontrib><creatorcontrib>Kiguchi, Takeyuki</creatorcontrib><creatorcontrib>Matsuyama, Tasuku</creatorcontrib><creatorcontrib>Kiyohara, Kosuke</creatorcontrib><creatorcontrib>Shimazu, Takeshi</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Acute medicine & surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakao, Shunichiro</au><au>Katayama, Yusuke</au><au>Kitamura, Tetsuhisa</au><au>Hirose, Tomoya</au><au>Sado, Junya</au><au>Ishida, Kenichiro</au><au>Tachino, Jotaro</au><au>Umemura, Yutaka</au><au>Kiguchi, Takeyuki</au><au>Matsuyama, Tasuku</au><au>Kiyohara, Kosuke</au><au>Shimazu, Takeshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiological profile of emergency medical services in Japan: a population‐based descriptive study in 2016</atitle><jtitle>Acute medicine & surgery</jtitle><addtitle>Acute Med Surg</addtitle><date>2020-01</date><risdate>2020</risdate><volume>7</volume><issue>1</issue><spage>e485</spage><epage>n/a</epage><pages>e485-n/a</pages><issn>2052-8817</issn><eissn>2052-8817</eissn><abstract>Aim
The aim of our study is to describe the characteristics of patients who use emergency medical services (EMS), EMS performance, and regional variations in Japan.
Methods
We undertook a nationwide, population‐based, descriptive review of anonymized ambulance transport records obtained from the Fire and Disaster Management Agency in Japan. All emergency patients transported to emergency medical institutions by EMS personnel from January to December 2016 were enrolled in this study, excluding patients who were not transported.
Results
During the study period, 5,097,838 patients were transported to a hospital. Their median age was 69 years, 51.4% were male, and 56.5% were over 65 years old. Median durations from EMS call to EMS arrival on scene were similar among the regions, ranging from 7 to 9 min. However, the longest median duration from EMS call to hospital arrival was 38 min, and the shortest was 31 min across the regions. Among all patients, 350,865 (6.9%) were assessed as being in a severe condition, 14,410 (0.3%) were in very severe condition, and 74,780 (1.5%) were confirmed to be dead at the time of initial medical examination in the emergency department.
Conclusions
We described the characteristics of emergency patients and EMS performance in Japan. This registry serves as a basis for providing relevant information to improve prehospital emergency medical systems.
This observational study describes the characteristics of emergency patients and emergency medical services (EMS) performance in Japan in 2016. We report the results from 5,097,838 patients transported to an emergency medical institution by EMS personnel. We assessed comprehensive data on the characteristics of the emergency patients, EMS performance, and underlying regional variations.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>32015883</pmid><doi>10.1002/ams2.485</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-2585-4259</orcidid><orcidid>https://orcid.org/0000-0003-0107-0580</orcidid><orcidid>https://orcid.org/0000-0001-5530-806X</orcidid><orcidid>https://orcid.org/0000-0001-5959-4569</orcidid><orcidid>https://orcid.org/0000-0002-0423-7713</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Open Access; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Age groups Emergency medical care Emergency medical service Emergency services epidemiology Fire departments Fire stations Fires Geography Illnesses Original Patients Population density Population-based studies prehospital care Regions |
| title | Epidemiological profile of emergency medical services in Japan: a population‐based descriptive study in 2016 |
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