| Autor: |
Takuyo Chiba, Reo Takaku, Erina Ito, Hidetaka Tamune, Marisa Rivera, Shunya Ikeda, Takashi Shiga |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
BMJ Open. 13:e065466 |
| ISSN: |
2044-6055 |
| Popis: |
ObjectivesAmbulance diversion and prolonged prehospital transfer time have a significant impact on patient care outcomes. Self-harm behaviour in particular is associated with difficulty in hospital acceptance and longer prehospital transfer time. This study aimed to determine if hospitals with both medical/surgical and psychiatric inpatient beds and high-level emergency care centres are associated with a decreased rate of difficulty in hospital acceptance and shorter prehospital transfer time for patients seeking medical care after self-harm behaviour.Design and settingA retrospective observational study using the database of Japanese ambulance dispatch data in 2015.ParticipantsPatients who were transferred by ambulances after self-harm behaviour.InterventionsNone.Main outcome measuresMultivariable logistic regression analysis and multivariable linear regression analysis were performed to assess whether the presence of hospitals with both medical/surgical and psychiatric inpatient beds and high-level emergency care centres in the city were associated with a decreased rate of difficulty in hospital acceptance and shorter prehospital transfer time.ResultsThe number of transfers due to self-harm behaviour in 2015 was 32 849. There was an association between decreased difficulty in hospital acceptance and the presence of high-level emergency care centres (OR 0.63, 95% CI 0.55 to 0.71, pConclusionHospitals with both medical/surgical and psychiatric inpatient beds and high-level emergency care centres were associated with significant decrease in difficulty in hospital acceptance and shorter prehospital transfer time. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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