Differences between surrogate telephone triage calls in an adult population and self calls
| Autor: | Prathibha Varkey, Frederick North, Alexandra Muthu |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Emergency Medical Services medicine.medical_specialty Self Disclosure Adolescent Vomiting Nausea Adult population Health Informatics Dizziness Young Adult medicine Emergency medical services Humans Young adult Telephone triage Aged Aged 80 and over business.industry Communication Emergency department Middle Aged Triage Telephone Emergency medicine Self-disclosure Female medicine.symptom business |
| Zdroj: | Journal of Telemedicine and Telecare. 17:118-122 |
| ISSN: | 1758-1109 1357-633X |
| DOI: | 10.1258/jtt.2010.100511 |
| Popis: | We reviewed surrogate calls (i.e. those made on behalf of the patient) to a national triage call centre to determine whether there were differences between calls made by surrogates and self calls. During a three-year period there were 14,646 calls (14% of the total) made by a surrogate on behalf of the patient. Surrogate calls, as a percentage of total calls, increased with the age of the patient from 12% in the 18–34 year age group to 43% in the 80 and over age group ( P < 0.0001). The symptoms of vomiting or nausea and dizziness or light-headedness were significantly more likely to be reported by surrogate callers than self callers. Surrogates reported a higher original intention of taking patients to the hospital emergency department (ED) compared with self callers across all adult age groups (OR 1.64; 95% CI 1.57 to 1.71). A higher proportion (38%) of surrogate calls ended with the nurse recommending an ED visit compared with only 26% of self calls (OR 1.72; 95% CI 1.66 to 1.79). Calls about men accounted for 54% of surrogate calls but only 26% of self calls (OR 3.3; 95% CI 3.2 to 3.4), suggesting that surrogate calls may be a way of increasing medical access for men. |
| Databáze: | OpenAIRE |
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