[Analysis of two health attendance models for the non-hospital emergencies in Gipuzkoa: Retrospective study]

Autor: L, Múgica-Jauregui, D, Orozco-Beltrán, A, López-Pineda, V F, Gil-Guillén, K, Cheikh-Moussa, R, Nouni-García, C, Carratalá-Munuera, J A, Quesada
Rok vydání: 2021
Předmět:
Zdroj: Journal of healthcare quality research. 37(4)
ISSN: 2603-6479
Popis: Out-of-hospital medical emergency services are defined as a functional organization that performs a set of sequential human and material activities. The objective of this study was to compare the mortality of patients attended by the out-of-hospital medical emergency services in 2 neighboring Spanish regions with different models of healthcare transport assistance for emergency care.Retrospective observational cohort study, done between June 1, 2007 and December 31, 2008 in 2 regions of Gipuzkoa, Alto Deba (AD) and Bajo Deba (BD). The study variables were age, sex and place of exposure (AD/BD), heart rate, blood pressure, initial reason for the call defined by the European Resuscitation Council, unconsciousness and digestive bleeding. 3452 subjects were analyzed.The risk of in situ mortality in BD was 1.31 times higher than in AD (P=.050), that of hospital mortality in BD was 0.71 times lower than in AD (P=.011) and the risk of mortality at one year between counties and the combined mortality (in situ+hospital) did not contribute significant differences.Mortality (in situ+in-hospital, and one year aftercare) of patients treated by the out-of-hospital emergency medical services in AD (non-medicalized healthcare transport model) was similar to that of the BD region (mixed healthcare transport model).
Databáze: OpenAIRE