Association between using a prehospital assessment unit and hospital admission and mortality: a matched cohort study

Autor: Stig Nikolaj Fasmer Blomberg, Daniel Hägi-Pedersen, Niklas Breindahl, Signe Amalie Wolthers, Sair Anjum, Annette Ersbøll, Lars Bredevang Andersen, Helle Collatz Christensen
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMJ Open, Vol 13, Iss 9 (2023)
Druh dokumentu: article
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2023-075592
Popis: Objectives This study aimed to compare hospital admission and 30-day mortality between patients assessed by the prehospital assessment unit (PAU) and patients not assessed by the PAU.Design This was a matched cohort study.Setting This study was conducted between November 2021 and October 2022 in Region Zealand, Denmark.Participants 989 patients aged >18, assessed by the PAU, were identified, and 9860 patients not assessed by the PAU were selected from the emergency calls using exposure density sampling.Exposure Patients assessed by the PAU. The PAU is operated by paramedics with access to point-of-care test facilities. The PAU is an alternative response vehicle without the capability of transporting patients.Primary and secondary outcome measures The primary outcome was hospital admission within 48 hours after the initial call. The key secondary outcomes were admission within 7 days, 30-day mortality and admission within 6 hours. Descriptive statistical analyses were conducted, and logistic regression models were used to estimate adjusted OR (aOR) and 95% CI.Results Among the PAU assessed, 44.1% were admitted within 48 hours, compared with 72.9% of the non-PAU assessed, p
Databáze: Directory of Open Access Journals