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. 2015 May 15:15:8.
doi: 10.1186/s12873-015-0034-5.

Non-specific complaints in the ambulance; predisposing structural factors

Maaret Castrén  1   2 , Lisa Kurland  3   4 , Sofia Liljegard  5 , Therese Djärv  6   7
Affiliations

Non-specific complaints in the ambulance; predisposing structural factors

Maaret Castrén et al. BMC Emerg Med. .

Abstract

Background: The pre-hospital assessment non-specific complaint (NSC) often applies to patients whose diagnosis does not match any other specific assessment correlating to particular symptoms or diseases, though some previous studies have found them to be related to serious underlying conditions. The aim was to identify whether the structural factors such as urgency according to the dispatch priority of the Emergency Medical Communication Centre (EMCC) or work load in the Emergency Medical Services (EMS) are predisposing factors for the assessment of NSC instead of a specific assessment.

Methods: All patients with assessed condition NSCs by the EMS to Södersjukhuset during 2011 (n = 493) were compared with gender- and age-matched controls (n = 493), which were randomly drawn from all patients with specific conditions in the EMS, regarding day of week, time of day and priority set by EMCC with chi-squared tests and multivariate logistic regression models.

Results: Among patients with NSCs, more were females (58 %) and the median age was 82. Almost all patients were categorized with NSCs during the daytime (8 a.m. to 9 p.m.), i.e. 450 (91 %) as compared to 373 (75 %) of those with specific conditions (p < 0.01). The risk of having an EMS dispatched as low priority by the EMCC was almost doubled among patients with NSCs compared to controls (OR 1.97, 95 % CI 1.38-2.79).

Conclusions: Since patients with NSCs appear most frequently during the hours with most transportations for the EMS, i.e. 10 a.m. to 2 p.m., and the risk of having the assessment NSC was doubled if the EMCC dispatched EMS as low priority, structural factors might be predisposing factors for the assessment.

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Figures

Fig. 1
Fig. 1
Time when the Emergency Medical Communication Centre dispatched the Emergency Medical Service (EMS) plotted over 24 h for time of day for 493 patients pre-hospital assessed by the EMS as a non-specific complaint (NSC) compared to 493 gender- and age-matched controls with specific assessments as well as all EMS transportation (40 600) admitted to Södersjukhuset’s Emergency Department during 2011
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References

    1. Khorram-Manesh A, Hedelin A, Ortenwall P. Hospital-related incidents; causes and its impact on disaster preparedness and prehospital organisations. Scand J Trauma Resuscitation Emerg Med. 2009;17:26. doi: 10.1186/1757-7241-17-26. - DOI - PMC - PubMed
    1. Cherry RA, Trainer M. The current crisis in emergency care and the impact on disaster preparedness. BMC Emerg Med. 2008;8:7. doi: 10.1186/1471-227X-8-7. - DOI - PMC - PubMed
    1. Vicente V, Ekebergh M, Castren M, Sjostrand F, Svensson L, Sundstrom BW. Differentiating frailty in older people using the Swedish ambulance service: a retrospective audit. Int Emerg Nurs. 2012;20(4):228–35. doi: 10.1016/j.ienj.2011.09.005. - DOI - PubMed
    1. Nemec M, Koller MT, Nickel CH, Maile S, Winterhalder C, Karrer C, et al. Patients presenting to the emergency department with non-specific complaints: the Basel Non-specific Complaints (BANC) study. Acad Emerg Med. 2010;17(3):284–92. doi: 10.1111/j.1553-2712.2009.00658.x. - DOI - PubMed
    1. Vanpee D, Swine C, Vandenbossche P, Gillet JB. Epidemiological profile of geriatric patients admitted to the emergency department of a university hospital localized in a rural area. Eur J Emerg Med. 2001;8(4):301–4. doi: 10.1097/00063110-200112000-00010. - DOI - PubMed

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