Emergencies [Disease/Finding]
Conditions
Keywords
Pre-hospital Care, Diseases Spectrum, Call Demands, Emergency Response Time
Brief summary
This was a retrospective analysis of a cohort of all emergency care patients in Beijing from January 2005 to December 2014. This aim of this study was to analyze the trends in pre-hospital emergency care need and the emergency response times, with the intention of aiding the government to optimize medical resources and improve pre-hospital emergency care.
Detailed description
Pre-hospital emergency care is a very important part of Emergency Medical Service (EMS) System, crucial to patients' life support, disability and mortality rate reduction. The level of pre-hospital emergency care reflects the comprehensive ability of the organizational, management and public welfare of a country. Beijing Emergency Center and Beijing Red Cross Emergency Center are in the charge of all the pre-hospital emergency care in Beijing, which respectively subordinate to Beijing government and Chinese Red Cross Society. This study collected the data of 3,909,746 cases from these two pre-hospital care centers from January, 2005 to December, 2014 and retrospective analyzed the pre-hospital emergency call demand and first aid related time. The results of this study can help the government optimize medical resources; strengthen the prevention of related emergency diseases. The changes and trends of pre-hospital care disease spectrum also present the same problems and situation of developing megacities like Beijing. Based on the meticulous work in these 2 centers, this study has collected the most complete pre-hospital emergency care data in China.
Interventions
PROCEDUREPrehospital care
The common cause of pre-hospital care demands were Abdominal Problems, Allergies/Envenomation, Animal Bites, Assault/Sexual, Back Pain, Breathing Problems, Burns/Explosions, Carbon Monoxide/Inhalation/Radiation/Hazardous Material, Cardiac or Respiratory Arrest, Chest Pain, Choking, Convulsions/Seizures, Diabetic Problems, Drowning/Diving/Scuba Accident, Electrocution/Lightning, Eye Problems/Injuries, Falls, Headache, Heart Problems, Heat/Cold Exposure, Hemorrhage/Lacerations, Inaccessible Incident/Entrapments, Overdose/Poisoning, Pregnancy/Childbirth/Miscarriage, Psychiatric/Suicide Attempt, Sick Person, Stabbing/Gunshot/Penetrating Trauma, Stroke, Traffic Injuries, Traumatic Injuries, Unconscious/Fainting, Unknown Problems, Inter-Facility Transfer/Palliative Care, Flu-Like Symptoms, etc.
Sponsors
Beijing Emergency Medical Center
Beijing Red Cross Emergency Center
Peking University People's Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* All patients treated by pre-hospital care from the Beijing Emergency Medical Center and Beijing Red Cross Emergency Center from January 2005 to December 2014
Exclusion criteria
* missing data * duplicate records * no identifiable chief cause cases * not emergency cases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cause of the emergency | 10 years | The chief complaints of the patients were classified into 34 illnesses according to the Medical Priority Dispatch System (MPDS) which total includes 34 diseases. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The pre-hospital emergency call demand | 10 years | Total number of pre-hospital emergency calls, reduces the number of missing record, records with no identifiable chief complaint, repeated data, not-emergency care. |
| Emergency care-related time | 10 years | Emergency care-related time included emergency response time (ERT), active response time (ART), and passive response time (PRT). ART was defined as the time from emergency call to ambulance departure time; PRT was from departure time to arrival time at the pre-hospital center; ERT was the time from the emergency call to arrival time. |
Countries
China
Outcome results
None listed