Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Criteria-based dispatch of emergency medical services in non-traumatic subarachnoid haemorrhage

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Reduction in maternal mortality in Denmark over three decades

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. An audit of 70 maternal deaths

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Characteristics of patients reporting symptoms by open-ended questions in specialist palliative care

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. High incidence of lost workdays in patients with subacromial impingement syndrome

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

INTRODUCTION: Timely admission to a facility capable of providing highly specialised treatment is key in patients with spontaneous subarachnoid haemorrhage. We aimed to determine the time elapsed from the initial emergency telephone call to arrival at a neurosurgical department. Also, we aimed to determine the ambulance dispatch criteria used and the activated prehospital responses.

METHODS: This was a retrospective study. Patients admitted in the Capital Region of Denmark within a 3.5-year period were identified in the Danish National Patient Register. Data were extracted from medical records and from automated telephone logs at the Emergency Medical Dispatch Centre.

RESULTS: Time intervals were available in 124 out of 262 patients and ambulance dispatch criteria in 98 patients. The median time from call to neurosurgical admission was 207.5 minutes. The dispatch criterion sudden severe headache had a sensitivity of 17.4%. An ambulance with lights and sirens was dispatched to 77% of patients and 28% were brought directly to a hospital with neurosurgical facilities.

CONCLUSIONS: The median time from emergency call to neurosurgical admission was 3.5 hours. No single dispatch criterion detected the condition with an acceptable sensitivity. A high proportion of patients received an ambulance with lights and sirens, but more than two out of three were not initially brought to a hospital with neurosurgical facilities.

FUNDING: the non-profit organisation Trygfonden Trial registration: NCT03786068 - www.clinicaltrials.gov.

OriginalsprogEngelsk
ArtikelnummerA02210152
TidsskriftDanish Medical Journal
Vol/bind68
Udgave nummer9
ISSN1603-9629
StatusUdgivet - 17 aug. 2021

ID: 67535992