TY  - JOUR
PY  - 2016//
TI  - Factors associated with the difficulty in hospital acceptance at the scene by emergency medical service personnel: a population-based study in Osaka City, Japan
JO  - BMJ open
A1  - Katayama, Yusuke
A1  - Kitamura, Tetsuhisa
A1  - Kiyohara, Kosuke
A1  - Iwami, Taku
A1  - Kawamura, Takashi
A1  - Hayashida, Sumito
A1  - Yoshiya, Kazuhisa
A1  - Ogura, Hiroshi
A1  - Shimazu, Takeshi
SP  - e013849
EP  - e013849
VL  - 6
IS  - 10
N2  - OBJECTIVES: To investigate the association between the difficulty in hospital acceptance at the scene by emergency medical service (EMS) personnel and prehospital demographic factors and reasons for EMS calls. <br><br>DESIGN: A retrospective, observational study. SETTING: Osaka City, Japan. PARTICIPANTS: A total of 100 649 patients transported to medical institutions by EMS from January 2013 to December 2013. PRIMARY OUTCOME MEASUREMENTS: The definition of difficulty in hospital acceptance at the scene was EMS personnel making ≥5 phone calls to medical institutions until a decision to transport was determined. Multivariable analysis was used to assess the relationship between difficulty in hospital acceptance and prehospital factors and reasons for EMS calls. <br><br>RESULTS: Multivariable analysis showed the elderly, foreigners, loss of consciousness, holiday/weekend, and night-time to be positively associated with difficulty in hospital acceptance at the scene. As reasons for EMS calls, gas poisoning (adjusted OR 3.281, 95% CI 1.201 to 8.965), trauma by assault (adjusted OR 2.662, 95% CI 2.390 to 2.966), self-induced drug abuse/gas poisoning (adjusted OR 4.527, 95% CI 3.921 to 5.228) and self-induced trauma (adjusted OR 1.708, 95% CI 1.369 to 2.130) were positively associated with the difficulty in hospital acceptance at the scene. <br><br>CONCLUSIONS: Ambulance records in Osaka City showed that certain prehospital factors such as night-time were positively associated with difficulty in hospital acceptance at the scene, and reasons for EMS calls, such as self-induced drug abuse/gas poisoning, were also positive predictors for difficulty in hospital acceptance at the scene.<br><br>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.<p />  <p>Language: en</p>
LA  - en
SN  - 2044-6055
UR  - http://dx.doi.org/10.1136/bmjopen-2016-013849
ID  - ref1
ER  -