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Diabetes-Related Emergency Medical Service Activations in 23 States, United States 2015

机译：与美国2015年23个州的糖尿病相关的紧急医疗服务激活

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Objective: The use of emergency medical services (EMS) for diabetes-related events is believed to be substantial but has not been quantified nationally despite the diverse acute complications associated with diabetes. We describe diabetes-related EMS activations in 2015 among people of all ages from 23 U.S. states. Methods: We used data from 23 states that reported = 95% of their EMS activations to the U.S. National Emergency Medical Services Information System (NEMSIS) in 2015. A diabetes-related EMS activation was defined using coded EMS provider impressions of "diabetes symptoms" and coded complaints recorded by dispatch of "diabetic problem." We described activations by type of location, urbanicity, U.S. Census Division, season, and time of day; and patient-events by age category, race/ethnicity, disposition, and treatment with glucose. Crude and age-adjusted diabetes-related EMS patient-level event rates were calculated for adults = 18 years of age with diagnosed diabetes using the Behavioral Risk Factor Surveillance System to estimate the population denominator. Results: Of 10,324,031 relevant EMS records, 241,495 (2.3%) were diabetes-related activations, which involved over 235,000 hours of service. Most activations occurred in urban or suburban environ- ments (86.4%), in the home setting (73.5%), and were slightly more frequent in the summer months. Most patients (72.6%) were = 45 years of age and over one-half (55.4%) were transported to the emergency department. The overall age-adjusted diabetes-related EMS event rate was 33.9 per 1,000 persons with diagnosed diabetes; rates were highest in patients 18-44 years of age, males, and non-Hispanic blacks and varied by U.S. Census Division. Conclusions: Diabetes results in a substantial burden on EMS resources. Collection of more detailed diabetes complication information in NEMSIS may help facilitate EMS resource planning and prevention strategies.
机译：目的：使用与糖尿病相关事件的紧急医疗服务（EMS）的使用是大量的，但尽管与糖尿病相关的急性并发症不同，但尚未过量量化。我们描述了2015年的糖尿病相关的EMS激活，其中包括23名美国各国的所有年龄段。方法：我们在2015年向美国国家紧急医疗服务信息系统（NEMSIS）的23个州的数据使用来自23个州的数据。使用“糖尿病”的编码EMS提供商印象来定义糖尿病相关的EMS激活。症状“和派遣”糖尿病问题“记录的编码投诉。我们描述了由地点，城市，美国人口普查，季节和时间的类型的激活;和患者活动按年龄类别，种族/种族，处置和葡萄糖治疗。粗糙和年龄调整后的糖尿病相关的EMS患者级事件率为成人＆ = 18岁，使用行为风险因素监测系统诊断糖尿病患者估算人口分母。结果：10,324,031个相关的EMS记录，241,495名（2.3％）是糖尿病相关的激活，涉及超过235,000小时的服务。大多数激活发生在城市或郊区环境（86.4％）中，在家庭环境（73.5％），夏季稍微频繁。大多数患者（72.6％）为＆ = 45岁，超过一半（55.4％）被运送到急诊部门。整体年龄调整后的糖尿病相关的EMS事件率为每1000人33.9人，患有诊断糖尿病; 18-44岁的患者，男性和非西班牙裔黑人和美国人口普查司各种各样的患者，患者最高。结论：糖尿病导致EMS资源的重大负担。更多详细的糖尿病在Nemsis中的复杂信息集合可以帮助促进EMS资源规划和预防策略。

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