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Morbidity and Mortality Associated with Prehospital 'Lift-assist' Calls

机译：与追溯“提升”呼叫相关的发病率和死亡率

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Introduction: When an individual requires assistance with mobilization, emergency medical services (EMS) may be called. If a patient does not receive treatment on scene and is not transported to hospital, these are referred to as Lift Assist (LA) calls. It is possible this need for assistance represents a subtle onset of a disease process or decline in function. Without recognition or treatment, the patient may be at risk for recurrent falls, repeat EMS visits or worsening illness. Objective: To examine the 14-day morbidity and mortality associated with LA calls and determine factors that are associated with increased risk of these outcomes. Methods: All LA calls from a single EMS agency were collected over a one year study period (January-December 2013). Calls were linked with hospital records to determine if LA patients had a subsequent visit to the emergency department (ED), admission, or death within 14days of the LA call. Logistic regression analyses were completed to determine factors predicting ED visit or hospital admission within 14days of the LA call. Results: Of 42,055 EMS calls, 804 (1.9%) were LAs. These calls were for 414 individuals; 298 (72%) patients had 1 LA, and 116 (28%) patients had >1 LA call. There were 169 (21%) ED visits, 93 (11.6%) hospital admissions and 9 (1.1%) deaths within 14days of a LA call. Patient age (p = 0.025) significantly predicted ED visit. Patient age (p = 0.006) and an Ambulance Call Record missing at least 1 vital sign (p = 0.038) significantly predicted hospital admission. Conclusions: LA calls are associated with short-term morbidity and mortality. Patient age was found to be associated with these outcomes. These calls may be early indicators of problems requiring comprehensive medical evaluation and thus further factors associated with poor outcomes should be determined.
机译：介绍：当个人需要调动的援助时，可能会调用紧急医疗服务（EMS）。如果患者没有接受现场治疗并且没有运送到医院，则这些被称为升力（LA）呼叫。援助可能需要这种疾病过程或功能下降的细微发作。没有识别或治疗，患者可能面临复发性跌倒的风险，重复EMS访问或恶化的疾病。目的：探讨与洛杉矶呼叫相关的14天发病率和死亡率，并确定与这些结果的风险增加有关的因素。方法：从一年的研究期（2013年1月至12月）收集了来自单一EMS机构的所有LA呼叫。呼叫与医院记录相关联，以确定LA患者在洛杉矶电话的14天内随后访问急诊部门（ED），入场或死亡。完成后勤回归分析，以确定在洛杉矶电话14天内预测ED访问或医院入学的因素。结果：42,055个EMS通话，804（1.9％）是LAS。这些电话是414个人; 298（72％）患者有1杆，116名（28％）患者> 1洛杉矶呼叫。洛杉矶电话14天内有169（21％）ED访问，93名（11.6％）医院入学和9名（1.1％）死亡人数。患者年龄（P = 0.025）显着预测了ED访问。患者年龄（p = 0.006）和救护车呼叫记录缺少至少1个重要标志（P = 0.038）显着预测的医院入学。结论：洛杉矶呼叫与短期发病率和死亡率有关。发现患者年龄与这些结果有关。这些呼叫可能是需要全面医学评估的问题的早期指标，因此应确定与结果不良相关的其他因素。

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