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A retrospective review of 911 calls to a regional poison control center
BACKGROUND: There is little data as to what extent national Emergency Medical Services (EMS; 911) utilize poison control centers (PCCs). A review of data from our PCC was done to better understand this relationship and to identify potential improvements in patient care and health care savings. METHO...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776607/ https://www.ncbi.nlm.nih.gov/pubmed/26985414 http://dx.doi.org/10.4103/2249-4863.174285 |
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author | Bosak, Adam Brooks, Daniel E. Welch, Sharyn Padilla-Jones, Angie Gerkin, Richard D. |
author_facet | Bosak, Adam Brooks, Daniel E. Welch, Sharyn Padilla-Jones, Angie Gerkin, Richard D. |
author_sort | Bosak, Adam |
collection | PubMed |
description | BACKGROUND: There is little data as to what extent national Emergency Medical Services (EMS; 911) utilize poison control centers (PCCs). A review of data from our PCC was done to better understand this relationship and to identify potential improvements in patient care and health care savings. METHODS: Retrospective chart review of a single PCC to identify calls originating from 911 sources over a 4-year study period (1/1/08–12/31/11). Recorded variables included the origin of call to the PCC, intent of exposure, symptoms, management site, hospital admission, and death. Odds ratios (OR) were developed using multiple logistic regressions to identify risk factors for EMS dispatch, management site, and the need for hospital admission. RESULTS: A total of 7556 charts were identified; 4382 (58%) met inclusion criteria. Most calls (63.3%) involved accidental exposures and 31% were self-harm or misuse. A total of 2517 (57.4%) patients had symptoms and 2044 (50.8%) were transported to an Emergency Department (ED). Over 38% of calls (n = 1696) were handled primarily by the PCC and did not result in EMS dispatch; only 6.5% of cases (n = 287) with initial PCC involvement resulted in crew dispatch. There were 955 (21.8%) cases that resulted in admission, and five deaths. The OR for being transported to an ED was 45.4 (95% confidence interval [CI]: 30.2–68.4) when the crew was dispatched by the PCC. Hospital admission was predicted by intent for self-harm (OR 5.0; 95% CI: 4.1–6.2) and the presence of symptoms (OR 2.43; 95% CI: 1.9–3.0). The ORs for several other predictive variables are also reported. CONCLUSIONS: When 911 providers contact a PCC about poisoning-related emergencies, a history of intentional exposure and the presence of symptoms each predicted EMS dispatch by the PCC, patient transport to an ED, and hospital admission. Early involvement of a PCC may prevent the need for EMS activation or patient transfer to a health care facility. |
format | Online Article Text |
id | pubmed-4776607 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-47766072016-03-16 A retrospective review of 911 calls to a regional poison control center Bosak, Adam Brooks, Daniel E. Welch, Sharyn Padilla-Jones, Angie Gerkin, Richard D. J Family Med Prim Care Original Article BACKGROUND: There is little data as to what extent national Emergency Medical Services (EMS; 911) utilize poison control centers (PCCs). A review of data from our PCC was done to better understand this relationship and to identify potential improvements in patient care and health care savings. METHODS: Retrospective chart review of a single PCC to identify calls originating from 911 sources over a 4-year study period (1/1/08–12/31/11). Recorded variables included the origin of call to the PCC, intent of exposure, symptoms, management site, hospital admission, and death. Odds ratios (OR) were developed using multiple logistic regressions to identify risk factors for EMS dispatch, management site, and the need for hospital admission. RESULTS: A total of 7556 charts were identified; 4382 (58%) met inclusion criteria. Most calls (63.3%) involved accidental exposures and 31% were self-harm or misuse. A total of 2517 (57.4%) patients had symptoms and 2044 (50.8%) were transported to an Emergency Department (ED). Over 38% of calls (n = 1696) were handled primarily by the PCC and did not result in EMS dispatch; only 6.5% of cases (n = 287) with initial PCC involvement resulted in crew dispatch. There were 955 (21.8%) cases that resulted in admission, and five deaths. The OR for being transported to an ED was 45.4 (95% confidence interval [CI]: 30.2–68.4) when the crew was dispatched by the PCC. Hospital admission was predicted by intent for self-harm (OR 5.0; 95% CI: 4.1–6.2) and the presence of symptoms (OR 2.43; 95% CI: 1.9–3.0). The ORs for several other predictive variables are also reported. CONCLUSIONS: When 911 providers contact a PCC about poisoning-related emergencies, a history of intentional exposure and the presence of symptoms each predicted EMS dispatch by the PCC, patient transport to an ED, and hospital admission. Early involvement of a PCC may prevent the need for EMS activation or patient transfer to a health care facility. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4776607/ /pubmed/26985414 http://dx.doi.org/10.4103/2249-4863.174285 Text en Copyright: © 2015 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Bosak, Adam Brooks, Daniel E. Welch, Sharyn Padilla-Jones, Angie Gerkin, Richard D. A retrospective review of 911 calls to a regional poison control center |
title | A retrospective review of 911 calls to a regional poison control center |
title_full | A retrospective review of 911 calls to a regional poison control center |
title_fullStr | A retrospective review of 911 calls to a regional poison control center |
title_full_unstemmed | A retrospective review of 911 calls to a regional poison control center |
title_short | A retrospective review of 911 calls to a regional poison control center |
title_sort | retrospective review of 911 calls to a regional poison control center |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776607/ https://www.ncbi.nlm.nih.gov/pubmed/26985414 http://dx.doi.org/10.4103/2249-4863.174285 |
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