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Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis
Background: Emergency Medical Services (EMS) plays a fundamental role in providing good quality healthcare services to citizens, as they are the first responders in distressing situations. Few studies have used available EMS data to investigate EMS call characteristics and subsequent responses. Meth...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7763006/ https://www.ncbi.nlm.nih.gov/pubmed/33322302 http://dx.doi.org/10.3390/healthcare8040551 |
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author | Campagna, Sara Conti, Alessio Dimonte, Valerio Dalmasso, Marco Starnini, Michele Gianino, Maria Michela Borraccino, Alberto |
author_facet | Campagna, Sara Conti, Alessio Dimonte, Valerio Dalmasso, Marco Starnini, Michele Gianino, Maria Michela Borraccino, Alberto |
author_sort | Campagna, Sara |
collection | PubMed |
description | Background: Emergency Medical Services (EMS) plays a fundamental role in providing good quality healthcare services to citizens, as they are the first responders in distressing situations. Few studies have used available EMS data to investigate EMS call characteristics and subsequent responses. Methods: Data were extracted from the emergency registry for the period 2013–2017. This included call and rescue vehicle dispatch information. All relationships in analyses and differences in events proportion between 2013 and 2017 were tested against the Pearson’s Chi-Square with a 99% level of confidence. Results: Among the 2,120,838 emergency calls, operators dispatched at least one rescue vehicle for 1,494,855. There was an estimated overall incidence of 96 emergency calls and 75 rescue vehicles dispatched per 1000 inhabitants per year. Most calls were made by private citizens, during the daytime, and were made from home (63.8%); 31% of rescue vehicle dispatches were advanced emergency medical vehicles. The highest number of rescue vehicle dispatches ended at the emergency department (74.7%). Conclusions: Our data showed that, with some exception due to environmental differences, the highest proportion of incoming emergency calls is not acute or urgent and could be more effectively managed in other settings than in an Emergency Departments (ED). Better management of dispatch can reduce crowding and save hospital emergency departments time, personnel, and health system costs. |
format | Online Article Text |
id | pubmed-7763006 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-77630062020-12-27 Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis Campagna, Sara Conti, Alessio Dimonte, Valerio Dalmasso, Marco Starnini, Michele Gianino, Maria Michela Borraccino, Alberto Healthcare (Basel) Article Background: Emergency Medical Services (EMS) plays a fundamental role in providing good quality healthcare services to citizens, as they are the first responders in distressing situations. Few studies have used available EMS data to investigate EMS call characteristics and subsequent responses. Methods: Data were extracted from the emergency registry for the period 2013–2017. This included call and rescue vehicle dispatch information. All relationships in analyses and differences in events proportion between 2013 and 2017 were tested against the Pearson’s Chi-Square with a 99% level of confidence. Results: Among the 2,120,838 emergency calls, operators dispatched at least one rescue vehicle for 1,494,855. There was an estimated overall incidence of 96 emergency calls and 75 rescue vehicles dispatched per 1000 inhabitants per year. Most calls were made by private citizens, during the daytime, and were made from home (63.8%); 31% of rescue vehicle dispatches were advanced emergency medical vehicles. The highest number of rescue vehicle dispatches ended at the emergency department (74.7%). Conclusions: Our data showed that, with some exception due to environmental differences, the highest proportion of incoming emergency calls is not acute or urgent and could be more effectively managed in other settings than in an Emergency Departments (ED). Better management of dispatch can reduce crowding and save hospital emergency departments time, personnel, and health system costs. MDPI 2020-12-11 /pmc/articles/PMC7763006/ /pubmed/33322302 http://dx.doi.org/10.3390/healthcare8040551 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Campagna, Sara Conti, Alessio Dimonte, Valerio Dalmasso, Marco Starnini, Michele Gianino, Maria Michela Borraccino, Alberto Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis |
title | Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis |
title_full | Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis |
title_fullStr | Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis |
title_full_unstemmed | Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis |
title_short | Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis |
title_sort | trends and characteristics of emergency medical services in italy: a 5-years population-based registry analysis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7763006/ https://www.ncbi.nlm.nih.gov/pubmed/33322302 http://dx.doi.org/10.3390/healthcare8040551 |
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