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ObjectiveKnowledge about patients after calling for an ambulance is limited to subgroups, such as patients with cardiac arrest, myocardial infarction, trauma and stroke, while population-based studies including all diagnoses are few. We examined the diagnostic pattern and mortality among all patients brought to hospital by ambulance after emergency calls.DesignRegistry-based cohort study.Setting and participantsWe included patients brought to hospital in an ambulance dispatched after emergency calls during 2007–2014 in the North Denmark Region (580 000 inhabitants). We reported hospital diagnosis according to the chapters of the International Classification of Diseases, 10th Edition (ICD-10), and studied death on days 1 and 30 after the call. Cohort characteristics and diagnoses were described, and the Kaplan-Meier method was used to estimate mortality and 95% CIs.ResultsIn total, 148 757 patients were included, mean age 52.9 (SD 24.3) years. The most frequent ICD-10 diagnosis chapters were: ‘injury and poisoning’ (30.0%), and the 2 non-specific diagnosis chapters: ‘symptoms and abnormal findings, not elsewhere classified’ (17.5%) and ‘factors influencing health status and contact with health services’ (14.1%), followed by ‘diseases of the circulatory system’ (10.6%) and ‘diseases of the respiratory system’ (6.7%). The overall 1-day mortality was 1.8% (CI 1.7% to 1.8%) and 30-day mortality 4.7% (CI 4.6% to 4.8%). ‘Diseases of the circulatory system’ had the highest 1-day mortality of 7.7% (CI 7.3% to 8.1%) accounting for 1209 deaths. After 30 days, the highest number of deaths were among circulatory diseases (2313), respiratory diseases (1148), ‘symptoms and abnormal findings, not elsewhere classified’ (1119) and ‘injury and poisoning’ (741), and 30 days mortality in percentage was 14.7%, 11.6%, 4.3% and 1.7%, respectively.ConclusionsPatients' diagnoses from hospital stay after calling 1-1-2 in this population-based study were distributed across all ICD-10 chapters. Mortality varied widely between diagnostic groups. Non-specific diagnoses accounted for one-third of the patients and contributed to mortality in terms of total number of deaths.

This work develops a communication theoretic model for the design and analysis at the physical layer of a reader receiver structure for passive UHF RFID. The objective is attaining multi-packet reception capabilities which in turn help the fast resolution of multiple tags through a more rapid and power efficient arbitration of the tags collisions. In particular, we derive a parametric continuous time model for the subspace of a tag signal at the noisy receiver/reader, which in addition to being affected by fading and receiver delay, exhibits wide variations in the symbol frequency and transmission delay, due to imperfections in the RFID hardware design. Our main contribution is in showing that channel fading, the difference in delay and the tags frequency dispersion can be transformed from foes to friends by exploiting them in a multipacket receiver. In fact, signals colliding from different tags are more easily separable by estimating the sensor specific variation in frequency and delay and using these estimates in a multiuser receiver. In our study, we specifically consider a successive interference cancellation algorithm followed by a maximum likelihood sequence decoder, that iteratively reconstructs one signal contribution at a time and then removes it from the received signal. Numerical simulations show that the estimates and proposed algorithm are effective in recovering collisions. The proposed algorithm is then incorporated into a numerical simulation of the Q-protocol for UHF RFID tags and is shown to be effective in providing fast and power efficient arbitration.

EHSD is evidenced as a dominant health intervention. However, financial barriers between municipalities and health authorities have to be overcome. For qualitative reasons, a learning path of implementation is recommended where one stroke unit in a region initiates EHSD for dissemination of new experience to the other stroke units.

The paper describes the results of measurements from a 2 year period on a 95 hectare urban catchment in Aalborg, Denmark. The results of the rain/discharge measurements include 160 storm events corresponding to an accumulated rain depth of totally 753 mm. The water quality measurements include 15 events with time series of concentration of SS, COD, BOD, total nitrogen and total phosphorus. The quality parameters showed significant first flush effects. The paper discusses whether either the event average concentration or the accumulated event mass is the most appropriate way to characterize the quality of the outflow.

Objective Breathing difficulties and respiratory diseases have been under-reported in Emergency Medical Services research, despite these conditions being prevalent with substantial mortality. Our aim was two-fold; 1) to investigate the diagnostic pattern and mortality among EMS patients to whom an ambulance was dispatched due to difficulty breathing, and 2) to investigate the initial symptoms and mortality for EMS patients diagnosed with respiratory diseases in hospital. Methods Population-based historic cohort study in the North Denmark Region 2012–2015. We included two patient groups; 1) patients calling the emergency number with breathing difficulty as main symptom, and 2) patients diagnosed with respiratory diseases in hospital following an emergency call. Main outcome was estimated 1- and 30-day mortality rates. Results There were 3803 patients with the symptom breathing difficulty , nearly half were diagnosed with respiratory diseases 47.3%, followed by circulatory diseases 13.4%, and symptoms and signs 12.0%. The 1-day mortality rate was highest for circulatory diseases , then respiratory diseases and o ther factors . Over-all 30-day mortality was 13.2%, and the highest rate was for circulatory diseases (17.7%) then respiratory diseases and other factors . A total of 4014 patients were diagnosed with respiratory diseases , 44.8% had the symptom breathing difficulty , 13.4% unclear problems and 11.3%. chest pain/heart disease . 1-day mortality rates were highest for decreased consciousness , then breathing difficulties and unclear problem . Over-all 30-day mortality rates were 12.5%, the highest with symptoms of decreased consciousness (19.1%), then unclear problem and breathing difficulty . There was an overlap of 1797 patients between the two groups. Conclusions The over-all mortality rates alongside the distribution of symptoms and diagnoses, suggest the breathing difficulty patient group is complex and has severe health problems. These findings may be able to raise awareness towards the patient group, and thereby increase focus on diagnostics and treatment to improve the patient outcome.

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Objective:To evaluate an early home-supported discharge service for stroke patients.Design:We carried out a prospective, randomised, open-label, blinded-endpoint trial (allocation ratio of 1:1) with patients assigned to either an early home-supported discharge service or usual care.Setting:The study was undertaken in Aveiro, Portugal, between April 2009 and April 2013.Subjects:We included stroke patients aged 25–85 years admitted to the stroke unit with an initial Functional Independence Measure of up to 100, who gave informed consent.Interventions:Patients in the early home-supported discharge group began their rehabilitation intervention in the stroke unit and the early home-supported discharge team worked with them at home for a maximum of one month. Patients in the control group received usual services.Main measures:The primary outcome measure was the Functional Independence Measure at six months after stroke.Results:We randomised 190 patients of whom 34 were lost to follow-up. There were no significant differences (p > 0.5) in the average scores of Functional Independence Measure between the early home-supported discharge (69 ±22; mean ±SD) and the control groups (71 ±17) measured at baseline; and between the early home-supported discharge (107 ±20) and the control groups (107 ±25) measured at six months. The number of individuals with a low Functional Independence Measure score (<60) in the early home-supported discharge group compared with the control group was higher at admission (34/95 vs. 26/95) and lower at follow-up (2/74 vs. 5/78).Conclusions:It was feasible to implement early home-supported discharge procedures in a Southern European setting, but we have not shown convincing differences in disability at six months.