Emergency medical services transport delays for suspected stroke and myocardial infarction patients

Golden, Ashley P.; Odoi, Agricola

doi:10.1186/s12873-015-0060-3

Cited by 21 publications

(21 citation statements)

References 23 publications

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“…One study in Tennessee, USA, found that the prolongation of transportation time was influenced by seasons due to variations in traffic volume 23. However, transportation conditions are very different between Tennessee and Nara, which may explain in part the observed differences in results between these two studies.…”

Section: Discussionmentioning

confidence: 99%

Effect of the number of request calls on the time from call to hospital arrival: a cross-sectional study of an ambulance record database in Nara prefecture, Japan

et al. 2016

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ObjectivesIn Japan, ambulance staff sometimes must make request calls to find hospitals that can accept patients because of an inadequate information sharing system. This study aimed to quantify effects of the number of request calls on the time interval between an emergency call and hospital arrival.Design and settingA cross-sectional study of an ambulance records database in Nara prefecture, Japan.CasesA total of 43 663 patients (50% women; 31.2% aged 80 years and over): (1) transported by ambulance from April 2013 to March 2014, (2) aged 15 years and over, and (3) with suspected major illness.Primary outcome measuresThe time from call to hospital arrival, defined as the time interval from receipt of an emergency call to ambulance arrival at a hospital.ResultsThe mean time interval from emergency call to hospital arrival was 44.5 min, and the mean number of requests was 1.8. Multilevel linear regression analysis showed that ∼43.8% of variations in transportation times were explained by patient age, sex, season, day of the week, time, category of suspected illness, person calling for the ambulance, emergency status at request call, area and number of request calls. A higher number of request calls was associated with longer time intervals to hospital arrival (addition of 6.3 min per request call; p<0.001). In an analysis dividing areas into three groups, there were differences in transportation time for diseases needing cardiologists, neurologists, neurosurgeons and orthopaedists.ConclusionsThe study revealed 6.3 additional minutes needed in transportation time for every refusal of a request call, and also revealed disease-specific delays among specific areas. An effective system should be collaboratively established by policymakers and physicians to ensure the rapid identification of an available hospital for patient transportation in order to reduce the time from the initial emergency call to hospital arrival.

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Section: Discussionmentioning

confidence: 99%

Effect of the number of request calls on the time from call to hospital arrival: a cross-sectional study of an ambulance record database in Nara prefecture, Japan

et al. 2016

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“…Masalah yang ada di Kabupaten Banjar ini menjadi permasalahan tingkat nasional karena terbatasnya sarana dan prasarana, tingginya biaya perawatan dan perbaikan sarana transportasi, keterbatasan dana anggaran pemerintah yang tidak bisa ditangan oleh daerah (Meidiani, Malkhamah, & Muthohar, 2018). Berdasarkan riset sebelumnya menunjukkan bahwa transportasi yang lama mempengaruhi waktu untuk perawatan dan tujuan kesembuhan pasien (Golden & Odoi, 2015). Oleh karena itu dilakukan penelitian tentang transportasi pasien stroke ke intalasi gawat darurat rumah sakit.…”

Section: Pendahuluanunclassified

“…Proses tranportasi yang lambat tentu bisa menghambat untuk pertolongan pasien. Transportasi yang lama mempengaruhi waktu untuk perawatan dan tujuan kesembuhan pasien stroke (Golden & Odoi, 2015). Selain itu pekerjaan tentu kaitannya dengan sumber mata pencaharian.…”

Section: Metodeunclassified

“…Waktu emas (golden window) dalam penanganan stroke adalah ± 3 jam, artinya dalam 3 jam awal setelah mendapatkan serangan stroke, pasien harus segera mendapatkan terapi secara komprehensif dan optimal dari tim gawat darurat rumah sakit untuk mendapatkan hasil pengobatan yang optimal (Bahnasy et al, 2019). Keterlambatan pra-rumah sakit, yang diukur dengan total waktu transportasi yang melebihi pedoman bisa disebabkan oleh musim (cuaca) dan pusat pelayanan gawat darurat yang tersedia (Golden & Odoi, 2015). Penanganan awal lebih dari 3 jam akan lebih beresiko untuk terhadap kecacatan jangka panjang dan komplikasi penyakit lainnya.…”

Section: Alasan Penggunaan Transportasiunclassified

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Transportasi Pasien Stroke ke Instalasi Gawat Darurat Rumah Sakit

Hidayat¹,

Agianto²,

Agustina³

2020

JHNS

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The prevalence of stroke in Indonesia increased from 7.0/mile to 10.9/mile. The facilities and infrastructure become a national problem especially in the health sector. The initial 3 hours of a stroke is the time span for treatment and help to obtain optimal results. Objective: The purpose of this study was to determine the transportation of stroke patients to the emergency department at Ratu Zaleha Martapura Hospital. Method: This research was analytic descriptive with cross sectional approach and consecutive sampling technique was used to get 30 samples. The study was conducted from October to November 2019 using a questionnaire. Data analysis included frequency and percentage tables. Results: The results showed that 46.47% of respondents used non-ambulances, 73.34% of the reasons were free, 53.33% of medical devices in their modes of transportation were not available, 56.67% of respondents stated that the travel time to the hospital was ≥165 minutes, 50% during the transportation process was not accompanied by a health worker, and for the distribution of locations was the most in the District of Martapura as much as 26,67%. Conclusion: Many stroke patients who were taken did not use ambulances, many were used for free reasons, the majority of medical devices in the mode of transportation were not available, most patients took more than 3 hours and when referred were partly not accompanied by a health worker and the majority of patients were from Martapura District.

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“…Therefore, improvements in each and every part of prehospital assessment, for example, notification, activation, response, on-scene and transport intervals are public health necessities worldwide 3. However, due to the lack of adequate health budgets in many countries, particularly in low-income/middle-income ones, it is often difficult to allocate resources for a sufficient number of ambulances and paramedics.…”

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confidence: 99%