Predictors of emergency medical services use by adults with heart failure; 2009-2017.
Heart Lung
; 49(5): 475-480, 2020.
Article
em En
| MEDLINE
| ID: mdl-32248958
ABSTRACT
BACKGROUND:
Heart failure (HF) necessitates frequent transport by emergency medical services (EMS), but few studies have been conducted to evaluate predictors of EMS use and of multiple EMS transports that are amenable to intervention.OBJECTIVES:
To characterize prehospital clinical status of community-dwelling adults with reported HF who used EMS across 8 years and to evaluate predictors of EMS use and multiple EMS transports.METHODS:
Data were from a database in a large Midwestern county. Descriptive statistics, logistic and negative binomial regression were used for analysis.RESULTS:
EMS transports were evaluated for 6582 adults with 16,905 transports. The most common chief complaints were respiratory problems, feeling sick, and chest pain. Shortness of breath, chest pain, level of consciousness, age, gender, race, and hospital site predicted multiple transports.CONCLUSIONS:
Clinicians need to educate patients with HF about ways to manage shortness of breath and chest pain and when to activate EMS.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Serviços Médicos de Emergência
/
Insuficiência Cardíaca
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Humans
Idioma:
En
Revista:
Heart Lung
Ano de publicação:
2020
Tipo de documento:
Article