PMID: 15001417Mar 6, 2004Paper

Impact of ambulance transportation on resource use in the emergency department

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Adrian MarinovichElizabeth MacNamara

Abstract

To determine how ambulance transportation is associated with resource use in the emergency department (ED). A retrospective administrative database review of patient visits to a Montreal tertiary care hospital ED in one year (April 2000-March 2001). Measures of resource use included ED length of stay, admission to the hospital, and whether consultations and radiology/imaging tests (excluding plain-film x-rays) were ordered from the ED. During the study period, 39,674 patients made 59,142 visits to the ED. Ambulance transportation was used for 15.6% of these ED visits. Compared with non-ambulance visits, ambulance visits were more likely to be made by older patients (mean age: 68 vs. 47 years), to be made by females (59% vs. 55%), to have a greater triage urgency score (mean on 1-5 scale, with 1 most urgent: 2.7 vs. 3.9), and to occur after office hours, 5 PM to 9 AM (47% vs. 43%). Ambulance visits were also more likely than non-ambulance visits to result in: a longer length of stay (mean: 13.3 hours [95% CI = 13.0 to 13.6] vs. 5.9 [95% CI = 5.8 to 6.0]), hospital admission (40% vs. 10%) (odds ratio [OR]: 5.94 [95% CI = 5.59 to 6.33]), consultations (56% vs. 20%) (OR: 5.15 [95% = 4.86 to 5.45]), and radiology/imaging tests (20% ...Continue Reading

Citations

Apr 13, 2012·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Edward Durant, Jahan Fahimi
Apr 26, 2013·International Emergency Nursing·Kristina BlomstedtAnders Johansson
Jul 4, 2009·Archives of Gerontology and Geriatrics·Pembe KeskinogluMehmet Ozkan
Nov 19, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Amy KnowltonWade Gaasch
Aug 7, 2012·Emergency Medicine Australasia : EMA·Xiang-Yu HouKevin Chu
Dec 3, 2005·Accident and Emergency Nursing·Caroline AhlLilian Jansson
Aug 18, 2018·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Lauren C RineyTodd A Florin
Apr 29, 2006·Advances in Therapy·Cihad DundarErhan Cetinoglu
Jun 6, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Tiffany M AbramsonMarc Eckstein
Feb 1, 2011·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A Khorram-ManeshP Örtenwall
Sep 18, 2018·Health Promotion Practice·Sabnam MahmudaRicardo Angeles

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