Developing a decision support system for geriatric patients in prehospital care

European Journal of Emergency Medicine

Volumn 20, Issue 4, 2013, Pages 240-247

  Vicente, Veronica ^a   Sjöstrand, Fredrik ^a   Sundström, Birgitta W ^c   Svensson, Leif ^b   Castren, Maaret ^a  

^a STOCKHOLM SÖDER HOSPITAL   (Sweden)

^b KAROLINSKA INSTITUTE   (Sweden)

^c UNIVERSITY OF BORÅS   (Sweden)

Author keywords

ambulance; assessment; emergency medical service; geriatrics; prehospital nurse; triage

Indexed keywords

AGED; AMBULANCE; ARTICLE; BREATHING RATE; CONTROLLED STUDY; DECISION SUPPORT SYSTEM; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; FEMALE; GERIATRIC CARE; GERIATRIC PATIENT; HEALTH CARE SYSTEM; HEART RATE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL EXPERT; PATIENT TRANSPORT; PEER REVIEW; PILOT STUDY; PRACTICE GUIDELINE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; QUESTIONNAIRE; SUBURBAN AREA; SYSTOLIC BLOOD PRESSURE; TERTIARY HEALTH CARE;

AGED; AGED, 80 AND OVER; DECISION SUPPORT SYSTEMS, CLINICAL; EMERGENCY MEDICAL SERVICES; FEMALE; HUMANS; MALE; PILOT PROJECTS; REPRODUCIBILITY OF RESULTS;

EID: 84880195725     PISSN: 09699546     EISSN: 14735695     Source Type: Journal    
DOI: 10.1097/MEJ.0b013e328356452d     Document Type: Article

References (36)

1. Central Bureau of Statistics Sweden (CBS). Population statistics of different age groups in Sweden. Available at: Http://www.scb.se [Accessed 8 December 2011
2. Aminzadeh F, Dalziel WB. Older adults in the emergency department: A systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med 2002; 39:238-247
3. George G, Jell C, Todd BS. Effect of population ageing on emergency department speed and efficiency: A historical perspective from a district general hospital in the UK. Emerg Med J 2006; 23:379-383
4. Richardson LD, Asplin BR, Lowe RA. Emergency department crowding as a health policy issue: Past development, future directions. Ann Emerg Med 2002; 40:388-393
5. Sprivulis PC, Da Silva JA, Jacobs IG, Frazer AR, Jelinek GA. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Med J Aust 2006; 184: 208-212
6. Carret ML, Fassa AG, Kawachi I. Demand for emergency health service: Factors associated with inappropriate use. BMC Health Serv Res 2007; 7:131
7. Cowan RM, Trzeciak S. Clinical review: Emergency department overcrowding and the potential impact on the critically ill. Crit Care 2005; 9:291-295
8. Derlet RW, Richards JR. Overcrowding in the nation's emergency departments: Complex causes and disturbing effects. Ann Emerg Med 2000; 35:63-68
9. Fatovich DM, Hirsch RL. Entry overload, emergency department overcrowding, and ambulance bypass. Emerg Med J 2003; 20: 406-409
10. O'Brien GM, Stein MD, Zierler S, Shapiro M, O'Sullivan P,Woolard R. Use of the ED as a regular source of care: Associated factors beyond lack of health insurance. Ann Emerg Med 1997; 30:286-291
11. Olshaker JS, Rathlev NK. Emergency department overcrowding and ambulance diversion: The impact and potential solutions of extended boarding of admitted patients in the Emergency Department. J Emerg Med 2006; 30:351-356
12. Rutschmann OT, Chevalley T, Zumwald C, Luthy C, Vermeulen B, Sarasin FP. Pitfalls in the emergency department triage of frail elderly patients without specific complaints. Swiss Med Wkly 2005; 135: 145-150
13. Samaras N, Chevalley T, Samaras D, Gold G. Older patients in the emergency department: A review. Ann Emerg Med 2010; 56:261-269
14. Ambulance service in Stockholm (AISAB). Quality goals: The quality of ambulance service. Stockholm: AISAB; p. 56; 2009
15. Ellis G, Whitehead MA, O'Neill D, Langhorne P, Robinson D. Comprehensive geriatric assessment for older adults admitted to hospital (review). Cochrane Database Syst Rev 2011; 7:CD006211
16. The Swedish Ambulance Nurses Association. Competence description for registered nurse specializing in prehospital emergency care [in Swedish]. Stockholm: Swedish Nurses Association; 2012
17. Stockholm County Council. Medical guidelines for ambulance service in Stockholm County Council. Available at: Http://www.webbhotell.sll.se/ prehospitala/Medicinska-riktlinjer/ [Accessed 26 December 2011
18. Baker SP, O'Neill B, Haddon W Jr, Long WB. The injury severity score: A method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974; 14:187-196
19. Tryba M, Brüggemann H, Echtermeyer V. Classification of diseases and injuries in emergency rescue systems. Notfallmedizin 1980; 6:725-727
20. Weiss M, Bernoulli L, Zollinger A. The NACA Index validity and importance of the modified NACA-index in the clinical severity collection of accident patients. Anaesthesist 2001; 50:150-154
21. SOSFS: National Board of Health. Regulations from the National Board of Health and Welfare about the Ambulance Service. Available at: Http:// www.socialstyrelsen.se/sosfs/2009-10/Documents/2009-10.pdf [Accessed 26 December 2011
22. Emergency Medical Communication Centre (EMCC). SOS Alarm website. Available at: Http://www.sosalarm.se/sv/Om-SOS-Alarm/About-SOSAlarm/ [Accessed 26 December 2011
23. HSN-09121604, Contract 2010-2011 for geriatric care; mission statement for geriatric unit care and dementia investigation, Editor HSNf. Stockholms Läns Landsting. 2010; p. 8
24. Cheney P, Haddock T, Sanchez L, Ernst A,Weiss S. Safety and compliance with an emergency medical service direct psychiatric center transport protocol. Am J Emerg Med 2008; 26:750-756
25. David E, Thompson B. Emergency medical service field triage protocols accurately identify patients for direct psychiatric referral. Ann Emerg Med 2002; 40:S54-S58
26. Hauswald M. Can paramedics safely decide which patients do not need ambulance transport or emergency department care? Prehosp Emerg Care 2002; 6:383-386
27. Levine SD, Colwell CB, Pons PT, Gravitz C, Haukoos JS, McVaney K. How well do paramedics predict admission to the hospital? A prospective study. J Emerg Med 2006; 31:1-5
28. Pointer JE, Levitt MA, Young JC, Promes SB, Messana BJ, Ader M. Can paramedics using guidelines accurately triage patients? Ann Emerg Med 2001; 38:268-277
29. Porter A, Snooks H, Youren A, Gaze S,Whitfield R, Rapport F,Woollard M. 'Should I stay or should I go?' Deciding whether to go to hospital after a 999 call. J Health Serv Res Policy 2007; 12 (Suppl 1):S132-S138
30. Snooks HA, Kearsley N, Dale J, Halter M, Redhead J, Foster J. Gaps between policy, protocols and practice: A qualitative study of the views and practice of emergency ambulance staff concerning the care of patients with non-urgent needs. Qual Saf Health Care 2005; 14:251-257
31. Ross MA, Compton S, Richardson D, Jones R, Nittis T, Wilson A. The use andeffectiveness of an emergency department observation unit for elderly patients. Ann Emerg Med 2003; 41:668-677
32. Robertson-Steel I. Evolution of triage systems. Emerg Med J 2006; 23: 154-155
33. Olofsson P, Gellerstedt M, Carlstrom ED. Manchester triage in Sweden-interrater reliability and accuracy. Int Emerg Nurs 2009; 17:143-148
34. Göransson KE, Ehrenberg A, Ehnfors M. Triage in emergency departments: National survey. J Clin Nurs 2005; 14:1067-1074
35. Farrohknia N, Castren M, Ehrenberg A, Lind L, Oredsson S, Jonsson H, et al. Emergency department triage scales and their components: A systematic review of the scientific evidence. Scand J Trauma Resusc Emerg Med 2011; 19:42
36. Hagiwara M, Henricson M, Jonsson A, Suserud BO. Decision-support tool in prehospital care: A systematic review of randomized trials. Prehosp Disaster Med 2011; 26:1-11