Characteristics and outcome of patients with acute chest pain in relation to the use of ambulances in an urban and a rural area

Herlitz, Johan; Hjälte, Lena; Karlson, Björn W.; Suserud, Björn-Ove; Karlsson, Thomas

doi:10.1016/j.ajem.2006.03.016

Cited by 13 publications

(13 citation statements)

References 14 publications

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“…Another study by Lombardi et al [31] showed that survival was significantly lower in urban than in suburban/rural areas. Other studies showed that urban and rural EMS were comparable regarding their survival rates [21,32,38,47].…”

Section: Resultsmentioning

confidence: 99%

Factors Impacting Patient Outcomes Associated with Use of Emergency Medical Services Operating in Urban Versus Rural Areas: A Systematic Review

Alanazy

Wark

Fraser

et al. 2019

IJERPH

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The goal of this systematic review was to examine the existing literature base regarding the factors impacting patient outcomes associated with use of emergency medical services (EMS) operating in urban versus rural areas. A specific subfocus on low and lower-middle-income countries was planned but acknowledged in advance as being potentially limited by a lack of available data. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed during the preparation of this systematic review. A comprehensive literature search of PubMed, EBSCO (Elton B. Stephens Company) host, Web of Science, ProQuest, Embase, and Scopus was conducted through May 2018. To appraise the quality of the included papers, the Critical Appraisal Skills Programme Checklists (CASP) were used. Thirty-one relevant and appropriate studies were identified; however, only one study from a low or lower-middle-income country was located. The research indicated that EMS in urban areas are more likely to have shorter prehospital times, response times, on-scene times, and transport times when compared to EMS operating in rural areas. Additionally, urban patients with out-of-hospital cardiac arrest or trauma were found to have higher survival rates than rural patients. EMS in urban areas were generally associated with improved performance measures in key areas and associated higher survival rates than those in rural areas. These findings indicate that reducing key differences between rural and urban settings is a key factor in improving trauma patient survival rates. More research in rural areas is required to better understand the factors which can predict these differences and underpin improvements. The lack of research in this area is particularly evident in low- and lower-middle-income countries.

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Section: Resultsmentioning

confidence: 99%

Factors Impacting Patient Outcomes Associated with Use of Emergency Medical Services Operating in Urban Versus Rural Areas: A Systematic Review

Alanazy

Wark

Fraser

et al. 2019

IJERPH

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“…, 14 In more than half the patients, there were signs of paleness and cold sweat, and this was more frequently found among patients who used the EMS. This finding, in combination with a higher incidence of focal neurological symptoms in this subset, suggests that those patients who chose to call for the EMS were more-severely affected 17 18 …”

Section: Discussionmentioning

confidence: 76%

“…There was a marked difference in the delay from symptom onset to arrival at the hospital when comparing patients who used the EMS with those who did not, with a much shorter delay in patients who used the EMS. The observation of a median delay from symptom onset to calling for the EMS of 17 minutes and a median delay from symptom onset to arrival at the hospital of one hour and 18 minutes for the EMS users is short compared with that for other patient groups, such as those with acute myocardial infarction or stroke 17 . This finding suggests that a large proportion had severe symptoms, and therefore, made a rapid decision to seek medical care.…”

Section: Discussionmentioning

confidence: 88%

A Description of the Prehospital Phase of Aortic Dissection in Terms of Early Suspicion and Treatment

Axelsson

Karlsson

Pande

et al. 2015

Prehosp. Disaster med.

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“…11 A Swedish study of patients with acute chest pain reported that early transport by ambulance both in an urban and rural area was important to improve outcomes. 12 Kucher et al described the need for rapid transfer to a specialized vascular center to perform inhospital-specific management of massive PE patients. 2 Patients with onset during hospitalization were more frequently observed for massive PE than for non-massive PE.…”

Section: Discussionmentioning

confidence: 99%

Latest Management and Outcomes of Major Pulmonary Embolism in the Cardiovascular Disease Early Transport System: Tokyo CCU Network

Committee¹

2010

Circ J

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Characteristics and outcome of patients with acute chest pain in relation to the use of ambulances in an urban and a rural area

Cited by 13 publications

References 14 publications

Factors Impacting Patient Outcomes Associated with Use of Emergency Medical Services Operating in Urban Versus Rural Areas: A Systematic Review

Factors Impacting Patient Outcomes Associated with Use of Emergency Medical Services Operating in Urban Versus Rural Areas: A Systematic Review

A Description of the Prehospital Phase of Aortic Dissection in Terms of Early Suspicion and Treatment

Latest Management and Outcomes of Major Pulmonary Embolism in the Cardiovascular Disease Early Transport System: Tokyo CCU Network

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