Møller Thea Palsgaard, Jensen Josefine Tangen, Ersbøll Annette Kjær, Blomberg Stig Nikolaj Fasmer, Christensen Helle Collatz
Prehospital Center Region Zealand, Ringstedgade 61, 13., 4700, Næstved, Denmark.
Department of Anesthesiology and Intensive Care Medicine, Holbæk Hospital, Holbæk, Denmark.
Scand J Trauma Resusc Emerg Med. 2024 Dec 18;32(1):129. doi: 10.1186/s13049-024-01307-w.
Improving prehospital emergency care requires a comprehensive understanding of the efficiency of emergency medical services and demand fluctuations. The medical emergency call is the primary contact between citizens and the emergency medical dispatch center, serving as the gateway to accessing emergency assistance. This study aimed to characterize the emergency call population and analyze the development of emergency call utilization in Region Zealand in Denmark during a 10-years period.
This was an observational register-based study of administrative data from the emergency medical dispatch center in Region Zealand. Data was collected from 1 January 2013 to 31 December 2022. All unique emergency calls from residents to the emergency number "1-1-2" were included. Descriptive analyses were used to characterize the study population. Poisson regression models were used to calculate ratio estimates for the association between years and hospital catchment areas, using the incidence rate of emergency calls as outcome measure.
A total of 641,457 emergency calls were included. A significant increase in the total number of emergency calls was found, with an increase from 58,454 annual calls to 80,819 calls over the study period. The incidence rate per 1000 residents per year increased from 71.1 to 95.2, a 35% increase. The southern part of the region had significantly more emergency calls per 1000 residents per year during the study period compared to the eastern part of the region (IRR 1.70). Demographically, males comprised 52.3% of cases, and patients aged 65 and older represented 48.2% of calls. Emergency calls were "Emergency level A" in 45.5% and "Emergency level B" in 39.1%. In 22.3% of cases, the emergency call was categorized as "Unclear problem." The most frequent categories were "chest pain" (12.7%), "impaired consciousness" (9.6%), "breathing difficulties" (8.8%), "accidents" (7.9%), and "minor injuries" (7.6%).
The study revealed a significant increase in emergency calls, both in absolute numbers and per 1000 residents per year, indicating growing demand for emergency care, along with a surge in activity at the region's dispatch center. Regional disparities underscores the potential necessity for tailored developmental approaches over time.
改善院前急救需要全面了解紧急医疗服务的效率和需求波动情况。医疗急救电话是市民与紧急医疗调度中心的主要联系方式，是获取紧急援助的通道。本研究旨在描述急救电话人群的特征，并分析丹麦西兰岛地区10年间急救电话使用情况的发展。
这是一项基于观察性登记的研究，对西兰岛地区紧急医疗调度中心的行政数据进行分析。数据收集时间为2013年1月1日至2022年12月31日。纳入了居民拨打紧急号码“1-1-2”的所有独特急救电话。采用描述性分析来描述研究人群的特征。使用泊松回归模型，以急救电话的发病率为结果指标，计算年份与医院服务区域之间关联的比率估计值。
共纳入641457个急救电话。发现急救电话总数显著增加，在研究期间从每年58454个电话增加到80819个电话。每年每1000名居民的发病率从71.1增加到95.2，增长了35%。在研究期间，该地区南部每年每1000名居民的急救电话显著多于东部地区（发病率比值比为1.70）。从人口统计学角度来看，男性占病例的52.3%，65岁及以上患者占电话的48.2%。急救电话中“一级紧急情况”占45.5%，“二级紧急情况”占39.1%。在22.3%的病例中，急救电话被归类为“问题不明”。最常见的类别是“胸痛”（12.7%）、“意识障碍”（9.6%）、“呼吸困难”（8.8%）、“事故”（7.9%）和“轻伤”（7.6%）。
该研究表明，急救电话无论是绝对数量还是每年每1000名居民的数量都显著增加，这表明对急救护理的需求不断增长，同时该地区调度中心的活动也激增。区域差异凸显了随着时间推移采用针对性发展方法的潜在必要性。
