Johansen Sandra Mandrup, Folke Fredrik, Hindhede Anette Lykke, Hasselbalch Rasmus Bo, Iversen Kasper, Møller Tom
Department of Geriatrics and Palliation, Copenhagen University Hospital Frederiksberg and Bispebjerg Hospital, Ebba Lunds Vej 44, Copenhagen, NV, 2400, Denmark.
Emergency Medical Services, Copenhagen, Denmark.
BMC Health Serv Res. 2025 May 14;25(1):698. doi: 10.1186/s12913-025-12773-y.
To investigate baseline characteristics associated with older citizens calling the medical helpline 1813 (MH1813) in Denmark and how these baseline characteristics were associated with triage outcomes in a subset population of patients with high degree of worry (DOW).
In the Capital Region of Denmark people with acute, non-life-threatening illnesses or injuries are triaged through a single-tier MH1813 for acute healthcare services.
Participants were gathered from a prospective cohort established between 24 January and 9 February 2017 who called the MH1813. Out of 11,413 citizens, 1525 (13.3%) were elderly (≥ 65 years). Callers' identification, age, sex, and contact with general practitioner (GP) prior to MH1813-call were collected from the medical helpline's records. Data were enriched using the callers' self-rated health, self-evaluated DOW, and registry data on comorbidities.
Forty-two percent of call issues were terminated without any further action. Among 882 triaged to a hospital face-to-face consultation, n = 315 (36%) were admitted and 2/3 discharged directly from the emergency department. Approx. one third of the most worried older callers have had a contact with their GP prior to the MH1813 call. A high level on Charlson Comorbidity Index and high DOW significantly increased risk of admission. Adjusted self-rated health was not significantly associated with admission within the subset group of older self-callers and high DOW. Men more often than women, were referred to face-to-face consultation (46% vs. 37%) and subsequent admission (23% vs. 18%), though potentially explained by a higher comorbidity level in men.
The MH1813 triage revealed that older callers were triaged to Face-to-face consultations if they had high DOW or were men representing a higher level of comorbidities than women. The patients' perspectives on being alone, loneliness, rejection of Face-to-face triage, and the re-transition dilemma, needs to be further investigated.
调查丹麦拨打医疗求助热线1813（MH1813）的老年公民的基线特征，以及这些基线特征如何与高度担忧（DOW）患者亚组的分诊结果相关。
在丹麦首都地区，患有急性、非危及生命疾病或损伤的患者通过单层MH1813进行急性医疗服务分诊。
参与者来自2017年1月24日至2月9日期间拨打MH1813的前瞻性队列。在11413名公民中，1525名（13.3%）为老年人（≥65岁）。从医疗求助热线记录中收集来电者的身份、年龄、性别以及在拨打MH1813之前与全科医生（GP）的联系情况。使用来电者的自评健康状况、自我评估的DOW以及合并症登记数据丰富数据。
42%的呼叫问题在没有采取任何进一步行动的情况下结束。在882名被分诊进行医院面对面咨询的患者中，n = 315名（36%）被收治，三分之二直接从急诊科出院。大约三分之一最担忧的老年来电者在拨打MH1813之前曾与他们的全科医生联系过。高Charlson合并症指数和高DOW显著增加了收治风险。在老年自助来电者和高DOW的亚组中，调整后的自评健康状况与收治没有显著关联。男性比女性更常被转诊进行面对面咨询（46%对37%）以及随后被收治（23%对18%），不过这可能是由于男性合并症水平较高所致。
MH1813分诊显示，如果老年来电者DOW较高或为男性且合并症水平高于女性，他们会被分诊进行面对面咨询。患者对孤独、被拒绝进行面对面分诊以及再次转诊困境的看法，需要进一步研究。
