Evaluation of Compliance of Patients Admitted to Emergency Department By 112 Ambulances According to International 32 Emergency Parameters
Research Article
DOI:
https://doi.org/10.5281/zenodo.10687657Keywords:
Ambulance, Emergency Department, Urgency, 112Abstract
Introduction: The inappropriate use of ambulances increases the workload of emergency services and adversely affects the economy.
Objective: We aimed to compare the compliance of the prediagnosis and the final diagnosis of cases brought to the emergency department by 112 ambulances with the World Health Organization (WHO) International 32 Emergency Parameter and investigate their possible inappropriate usage status.
Method: The compliance status of the prediagnosis and final diagnosis of the patients with the WHO International 32 Emergency Parameters were compared (n: 7521). Statistical analysis was conducted using MedCalc® Software and a value of 95% was used for confidence interval. This study is based on a specialization thesis.
Results: While the most frequent diagnosis group among the prediagnostically compliant ones was trauma (26.3%), the most frequent diagnosis group among the final diagnostically compliant ones was cardiovascular system diseases (20.1%). A significant difference was observed when comparing the compliance status with the indicators (McNemar Test, p<0.05).
Conclusion: In our study, in cases brought to the emergency department by 112 ambulances, the rate discrepancy of their final diagnoses was found to be higher compared to the prediagnosis group. This fact shows that even the cases that showed no compliance with the international parameters were referred to emergency departments via ambulance.
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