Navigation Links
Longer ambulance journeys boost death risk for seriously ill patients
Date:8/20/2007

The further seriously ill patients have to travel by ambulance to reach emergency care, the more likely they are to die, reveals research in Emergency Medicine Journal.

People with respiratory problems seem to be at greatest risk, the study indicates.

The findings have implications for the UK governments proposals to close local emergency care departments in favour of fewer more specialised centres, in a bid to save lives, say the authors.

Local closures will inevitably spell longer ambulance journeys for critically ill patients, they say.

The findings are based on a review of life-threatening (category A) calls to four ambulance services in England, representing urban, rural, mixed, and remote areas, between 1997 and 2001.

Only those patients who were unconscious, or not breathing, or who had chest pain were included in the study.

Almost 12,000 patients fell into this category over the five years, but the final analysis included 10,315 as not all the distances could be calculated accurately.

Distances covered ranged from zero to 58 kilometres, but the average was 5 km.

In all, 644 patients (just over 6%) died during the five year period, but the further patients had to travel by ambulance to hospital, the more likely they were to die.

In all, the risk of death rose by 1% for every 10 kilometres (6 miles).

But compared with patients with chest pain, injuries/poisoning, or other types of trauma, those with breathing problems were most at risk.

Their chances of dying were 13% if the distance to hospital was between 10 and 20 km, and 20% if this was 20 or more kilometres.

The findings held true even after taking account of age, sex, and illness severity.

Our data suggest that any changes that increase journey distances to hospital for all emergency patients may lead to an increase in mortality for a small number of patients with life-threatening medical emergencies, unless care is improved conclude the authors.


'/>"/>
Contact: Emma Dickinson
edickinson@bmj.com
44-020-738-36529
BMJ Specialty Journals
Source:Eurekalert

Related medicine news :

1. Longer airway in males increases sleep disorder risk
2. Treatment over a longer period for blood clotting
3. Dads to blame for longer pregnancies
4. Longer Lung Cancer Survival
5. Meditation may reduce stress and help you live longer
6. New breed of mice to live longer
7. Patients Are Given Catheter Longer Than Necessary
8. And now its super mice for longer memory
9. Good news for those of you wanting to live longer
10. Intelligent children had longer live
11. Fat Patients Require Longer Needles
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... ... DevOps and Agile Software Development, has been awarded a contract by the Center ... Purchase Agreement (BPA) aims to accelerate the enterprise use of Agile methodologies in ...
(Date:10/12/2017)... , ... October 12, 2017 , ... ... now treating sleep apnea using cutting-edge Oventus O2Vent technology. As many ... sleep disorder characterized by frequent cessation in breathing. Oral appliances can offer significant ...
(Date:10/12/2017)... ... 2017 , ... The American College of Medical Informatics (ACMI) will present the ... Opening Session of AMIA’s Annual Symposium in Washington, D.C. AMIA’s Annual Symposium ... a pioneer in the field of medical informatics, this prestigious award is presented to ...
(Date:10/12/2017)... ... October 12, 2017 , ... HMP , a ... of a 2017 Folio Magazine Eddie Digital Award for ‘Best B-to-B Healthcare Website.’ Winners ... October 11, 2017. , The annual award competition recognizes editorial and design excellence across ...
(Date:10/12/2017)... ... October 12, 2017 , ... Health Literacy Innovations (HLI), ... software tool, and the Cancer Patient Education Network (CPEN), an independent professional organization ... a new strategic alliance. , As CPEN’s strategic partner, HLI will help ...
Breaking Medicine News(10 mins):
(Date:9/22/2017)... , Sept. 22, 2017 AVACEN Medical (AVACEN) ... is now successfully helping those with the widespread pain ... Fibromyalgia diagnosed Amanda in Essex, England ... washing my hair, experiencing no sleep at all, tremendous ... spasm… I cannot recommend [the AVACEN 100] enough, how ...
(Date:9/19/2017)... --  ZirMed Inc ., a recognized leader in cloud-based revenue ... been ranked #1 by its users for the seventh consecutive ... Survey. ZirMed was recognized as the top-ranked end-to-end revenue cycle ... over 200 beds and holds one of the longest #1 ... ...
(Date:9/18/2017)... PROVIDENCE, R.I. , Sept. 18, 2017 ... in the fields of bioinformatics and immune ... to develop a protective avian influenza A (H7N9) vaccine. ... is distantly related to seasonal influenza and ... approaches, which rely on prior exposure to be ...
Breaking Medicine Technology: