Navigation Links
Longer ambulance journeys boost death risk for seriously ill patients

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
BMJ Specialty Journals

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:
(Date:6/26/2016)... ... ... Brent Kasmer, a legally blind and certified personal trainer is helping to develop a weight ... app plans to fix the two major problems leading the fitness industry today:, ... program , They don’t eliminate all the reasons people quit their exercise program ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... ... health policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, ... work on several important health care topics including advance care planning, healthcare costs ...
(Date:6/25/2016)... ... , ... The temporary closing of Bruton Memorial Library on June 21 due to a possible ... often overlooked aspect of head lice: the parasite’s ability to live away from a human ... but a necessary one in the event that lice have simply gotten out of control. ...
(Date:6/25/2016)... , ... June 25, 2016 , ... First Choice ... States, named Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm ... Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson ... Recently, he has implemented orthobiologic procedures as a method for treating his patients. ... the first doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016 Research and Markets has ... Companion Diagnostic Tests" report to their offering. ... Diagnostics The World Market for Companion Diagnostics ... diagnostics. Market analysis in the report includes the following: ... Vitro Diagnostic Kits) by Region (N. America, EU, ROW), 2015-2020 ...
(Date:6/24/2016)...  Arkis BioSciences, a leading innovator in the ... cerebrospinal fluid treatments, today announced it has secured ... led by Innova Memphis, followed by Angel Capital ... Arkis, new financing will accelerate the commercialization of ... of its in-licensed Endexo® technology. ...
(Date:6/23/2016)... , June 23, 2016 ... "Pharmaceutical Excipients Market by Type (Organic Chemical (Sugar, ... Formulation (Oral, Topical, Coating, Parenteral) - Global Forecast to ... The global pharmaceutical excipients market ... at a CAGR of 6.1% in the forecast period ...
Breaking Medicine Technology: