Predictors of emergency medical services use by adults with heart failure; 2009–2017

Susan J. Pressler; Miyeon Jung; Christopher S. Lee; Thomas P. Arkins; Daniel O'Donnell; Ryan Cook; Giorgos Bakoyannis; Robin Newhouse; Irmina Gradus-Pizlo; Peter S. Pang

doi:10.1016/j.hrtlng.2020.03.002

Predictors of emergency medical services use by adults with heart failure; 2009–2017

Susan J. Pressler, Miyeon Jung, Christopher S. Lee, Thomas P. Arkins, Daniel O'Donnell, Ryan Cook, Giorgos Bakoyannis, Robin Newhouse, Irmina Gradus-Pizlo, Peter S. Pang

School of Nursing

Research output: Contribution to journal › Article

Abstract

Background: Heart failure (HF) necessitates frequent transport by emergency medical services (EMS), but few studies have been conducted to evaluate predictors of EMS use and of multiple EMS transports that are amenable to intervention. Objectives: To characterize prehospital clinical status of community-dwelling adults with reported HF who used EMS across 8 years and to evaluate predictors of EMS use and multiple EMS transports. Methods: Data were from a database in a large Midwestern county. Descriptive statistics, logistic and negative binomial regression were used for analysis. Results: EMS transports were evaluated for 6582 adults with 16,905 transports. The most common chief complaints were respiratory problems, feeling sick, and chest pain. Shortness of breath, chest pain, level of consciousness, age, gender, race, and hospital site predicted multiple transports. Conclusions: Clinicians need to educate patients with HF about ways to manage shortness of breath and chest pain and when to activate EMS.

Original language	English (US)
Pages (from-to)	475-480
Number of pages	6
Journal	Heart and Lung
Volume	49
Issue number	5
DOIs	https://doi.org/10.1016/j.hrtlng.2020.03.002
State	Published - Sep 1 2020

Keywords

Congestive heart failure
EMS
Emergency medical services
Heart failure
Symptoms

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

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Pressler, S. J., Jung, M., Lee, C. S., Arkins, T. P., O'Donnell, D., Cook, R., Bakoyannis, G., Newhouse, R., Gradus-Pizlo, I., & Pang, P. S. (2020). Predictors of emergency medical services use by adults with heart failure; 2009–2017. Heart and Lung, 49(5), 475-480. https://doi.org/10.1016/j.hrtlng.2020.03.002

Predictors of emergency medical services use by adults with heart failure; 2009–2017. / Pressler, Susan J.; Jung, Miyeon; Lee, Christopher S.; Arkins, Thomas P.; O'Donnell, Daniel; Cook, Ryan; Bakoyannis, Giorgos; Newhouse, Robin; Gradus-Pizlo, Irmina; Pang, Peter S.

In: Heart and Lung, Vol. 49, No. 5, 01.09.2020, p. 475-480.

Research output: Contribution to journal › Article

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abstract = "Background: Heart failure (HF) necessitates frequent transport by emergency medical services (EMS), but few studies have been conducted to evaluate predictors of EMS use and of multiple EMS transports that are amenable to intervention. Objectives: To characterize prehospital clinical status of community-dwelling adults with reported HF who used EMS across 8 years and to evaluate predictors of EMS use and multiple EMS transports. Methods: Data were from a database in a large Midwestern county. Descriptive statistics, logistic and negative binomial regression were used for analysis. Results: EMS transports were evaluated for 6582 adults with 16,905 transports. The most common chief complaints were respiratory problems, feeling sick, and chest pain. Shortness of breath, chest pain, level of consciousness, age, gender, race, and hospital site predicted multiple transports. Conclusions: Clinicians need to educate patients with HF about ways to manage shortness of breath and chest pain and when to activate EMS.",

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AU - O'Donnell, Daniel

AU - Cook, Ryan

AU - Bakoyannis, Giorgos

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AB - Background: Heart failure (HF) necessitates frequent transport by emergency medical services (EMS), but few studies have been conducted to evaluate predictors of EMS use and of multiple EMS transports that are amenable to intervention. Objectives: To characterize prehospital clinical status of community-dwelling adults with reported HF who used EMS across 8 years and to evaluate predictors of EMS use and multiple EMS transports. Methods: Data were from a database in a large Midwestern county. Descriptive statistics, logistic and negative binomial regression were used for analysis. Results: EMS transports were evaluated for 6582 adults with 16,905 transports. The most common chief complaints were respiratory problems, feeling sick, and chest pain. Shortness of breath, chest pain, level of consciousness, age, gender, race, and hospital site predicted multiple transports. Conclusions: Clinicians need to educate patients with HF about ways to manage shortness of breath and chest pain and when to activate EMS.

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KW - Symptoms

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