TY - JOUR
T1 - Predictors of emergency medical services use by adults with heart failure; 2009–2017
AU - Pressler, Susan J.
AU - Jung, Miyeon
AU - Lee, Christopher S.
AU - Arkins, Thomas P.
AU - O'Donnell, Daniel
AU - Cook, Ryan
AU - Bakoyannis, Giorgos
AU - Newhouse, Robin
AU - Gradus-Pizlo, Irmina
AU - Pang, Peter S.
N1 - Funding Information:
The authors have no relevant disclosures to report. Indianapolis Emergency Medical Services for assistance with data retrieval, Indiana University School of Nursing Office of Research Support for data management, Center for Enhancing Quality of Life in Chronic Illness at Indiana University School of Nursing, and Ellen McAdams, BSW, and Jia Lui, PhD, RN for assistance with manuscript preparation.
Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/9/1
Y1 - 2020/9/1
N2 - 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.
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.
KW - Congestive heart failure
KW - EMS
KW - Emergency medical services
KW - Heart failure
KW - Symptoms
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U2 - 10.1016/j.hrtlng.2020.03.002
DO - 10.1016/j.hrtlng.2020.03.002
M3 - Article
AN - SCOPUS:85082829248
VL - 49
SP - 475
EP - 480
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
SN - 0147-9563
IS - 5
ER -