Prehospital andnöd Prehospital dyspnoea 2023-94-1-1 Swedish National Data Service Svensk nationell datatjänst Prehospital andnöd Prehospital dyspnoea 2023-94-1-1 oai:DiVA.org:hb-27589 9789189271609 urn:nbn:se:hb:diva-27589 oai:DiVA.org:hb-24030 10.1186/s12873-020-00384-1 urn:nbn:se:hb:diva-24030 oai:gup.ub.gu.se/297058 10.1186/s12873-020-00363-6 urn:nbn:se:hb:diva-23808 Kauppi, Wivica Kauppi, Wivica Swedish National Data Service Svensk nationell datatjänst Dyspnea Andnöd AMBULANCE SERVICES AMBULANSVÄSEN Ambulances Ambulanser Emergency Medical Services Akutsjukvård Dyspnoea Dyspné Signs and symptoms; pathological conditions Tecken och symtom; patologiska tillstånd Observational study, which was based on retrospective journal review. The samples consisted of all ambulance missions (n=7260) that were classified as ESS 04 (dyspnoea as the main symptom) by ambulance clinicians during the year 2017 in two areas in southwestern Sweden, which included 16 ambulance stations. After a manual review of ambulance records and hospital records, 908 patients were excluded (reason: age < 16 years, missing social security number, ambulance transports to hospitals outside included areas, duplicate ambulance records, insufficient documentation, incorrect ESS code and secondary transports). This meant that 6354 patients were finally included. Observationsstudier vilka baserades på retrospektiv journalgranskning. Urvalet bestod av samtliga ambulansuppdrag (n=7260) som klassificerats som ESS 04 (andnöd som huvudsymtom) av vårdare i ambulans under år 2017 i två upptagningsområden i sydvästra Sverige, vilket inkluderade 16 ambulansstationer. Efter en manuell granskning av ambulansjournaler och sjukhusjournaler exkluderades 908 patienter (orsak: ålder < 16 år, personnummer saknades, ambulanstransporter till sjukhus utanför inkluderade upptagningsområden, dubbla ambulansjournaler, bristfällig dokumentation, felaktig ESS kod samt sekundärtransporter). Detta medförde att 6354 patienter slutligen inkluderades. 2017-01-01 2017-12-31 Sweden Sverige IndividualIndividual IndividIndivid Patients with dyspnoea as the main symptom within ambulance care. Patienter som bedömts ha andnöd som huvudsymtom inom ambulanssjukvården. Numeric Text Journal review of ambulance and hospital records. A total of 7,260 ambulance missions, of which 6,354 met the inclusion and exclusion criteria, including those assessed to have breathing difficulties as the main symptom by ambulance personnel and all primary ambulance missions between January 1 and December 31, 2017. Criteria in detail: 1) a primary mission in which a patient (or e.g. a family member that represents the patient) calls the dispatch centre, an ambulance is dispatched and 2) the assignment of an ESS code of 04 (dyspnoea) is made by the PEN. The exclusion criteria were as follows: 1) lack of a personal identity number, 2) transportation to hospitals outside the research area, 3) age < 16 years, 4) duplicate EMS records, 5) missing record or lack of information, 6) incorrect triage (ESS), and 7) secondary transport use.Journal review of ambulance and hospital records. A total of 7,260 ambulance missions, of which 6,354 met the inclusion and exclusion criteria, including those assessed to have breathing difficulties as the main symptom by ambulance personnel and all primary ambulance missions between January 1 and December 31, 2017. Criteria in detail: 1) a primary mission in which a patient (or e.g. a family member that represents the patient) calls the dispatch centre, an ambulance is dispatched and 2) the assignment of an ESS code of 04 (dyspnoea) is made by the PEN. The exclusion criteria were as follows: 1) lack of a personal identity number, 2) transportation to hospitals outside the research area, 3) age < 16 years, 4) duplicate EMS records, 5) missing record or lack of information, 6) incorrect triage (ESS), and 7) secondary transport use. Journalgranskning av journaler från ambulans och sjukhusjournal. 7260 ambulansuppdrag varav 6354 fullföljde inklusions- och exklusionskriterierna, bl.a. bedömdes ha andningssvårigheter som huvudsymptom av ambulanspersonal och alla primärambulansuppdrag mellan 1 jan - 31 dec 2017. Kriteria i detalj på engelska: 1) a primary mission in which a patient (or e.g. a family member that represents the patient) calls the dispatch centre, an ambulance is dispatched and 2) the assignment of an ESS code of 04 (dyspnoea) is made by the PEN. The exclusion criteria were as follows: 1) lack of a personal identity number, 2) transportation to hospitals outside the research area, 3) age < 16 years, 4) duplicate EMS records, 5) missing record or lack of information, 6) incorrect triage (ESS), and 7) secondary transport use.Journalgranskning av journaler från ambulans och sjukhusjournal. 7260 ambulansuppdrag varav 6354 fullföljde inklusions- och exklusionskriterierna, bl.a. bedömdes ha andningssvårigheter som huvudsymptom av ambulanspersonal och alla primärambulansuppdrag mellan 1 jan - 31 dec 2017. Kriteria i detalj på engelska: 1) a primary mission in which a patient (or e.g. a family member that represents the patient) calls the dispatch centre, an ambulance is dispatched and 2) the assignment of an ESS code of 04 (dyspnoea) is made by the PEN. The exclusion criteria were as follows: 1) lack of a personal identity number, 2) transportation to hospitals outside the research area, 3) age < 16 years, 4) duplicate EMS records, 5) missing record or lack of information, 6) incorrect triage (ESS), and 7) secondary transport use. Total universe/Complete enumerationTotal universe/Complete enumeration Hela populationen/total räkningHela populationen/total räkning Observation of medical patient journalsObservation of medical patient journals Observationer av medicinska patientjournaltexterObservationer av medicinska patientjournaltexter ObservationObservation ObservationObservation Access to data through an external actor. Access to data is restricted. Åtkomst till data via extern aktör. Tillgång till data är begränsad. restrictedAccess Kauppi, W. (2022). Kampen mot det okontrollerbara vid existensens gräns : Patienten med andnöd i behov av ambulanssjukvård. (Skrifter från Högskolan i Borås, 127). Borås, Högskolan i Borås. Kauppi, W. (2022). Kampen mot det okontrollerbara vid existensens gräns : Patienten med andnöd i behov av ambulanssjukvård. (Skrifter från Högskolan i Borås, 127). Borås, Högskolan i Borås. 9789189271609 urn:nbn:se:hb:diva-27589 oai:DiVA.org:hb-27589 2022 oai:DiVA.org:hb-27589 Kauppi, W., Herlitz, J., Thomas, K., Magnusson, C., Palmér, L., & Axelsson, C. (2020). Pre-hospital predictors of an adverse outcome among patients with dyspnoea as the main symptom assessed by prehospital emergency nurses - a retrospective observational study. In BMC Emergency Medicine (Vol. 20, Issue 1, 89). Kauppi, W., Herlitz, J., Thomas, K., Magnusson, C., Palmér, L., & Axelsson, C. (2020). Pre-hospital predictors of an adverse outcome among patients with dyspnoea as the main symptom assessed by prehospital emergency nurses - a retrospective observational study. In BMC Emergency Medicine (Vol. 20, Issue 1, 89). 10.1186/s12873-020-00384-1 urn:nbn:se:hb:diva-24030 oai:DiVA.org:hb-24030 2020 oai:DiVA.org:hb-24030 Kauppi, W., Herlitz, J., Magnusson, C., Palmér, L., & Axelsson, C. (2020). Characteristics and outcomes of patients with dyspnoea as the main symptom, assessed by prehospital emergency nurses - a retrospective observational study. In BMC Emergency Medicine (Vol. 20, Issue 1, 67). Kauppi, W., Herlitz, J., Magnusson, C., Palmér, L., & Axelsson, C. (2020). Characteristics and outcomes of patients with dyspnoea as the main symptom, assessed by prehospital emergency nurses - a retrospective observational study. In BMC Emergency Medicine (Vol. 20, Issue 1, 67). 10.1186/s12873-020-00363-6 urn:nbn:se:hb:diva-23808 oai:gup.ub.gu.se/297058 2020 oai:gup.ub.gu.se/297058