Outcomes of non-STEMI patients transported by emergency medical services vs private vehicle.

Outcomes of non-STEMI patients transported by emergency medical services vs private vehicle.

Bhalla Mary Colleen; Frey Jennifer; Dials Sarah; Baughman Kristin

The American journal of emergency medicine

2016

2016-03

BACKGROUND: Non-ST-segment elevation myocardial infarctions (NSTEMIs) are more common but less studied than ST-segment elevation myocardial infarctions (STEMIs) treated by emergency medical services (EMS). OBJECTIVE: The purpose of this study was to evaluate the differences in baseline characteristics and outcomes of NSTEMI patients when arriving by EMS vs self-transport. METHODS: We performed a retrospective medical record review of 96 EMS patients and 96 self-transport patients with the diagnosis of NSTEMI based on billing code. RESULTS: The mean age of patients arriving by EMS was 75 vs 65 years for self-transport patients (P

*Electrocardiography; 80 and over; 80 and Over; Adult; Age Distribution; Aged; Comparative Studies; Demography; Electrocardiography; Emergency Medical Services – Methods; Emergency Medical Services – Statistics and Numerical Data; Emergency Medical Services/methods/*statistics & numerical data; Evaluation Research; Female; Hospital Mortality; Human; Humans; Length of Stay – Statistics and Numerical Data; Length of Stay/statistics & numerical data; Male; Medical Records – Statistics and Numerical Data; Medical Records/statistics & numerical data; Middle Age; Middle Aged; Multicenter Studies; Myocardial Infarction – Diagnosis; Myocardial Infarction – Mortality; Myocardial Infarction – Therapy; Myocardial Infarction/diagnosis/*mortality/therapy; Ohio; Ohio/epidemiology; Outcome Assessment – Statistics and Numerical Data; Outcome Assessment (Health Care)/*statistics & numerical data; Retrospective Design; Retrospective Studies; Severity of Illness Index; Severity of Illness Indices; Time Factors; Transportation of Patients – Methods; Transportation of Patients – Statistics and Numerical Data; Transportation of Patients/*methods/*statistics & numerical data; Trauma Centers – Statistics and Numerical Data; Trauma Centers/statistics & numerical data; Validation Studies

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531–535

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