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

Journal article


Pressler, Susan J., Jung, Miyeon, Lee, Christopher S., Arkins, Thomas P., O'Donnell, Daniel, Cook, Ryan, Bakoyannis, Giorgos, Newhouse, Robin, Gradus-Pizlo, Irmina and Pang, Peter S.. (2020) Predictors of emergency medical services use by adults with heart failure; 2009–2017. Heart and Lung. 49(5), pp. 475-480. https://doi.org/10.1016/j.hrtlng.2020.03.002
AuthorsPressler, Susan J., Jung, Miyeon, Lee, Christopher S., Arkins, Thomas P., O'Donnell, Daniel, Cook, Ryan, Bakoyannis, Giorgos, Newhouse, Robin, Gradus-Pizlo, Irmina and Pang, Peter S.
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.

Keywordsheart failure; congestive heart failure; emergency medical services; EMS; symptoms
Year2020
JournalHeart and Lung
Journal citation49 (5), pp. 475-480
PublisherElsevier Inc.
ISSN0147-9563
Digital Object Identifier (DOI)https://doi.org/10.1016/j.hrtlng.2020.03.002
Scopus EID2-s2.0-85082829248
Research or scholarlyResearch
Page range475-480
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online03 Apr 2020
Publication process dates
Accepted04 Mar 2020
Deposited04 May 2021
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