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Ambulance Transport (ambulance + transport)

Distribution by Scientific Domains
Medical Sciences100%

Selected Abstracts

Reduction in Ambulance Transports during a Public Awareness Campaign for Appropriate Ambulance Use

ACADEMIC EMERGENCY MEDICINE, Issue 3 2008
Kenji Ohshige MD
Abstract Objectives:, This study aimed to characterize the change in the upward trend in monthly ambulance transports that occurred during a citywide campaign for appropriate ambulance use. This study also investigated whether the number of ambulance transports for individuals with nonserious conditions decreased separately from the decrease in ambulance transports for individuals with serious conditions. Methods:, A retrospective time series survey was carried out on the number of ambulance transports that occurred per month over a 10-year period (1997,2006). This study focused on individuals transported by ambulance because of illness. Seasonal decomposition was applied to adjust for the seasonal effect on ambulance transport. The shift in the trend during the campaign period (April 2005,December 2006) was examined by means of linear regression analysis. Results:, The number of individuals transported by ambulance decreased during the campaign period. A decrease in the number of ambulance transports was observed for both nonserious and serious conditions. During the campaign period, the number of ambulance transports per month was estimated to have decreased by 530 (approximately 7%; 95% confidence interval [CI] = ,729 to ,331) for individuals with nonserious conditions and by 37 (approximately 8%; 95% CI = ,53 to ,22) for individuals with serious conditions. Conclusions:, A campaign to educate the public on appropriate ambulance use may reduce ambulance calls for both nonserious and serious conditions. [source]

Outcomes Associated with Planned Home and Planned Hospital Births in Low-Risk Women Attended by Midwives in Ontario, Canada, 2003,2006: A Retrospective Cohort Study

BIRTH, Issue 3 2009
Eileen K. Hutton PhD
ABSTRACT: Background: Midwives in Ontario, Canada, provide care in the home and hospital and are required to submit data for all births to the Ontario Ministry of Health database. The purpose of this study was to compare maternal and perinatal/neonatal mortality and morbidity and intrapartum intervention rates for women attended by Ontario midwives who planned a home birth compared with similar low-risk women who planned a hospital birth between 2003 and 2006.Methods: The database provided outcomes for all women planning a home birth at the onset of labor (n = 6,692) and for a cohort, stratified by parity, of similar low-risk women planning a hospital birth.Results: The rate of perinatal and neonatal mortality was very low (1/1,000) for both groups, and no difference was shown between groups in perinatal and neonatal mortality or serious morbidity (2.4% vs 2.8%; relative risk [RR], 95% confidence intervals [CI]: 0.84 [0.68,1.03]). No maternal deaths were reported. All measures of serious maternal morbidity were lower in the planned home birth group as were rates for all interventions including cesarean section (5.2% vs 8.1%; RR [95% CI]: 0.64 [0.56, 0.73]). Nulliparas were less likely to deliver at home, and had higher rates of ambulance transport from home to hospital than multiparas planning home birth and had rates of intervention and outcomes similar to, or lower than, nulliparas planning hospital births.Conclusions: Midwives who were integrated into the health care system with good access to emergency services, consultation, and transfer of care provided care resulting in favorable outcomes for women planning both home or hospital births. [source]

Reduction in Ambulance Transports during a Public Awareness Campaign for Appropriate Ambulance Use

ACADEMIC EMERGENCY MEDICINE, Issue 3 2008
Kenji Ohshige MD
Abstract Objectives:, This study aimed to characterize the change in the upward trend in monthly ambulance transports that occurred during a citywide campaign for appropriate ambulance use. This study also investigated whether the number of ambulance transports for individuals with nonserious conditions decreased separately from the decrease in ambulance transports for individuals with serious conditions. Methods:, A retrospective time series survey was carried out on the number of ambulance transports that occurred per month over a 10-year period (1997,2006). This study focused on individuals transported by ambulance because of illness. Seasonal decomposition was applied to adjust for the seasonal effect on ambulance transport. The shift in the trend during the campaign period (April 2005,December 2006) was examined by means of linear regression analysis. Results:, The number of individuals transported by ambulance decreased during the campaign period. A decrease in the number of ambulance transports was observed for both nonserious and serious conditions. During the campaign period, the number of ambulance transports per month was estimated to have decreased by 530 (approximately 7%; 95% confidence interval [CI] = ,729 to ,331) for individuals with nonserious conditions and by 37 (approximately 8%; 95% CI = ,53 to ,22) for individuals with serious conditions. Conclusions:, A campaign to educate the public on appropriate ambulance use may reduce ambulance calls for both nonserious and serious conditions. [source]