{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T06:35:14Z","timestamp":1783406114179,"version":"3.54.6"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,12,15]],"date-time":"2021-12-15T00:00:00Z","timestamp":1639526400000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005760","name":"University of Gothenburg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005760","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Emerg Med"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>In Sweden, the majority of patients who are transported to hospital by the emergency medical services (EMS) are relatively old and the majority suffer from comorbidity. About half these patients are admitted to a hospital ward and will stay in hospital. However, the other half will only make a visit to the emergency department (ED). The burden on the ED is extensive and many elderly patients have to stay for many hours in the ED.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Aim<\/jats:title>\n                <jats:p>To describe the patients who are brought to hospital by the EMS, with particular emphasis on those that were discharged from the ED, and to assess the proportion of these patients who did not require hospital resources, which could mean that they were candidates for primary care (PC).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>An observational analysis of a cohort of patients who were transported to hospital by the EMS in 2016 in the Municipality of Gothenburg.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In all, 5,326 patients were transported to hospital by the EMS of which 52% were discharged directly from the ED. These patients included 37% assessed as not requiring hospital resources. The three most common causes of contact with the EMS in this subset were abdominal pain (15%), back pain (8%) and non-specified disease (7%). Of these patients, 77% had contact with a physician in the ED, whereas 6% had contact with a nurse and 17% left the ED without any contact. Twenty-six per cent were given advice on follow-up in PC.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Among patients who were brought to hospital by the EMS, more than half were discharged directly from the ED. Among these patients, 37% were assessed as not requiring hospital resources. These patients comprised 15% of the overall study cohort and may be candidates for primary care.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12873-021-00549-6","type":"journal-article","created":{"date-parts":[[2021,12,15]],"date-time":"2021-12-15T10:06:46Z","timestamp":1639562806000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Limited need for hospital resources among patients brought to hospital by the emergency medical services"],"prefix":"10.1186","volume":"21","author":[{"given":"Carl","family":"Magnusson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Ryge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filip","family":"Scott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Herlitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christer","family":"Axelsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,12,15]]},"reference":[{"issue":"1","key":"549_CR1","doi-asserted-by":"publisher","first-page":"67","DOI":"10.11124\/jbisrir-2016-1801","volume":"14","author":"GB Tygesen","year":"2016","unstructured":"Tygesen GB, H\u00e5konsen SJ, Uhrenfeldt L. Effectiveness of decision tools used to identify adult patients suitable for early discharge from emergency departments: a systematic review protocol. JBI Database of Systematic Rev Implementation Rep. 2016;14(1):67\u201376. https:\/\/doi.org\/10.11124\/jbisrir-2016-1801.","journal-title":"JBI Database of Systematic Rev Implementation Rep"},{"key":"549_CR2","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1016\/j.ienj.2018.08.001","volume":"43","author":"LM Berg","year":"2019","unstructured":"Berg LM, Ehrenberg A, Florin J, \u00d6stergren J, G\u00f6ransson KE. Significant changes in emergency department length of stay and case mix over eight years at a large Swedish University Hospital. 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In this registry study, informed consent was waived. The requirements of informed consent on scene in this type of study is most often not recommended by the ethical committees in Sweden for the following reasons 1) It is not possible to identify the individual patient since the personal ID number has been coded; 2) Some of the most severe cased could never be contacted in retrospect since they had either died or were in a very poor condition. On top of that logistical reasons and language barriers prevented communication with a number of patients. Thus, the requirement of informed consent would increase the risk of selection bias and thereby impede the reliability of the data. 3) It may be considered unethical to approach the next of kin in such a situation. However, patients who were transported to hospital by the EMS and had expressed their wish for secrecy regarding their personal ID number in case records were excluded from the retrospective data collection in the study. Data have been treated confidentially and were therefore de-identified before analysis. No data have been presented on an individual level. The study is performed in accordance with the relevant guidelines.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"156"}}