A classification system for identifying patients dead on ambulance arrival: a prehospital medical record review.
Markus PetersenFredderick Georg KjeldtoftErika Frischknecht ChristensenHenrik BøggildTim Alex LindskouPublished in: Scandinavian journal of trauma, resuscitation and emergency medicine (2023)
We defined exhaustive and mutually exclusive criteria to define vital status, DOAA, OHCA, and Alive on Ambulance Arrival based on prehospital medical records. More than one out of four patients receiving an ambulance and registered dead on the same or the following day were dead already at ambulance arrival. Adding OHCA BLS where resuscitation was terminated without defibrillation or other treatment, increased the proportion of patients dead on ambulance arrival to 42%. We recommend reporting similar categories of vital status to improve valid comparisons of prehospital mortality rates.
Keyphrases
- cardiac arrest
- end stage renal disease
- emergency medical
- newly diagnosed
- ejection fraction
- chronic kidney disease
- healthcare
- prognostic factors
- peritoneal dialysis
- cardiopulmonary resuscitation
- type diabetes
- cardiovascular disease
- emergency department
- trauma patients
- patient reported outcomes
- cardiovascular events
- patient reported
- septic shock