Prehospital emergency care of patients with acute heart failure in Spain: the SEMICA study (Emergency Medical Response Systems for Patients with Acute Heart Failure)

Objectives. To study the means of emergency transport used to bring patients with acute heart failure (AHF) to hospital emergency departments (EDs) and explore associations between factors, type of transport, and prehospital care received. Methods. We gathered the following information on patients t...

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Authors: Miró i Andreu, Òscar, Llorens, Pere, Escalada, Xavier, Herrero, Pablo, Jacob, Javier, Gil, Victor, Xipell, Carolina, Sanchez, Carolina, Aguiló, Sira, Martin-Sanchez, Francisco J.
Format: article
Status:Published version
Publication Date:2017
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/187452
Online Access:https://hdl.handle.net/2445/187452
Access Level:Open access
Keyword:Insuficiència cardíaca
Serveis d'urgències hospitalàries
Mortalitat
Heart failure
Hospital emergency services
Mortality
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spelling Prehospital emergency care of patients with acute heart failure in Spain: the SEMICA study (Emergency Medical Response Systems for Patients with Acute Heart Failure)Miró i Andreu, ÒscarLlorens, PereEscalada, XavierHerrero, PabloJacob, JavierGil, VictorXipell, CarolinaSanchez, CarolinaAguiló, SiraMartin-Sanchez, Francisco J.Insuficiència cardíacaServeis d'urgències hospitalàriesMortalitatHeart failureHospital emergency servicesMortalityObjectives. To study the means of emergency transport used to bring patients with acute heart failure (AHF) to hospital emergency departments (EDs) and explore associations between factors, type of transport, and prehospital care received. Methods. We gathered the following information on patients treated for AHF at 34 Spanish hospital EDs: means of transport used (medicalized ambulance [MA], nonmedicalized ambulance [NMA], or private vehicle) and treatments administered before arrival at the hospital. Twenty-seven independent variables potentially related to type of transport used were also studied. Indicators of AHF severity were triage level assigned in the ED, need for admission, need for intensive care, in-hospital mortality, and 30-day mortality. Results. A total of 6106 patients with a mean (SD) age of 80 years were included; 56.5% were women, 47.2% arrived in PVs, 37.8% in NMAs, and 15.0% in MAs. Use of an ambulance was associated with female sex, age over 80 years, chronic obstructive pulmonary disease, a history of AHF, functional dependency, New York Heart Association class III-IV, sphincteral incontinence, labored breathing, orthopnea, cold skin, and sensory depression or restlessness. Assignment of a MA was directly associated with living alone, a history of ischemic heart disease, cold skin, sensory depression or restlessness, and high temperature; it was inversely associated with a history of falls. The rates of receipt of prehospital treatments and AHF severity level increased with use of MAs vs. NMAs vs. PV. Seventy-three percent of patients transported in MAs received oxygen, 29% received a diuretic, 13.5% a vasodilator, and 4.7% noninvasive ventilation. Conclusions. Characteristics of the patient with AHF are associated with the assignment of type of transport to a hospital ED. Assignment appears to be related to severity. Treatment given during MA transport could be increased.Saned2022202220172022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion8 p.application/pdfhttps://hdl.handle.net/2445/187452Articles publicats en revistes (Ciències Clíniques)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://pubmed.ncbi.nlm.nih.gov/28825276/Emergencias, 2017, vol. 29, num. 4, p. 223-230(c) Saned, 2017info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1874522026-05-29T05:05:01Z
dc.title.none.fl_str_mv Prehospital emergency care of patients with acute heart failure in Spain: the SEMICA study (Emergency Medical Response Systems for Patients with Acute Heart Failure)
title Prehospital emergency care of patients with acute heart failure in Spain: the SEMICA study (Emergency Medical Response Systems for Patients with Acute Heart Failure)
spellingShingle Prehospital emergency care of patients with acute heart failure in Spain: the SEMICA study (Emergency Medical Response Systems for Patients with Acute Heart Failure)
Miró i Andreu, Òscar
Insuficiència cardíaca
Serveis d'urgències hospitalàries
Mortalitat
Heart failure
Hospital emergency services
Mortality
title_short Prehospital emergency care of patients with acute heart failure in Spain: the SEMICA study (Emergency Medical Response Systems for Patients with Acute Heart Failure)
title_full Prehospital emergency care of patients with acute heart failure in Spain: the SEMICA study (Emergency Medical Response Systems for Patients with Acute Heart Failure)
title_fullStr Prehospital emergency care of patients with acute heart failure in Spain: the SEMICA study (Emergency Medical Response Systems for Patients with Acute Heart Failure)
title_full_unstemmed Prehospital emergency care of patients with acute heart failure in Spain: the SEMICA study (Emergency Medical Response Systems for Patients with Acute Heart Failure)
title_sort Prehospital emergency care of patients with acute heart failure in Spain: the SEMICA study (Emergency Medical Response Systems for Patients with Acute Heart Failure)
dc.creator.none.fl_str_mv Miró i Andreu, Òscar
Llorens, Pere
Escalada, Xavier
Herrero, Pablo
Jacob, Javier
Gil, Victor
Xipell, Carolina
Sanchez, Carolina
Aguiló, Sira
Martin-Sanchez, Francisco J.
author Miró i Andreu, Òscar
author_facet Miró i Andreu, Òscar
Llorens, Pere
Escalada, Xavier
Herrero, Pablo
Jacob, Javier
Gil, Victor
Xipell, Carolina
Sanchez, Carolina
Aguiló, Sira
Martin-Sanchez, Francisco J.
author_role author
author2 Llorens, Pere
Escalada, Xavier
Herrero, Pablo
Jacob, Javier
Gil, Victor
Xipell, Carolina
Sanchez, Carolina
Aguiló, Sira
Martin-Sanchez, Francisco J.
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Insuficiència cardíaca
Serveis d'urgències hospitalàries
Mortalitat
Heart failure
Hospital emergency services
Mortality
topic Insuficiència cardíaca
Serveis d'urgències hospitalàries
Mortalitat
Heart failure
Hospital emergency services
Mortality
description Objectives. To study the means of emergency transport used to bring patients with acute heart failure (AHF) to hospital emergency departments (EDs) and explore associations between factors, type of transport, and prehospital care received. Methods. We gathered the following information on patients treated for AHF at 34 Spanish hospital EDs: means of transport used (medicalized ambulance [MA], nonmedicalized ambulance [NMA], or private vehicle) and treatments administered before arrival at the hospital. Twenty-seven independent variables potentially related to type of transport used were also studied. Indicators of AHF severity were triage level assigned in the ED, need for admission, need for intensive care, in-hospital mortality, and 30-day mortality. Results. A total of 6106 patients with a mean (SD) age of 80 years were included; 56.5% were women, 47.2% arrived in PVs, 37.8% in NMAs, and 15.0% in MAs. Use of an ambulance was associated with female sex, age over 80 years, chronic obstructive pulmonary disease, a history of AHF, functional dependency, New York Heart Association class III-IV, sphincteral incontinence, labored breathing, orthopnea, cold skin, and sensory depression or restlessness. Assignment of a MA was directly associated with living alone, a history of ischemic heart disease, cold skin, sensory depression or restlessness, and high temperature; it was inversely associated with a history of falls. The rates of receipt of prehospital treatments and AHF severity level increased with use of MAs vs. NMAs vs. PV. Seventy-three percent of patients transported in MAs received oxygen, 29% received a diuretic, 13.5% a vasodilator, and 4.7% noninvasive ventilation. Conclusions. Characteristics of the patient with AHF are associated with the assignment of type of transport to a hospital ED. Assignment appears to be related to severity. Treatment given during MA transport could be increased.
publishDate 2017
dc.date.none.fl_str_mv 2017
2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/187452
url https://hdl.handle.net/2445/187452
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://pubmed.ncbi.nlm.nih.gov/28825276/
Emergencias, 2017, vol. 29, num. 4, p. 223-230
dc.rights.none.fl_str_mv (c) Saned, 2017
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Saned, 2017
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 8 p.
application/pdf
dc.publisher.none.fl_str_mv Saned
publisher.none.fl_str_mv Saned
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812429

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