FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2149293668> ?p ?o ?g. }

• W2149293668 endingPage "296" @default.
• W2149293668 startingPage "290" @default.
• W2149293668 abstract "To determine if Medical Priority Dispatch System's (MPDS's) Protocol 32-Unknown Problem interrogation-based differential dispatch coding distinguishes the acuity of patients as found at the scene by responders, when little (if any) clinical information is known.Unknown problem situations (i.e., all cases not fitting into any other chief complaint group) constitute 5-8% of all calls to dispatch centers. From the total patient encounters (n=599,107) in the aggregate data of one year (September 2005 to August 2006), we examined 3,947 (0.7%) encounters initially coded as unknown problem by the London Ambulance Service Communications Center for the scene presence of cardiac arrest (CA) and paramedic-determined high-acuity (blue-in [BI]/lights and siren) findings. Odds ratios (ORs) with 95% confidence intervals (95% CIs) and p-values were used to assess the degree of associations between determinant codes and case outcomes (i.e., CA/BI).Statistically significant association between clinical dispatch determinant codes and case outcomes was observed in the life status questionable (LSQ; DELTA-1 [D-1]) and the standing, sitting, moving, or talking (BRAVO-1 [B-1]) code pair for the CA outcome (OR [95% CI]: 0.11 [0, 0.63], p=0.005) and for the BI outcome (OR [95% CI]: 0.47 [0.28, 0.77], p=0.003). The LSQ and all three code pairs (i.e., B-1; community alarm notifications [B-2]; and unknown status [B-3]) also demonstrated significant associations both with the CA outcome (OR [95% CI]: 0.43 [0.23, 0.81], p=0.010) and with the BI outcome (OR [95% CI]: 0.74 [0.56, 0.97], p=0.033). All the determinant code levels yielded significant association between BI and CA cases.This dispatch protocol for unknown problems successfully differentiates dispatch coding of low-acuity and non-CA patients only when specific situational information such as the patient's standing, sitting, moving, or talking can be determined during the interrogation process. Also, emergency medical dispatcher (EMD) reliance on caller-volunteered information to identify predefined critical situations does not appear to add to the protocol's ability to differentiate high-acuity and CA patients. LSQ proved to be a better predictor of both CA and BI outcomes, when compared with the BRAVO-level determinant codes within the unknown problem chief complaint. The B-3 (completely unknown) determinant code is a better predictor of severe outcomes than nearly all of the clinically similar BRAVO determinant codes in the entire MPDS protocol. Hence, the B-3 coding should be considered-in terms of its predictability for severe outcome-as falling somewhere between a typical DELTA and a typical BRAVO determinant code." @default.
• W2149293668 created "2016-06-24" @default.
• W2149293668 creator A5013967736 @default.
• W2149293668 creator A5015774741 @default.
• W2149293668 creator A5033005147 @default.
• W2149293668 creator A5040478499 @default.
• W2149293668 creator A5067808077 @default.
• W2149293668 date "2008-01-01" @default.
• W2149293668 modified "2023-10-14" @default.
• W2149293668 title "Ability of the Medical Priority Dispatch System Protocol to Predict the Acuity of “Unknown Problem” Dispatch Response Levels" @default.
• W2149293668 cites W1964770864 @default.
• W2149293668 cites W2031347189 @default.
• W2149293668 cites W2116971285 @default.
• W2149293668 cites W2163891910 @default.
• W2149293668 doi "https://doi.org/10.1080/10903120802100787" @default.
• W2149293668 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/18584494" @default.
• W2149293668 hasPublicationYear "2008" @default.
• W2149293668 type Work @default.
• W2149293668 sameAs 2149293668 @default.
• W2149293668 citedByCount "29" @default.
• W2149293668 countsByYear W21492936682012 @default.
• W2149293668 countsByYear W21492936682013 @default.
• W2149293668 countsByYear W21492936682014 @default.
• W2149293668 countsByYear W21492936682015 @default.
• W2149293668 countsByYear W21492936682016 @default.
• W2149293668 countsByYear W21492936682021 @default.
• W2149293668 countsByYear W21492936682022 @default.
• W2149293668 crossrefType "journal-article" @default.
• W2149293668 hasAuthorship W2149293668A5013967736 @default.
• W2149293668 hasAuthorship W2149293668A5015774741 @default.
• W2149293668 hasAuthorship W2149293668A5033005147 @default.
• W2149293668 hasAuthorship W2149293668A5040478499 @default.
• W2149293668 hasAuthorship W2149293668A5067808077 @default.
• W2149293668 hasConcept C126322002 @default.
• W2149293668 hasConcept C156957248 @default.
• W2149293668 hasConcept C159985019 @default.
• W2149293668 hasConcept C187212893 @default.
• W2149293668 hasConcept C192562407 @default.
• W2149293668 hasConcept C194828623 @default.
• W2149293668 hasConcept C2779119184 @default.
• W2149293668 hasConcept C44249647 @default.
• W2149293668 hasConcept C545542383 @default.
• W2149293668 hasConcept C71924100 @default.
• W2149293668 hasConceptScore W2149293668C126322002 @default.
• W2149293668 hasConceptScore W2149293668C156957248 @default.
• W2149293668 hasConceptScore W2149293668C159985019 @default.
• W2149293668 hasConceptScore W2149293668C187212893 @default.
• W2149293668 hasConceptScore W2149293668C192562407 @default.
• W2149293668 hasConceptScore W2149293668C194828623 @default.
• W2149293668 hasConceptScore W2149293668C2779119184 @default.
• W2149293668 hasConceptScore W2149293668C44249647 @default.
• W2149293668 hasConceptScore W2149293668C545542383 @default.
• W2149293668 hasConceptScore W2149293668C71924100 @default.
• W2149293668 hasIssue "3" @default.
• W2149293668 hasLocation W21492936681 @default.
• W2149293668 hasLocation W21492936682 @default.
• W2149293668 hasOpenAccess W2149293668 @default.
• W2149293668 hasPrimaryLocation W21492936681 @default.
• W2149293668 hasRelatedWork W1843463370 @default.
• W2149293668 hasRelatedWork W1982619745 @default.
• W2149293668 hasRelatedWork W2002325000 @default.
• W2149293668 hasRelatedWork W2011867183 @default.
• W2149293668 hasRelatedWork W2076929529 @default.
• W2149293668 hasRelatedWork W2114056959 @default.
• W2149293668 hasRelatedWork W2417545465 @default.
• W2149293668 hasRelatedWork W2996661745 @default.
• W2149293668 hasRelatedWork W2999586795 @default.
• W2149293668 hasRelatedWork W4225673987 @default.
• W2149293668 hasVolume "12" @default.
• W2149293668 isParatext "false" @default.
• W2149293668 isRetracted "false" @default.
• W2149293668 magId "2149293668" @default.
• W2149293668 workType "article" @default.