Trends of the Pre-hospital Emergency Care Spectrum in Beijing From 2005 to 2014: A Retrospective Analysis

Emergencies [Disease/Finding] Clinical Trial

Official title:

Ten-year Trends in the Pre-hospital Emergency Care Spectrum in Beijing From 2005 to 2014: A Multicenter, Retrospective, Observational Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02645877
• Other study ID #: PUPH-DTO-201501
• Status: Completed
• Phase: N/A
• First received: December 30, 2015
• Last updated: January 4, 2016
• Start date: January 2005
• Est. completion date: December 2014

Study information

• Verified date: January 2016
• Source: Peking University People's Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: China: Ministry of Health
• Study type: Observational

Clinical Trial Summary

This was a retrospective analysis of a cohort of all emergency care patients in Beijing from January 2005 to December 2014. This aim of this study was to analyze the trends in pre-hospital emergency care need and the emergency response times, with the intention of aiding the government to optimize medical resources and improve pre-hospital emergency care.

Description:

Pre-hospital emergency care is a very important part of Emergency Medical Service (EMS) System, crucial to patients' life support, disability and mortality rate reduction. The level of pre-hospital emergency care reflects the comprehensive ability of the organizational, management and public welfare of a country. Beijing Emergency Center and Beijing Red Cross Emergency Center are in the charge of all the pre-hospital emergency care in Beijing, which respectively subordinate to Beijing government and Chinese Red Cross Society. This study collected the data of 3,909,746 cases from these two pre-hospital care centers from January, 2005 to December, 2014 and retrospective analyzed the pre-hospital emergency call demand and first aid related time. The results of this study can help the government optimize medical resources; strengthen the prevention of related emergency diseases. The changes and trends of pre-hospital care disease spectrum also present the same problems and situation of developing megacities like Beijing. Based on the meticulous work in these 2 centers, this study has collected the most complete pre-hospital emergency care data in China.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 3909746
• Est. completion date: December 2014
• Est. primary completion date: December 2014
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• All patients treated by pre-hospital care from the Beijing Emergency Medical Center and Beijing Red Cross Emergency Center from January 2005 to December 2014

Exclusion Criteria:

• missing data

• duplicate records

• no identifiable chief cause cases

• not emergency cases

Study Design

Observational Model: Cohort, Time Perspective: Retrospective

Related Conditions & MeSH terms

• Emergencies
• Emergencies [Disease/Finding]

Intervention

Procedure:
• Prehospital care
The common cause of pre-hospital care demands were Abdominal Problems, Allergies/Envenomation, Animal Bites, Assault/Sexual, Back Pain, Breathing Problems, Burns/Explosions, Carbon Monoxide/Inhalation/Radiation/Hazardous Material, Cardiac or Respiratory Arrest, Chest Pain, Choking, Convulsions/Seizures, Diabetic Problems, Drowning/Diving/Scuba Accident, Electrocution/Lightning, Eye Problems/Injuries, Falls, Headache, Heart Problems, Heat/Cold Exposure, Hemorrhage/Lacerations, Inaccessible Incident/Entrapments, Overdose/Poisoning, Pregnancy/Childbirth/Miscarriage, Psychiatric/Suicide Attempt, Sick Person, Stabbing/Gunshot/Penetrating Trauma, Stroke, Traffic Injuries, Traumatic Injuries, Unconscious/Fainting, Unknown Problems, Inter-Facility Transfer/Palliative Care, Flu-Like Symptoms, etc.

Locations

Country	Name	City	State
China	Beijing Emergency Center, Beijing, China	Beijing	Beijing
China	Beijing Red Cross Emergency center	Beijing	Beijing

Sponsors (3)

Lead Sponsor	Collaborator
Peking University People's Hospital	Beijing Emergency Center, Beijing Red Cross Emergency Center

Country where clinical trial is conducted

China, 

References & Publications (1)

Wang T, Yin X, Zhang P, Kou Y, Jiang B. Road traffic injury and rescue system in China. Lancet. 2015 Apr 25;385(9978):1622. doi: 10.1016/S0140-6736(15)60794-2. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Cause of the emergency	The chief complaints of the patients were classified into 34 illnesses according to the Medical Priority Dispatch System (MPDS) which total includes 34 diseases.	10 years	No
Secondary	The pre-hospital emergency call demand	Total number of pre-hospital emergency calls, reduces the number of missing record, records with no identifiable chief complaint, repeated data, not-emergency care.	10 years	No
Secondary	Emergency care-related time	Emergency care-related time included emergency response time (ERT), active response time (ART), and passive response time (PRT). ART was defined as the time from emergency call to ambulance departure time; PRT was from departure time to arrival time at the pre-hospital center; ERT was the time from the emergency call to arrival time.	10 years	No