Ambulance and helicopter response time. Association with patient outcome and illness severity: Protocol of a systematic literature review and meta-analysis.

dispatch emergency medical services outcome response time

Journal

Acta anaesthesiologica Scandinavica
ISSN: 1399-6576
Titre abrégé: Acta Anaesthesiol Scand
Pays: England
ID NLM: 0370270

Informations de publication

Date de publication:
23 Oct 2023
Historique:
received: 12 09 2023
accepted: 27 09 2023
medline: 23 10 2023
pubmed: 23 10 2023
entrez: 23 10 2023
Statut: aheadofprint

Résumé

Response time for emergency medical service units is a key performance indicator. Studies have shown reduced response time association with improved outcome for specific critical conditions. To achieve short response time, emergency vehicles utilize lights and sirens, and crews are allowed to be non-compliant with traffic rules, posing a risk for accident. The purpose of the systematic review and meta-analysis is to provide an overview of the current body of evidence regarding the association, if any, between ambulance and helicopter response time and major complications and mortality in patients conveyed by ambulance and/or helicopter. Our secondary aim will be to enhance knowledge in the field of criteria-based dispatch to provide decision makers with evidence to optimize dispatch of limited resources. What is the association between overall emergency medical services unit response time and patient outcomes, major complications, and time-critical conditions? What is the internal and external validity of the included literature? We plan the systematic review and meta-analysis to be in accordance with the Cochrane Handbook and Joanna Briggs Institute Manual for Systematic Reviews. The methodology will include formulating the review questions using a Population, Exposure, and Outcome framework. Every study design is eligible, including qualitative, quantitative, and mixed-methods designs. We will include all articles in English, Scandinavian, German, French and Portuguese in this systematic review. We will publish results from the systematic review and meta-analysis in a peer-reviewed journal and we will present the results at scientific conferences and meetings. Results will also be available at www.ahrtemis.dk. We will base our conclusions on the findings of the review and meta-analysis.

Sections du résumé

BACKGROUND BACKGROUND
Response time for emergency medical service units is a key performance indicator. Studies have shown reduced response time association with improved outcome for specific critical conditions. To achieve short response time, emergency vehicles utilize lights and sirens, and crews are allowed to be non-compliant with traffic rules, posing a risk for accident. The purpose of the systematic review and meta-analysis is to provide an overview of the current body of evidence regarding the association, if any, between ambulance and helicopter response time and major complications and mortality in patients conveyed by ambulance and/or helicopter. Our secondary aim will be to enhance knowledge in the field of criteria-based dispatch to provide decision makers with evidence to optimize dispatch of limited resources.
RESEARCH QUESTIONS OBJECTIVE
What is the association between overall emergency medical services unit response time and patient outcomes, major complications, and time-critical conditions? What is the internal and external validity of the included literature?
METHODS METHODS
We plan the systematic review and meta-analysis to be in accordance with the Cochrane Handbook and Joanna Briggs Institute Manual for Systematic Reviews. The methodology will include formulating the review questions using a Population, Exposure, and Outcome framework. Every study design is eligible, including qualitative, quantitative, and mixed-methods designs. We will include all articles in English, Scandinavian, German, French and Portuguese in this systematic review.
RESULTS RESULTS
We will publish results from the systematic review and meta-analysis in a peer-reviewed journal and we will present the results at scientific conferences and meetings. Results will also be available at www.ahrtemis.dk.
CONCLUSION CONCLUSIONS
We will base our conclusions on the findings of the review and meta-analysis.

Identifiants

pubmed: 37870745
doi: 10.1111/aas.14339
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation.

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Auteurs

Peter Martin Hansen (PM)

Department of Anesthesiology and Intensive Care Medicine, Odense University Hospital Svendborg, Odense C, Denmark.
Prehospital Research Unit, Region of South Denmark, Odense C, Denmark.

Martine Siw Nielsen (MS)

Department of Anesthesiology and Intensive Care Medicine, Sygehus Lillebaelt, Kolding, Denmark.

Marius Rehn (M)

Air Ambulance Department, Division of Prehospital Services, Oslo University Hospital, Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway.

Annmarie Touborg Lassen (AT)

Department of Emergency Medicine, Odense University Hospital, Odense C, Denmark.

Søren Mikkelsen (S)

Department of Anesthesiology and Intensive Care Medicine, Odense University Hospital, Odense C, Denmark.

Anders Perner (A)

Department of Anesthesiology and Intensive Care Medicine, Rigshospitalet, København Ø, Denmark.

Anne Craveiro Brøchner (AC)

Prehospital Research Unit, Region of South Denmark, Odense C, Denmark.
Department of Anesthesiology and Intensive Care Medicine, Sygehus Lillebaelt, Kolding, Denmark.

Classifications MeSH