Skip to main content

Table 2 Comparison of patients conveyed and non-conveyed by the ambulance service

From: Head injury in older adults presenting to the ambulance service: who do we convey to the emergency department, and what clinical variables are associated with an intracranial bleed? A retrospective case–control study

Variable

Overall, N = 3545

Non-conveyed, N = 1434

Conveyed, N = 2111

p-value

Gender

   

0.021

Female

2021 (57%)

851 (59%)

1170 (55%)

 

Male

1524 (43%)

583 (41%)

941 (45%)

 

Age

83 (75, 89)

84 (76, 90)

83 (75, 89)

 < 0.001

Ethnicity

   

0.012

Not stated

579 (19%)

260 (21%)

319 (17%)

 

Other ethnic backgrounds

28 (0.9%)

15 (1.2%)

13 (0.7%)

 

White British

2430 (79%)

931 (76%)

1499 (81%)

 

White other

41 (1.3%)

15 (1.2%)

26 (1.4%)

 

Unknown

467

213

254

 

Registrant present

   

 < 0.001

Non-registered

647 (18%)

208 (15%)

439 (21%)

 

Paramedic

2568 (72%)

952 (66%)

1616 (77%)

 

Specialist Paramedic

330 (9.3%)

274 (19%)

56 (2.7%)

 

Priority

   

 < 0.001

Category 1

62 (1.8%)

12 (0.8%)

50 (2.4%)

 

Category 2

1279 (36%)

355 (25%)

924 (44%)

 

Category 3

2135 (60%)

1027 (72%)

1108 (53%)

 

Category 4

61 (1.7%)

36 (2.5%)

25 (1.2%)

 

Unknown

8

4

4

 

MOI

   

 < 0.001

Fall

3252 (92%)

1345 (94%)

1907 (90%)

 

Fall > 2m

91 (2.6%)

4 (0.3%)

87 (4.1%)

 

Not reported

45 (1.3%)

18 (1.3%)

27 (1.3%)

 

Other

122 (3.4%)

55 (3.8%)

67 (3.2%)

 

RTC

35 (1.0%)

12 (0.8%)

23 (1.1%)

 

Preinjury medications

    

Aspirin

479 (14%)

182 (13%)

297 (14%)

0.2

Clopidogrel

290 (8.2%)

97 (6.8%)

193 (9.1%)

0.011

DOAC

696 (20%)

111 (7.7%)

585 (28%)

 < 0.001

Warfarin

185 (5.2%)

27 (1.9%)

158 (7.5%)

 < 0.001

Preinjury comorbidities

    

Alcohol dependence

100 (2.8%)

40 (2.8%)

60 (2.8%)

 > 0.9

Alzheimer's disease

214 (6.0%)

103 (7.2%)

111 (5.3%)

0.018

Atrial fibrillation

630 (18%)

171 (12%)

459 (22%)

 < 0.001

CKD

173 (4.9%)

88 (6.1%)

85 (4.0%)

0.004

COPD

251 (7.1%)

78 (5.4%)

173 (8.2%)

0.002

Dementia

814 (23%)

413 (29%)

401 (19%)

 < 0.001

Diabetes mellites

442 (12%)

140 (9.8%)

302 (14%)

 < 0.001

Heart failure

143 (4.0%)

47 (3.3%)

96 (4.5%)

0.059

Hypertension

1140 (32%)

434 (30%)

706 (33%)

0.047

Ischemic Heart disease

74 (2.1%)

25 (1.7%)

49 (2.3%)

0.2

Myocardial infarction

120 (3.4%)

25 (1.7%)

95 (4.5%)

 < 0.001

Stroke

281 (7.9%)

92 (6.4%)

189 (9.0%)

0.006

Clinical assessment

    

Focal neurological deficit

1031 (29%)

229 (16%)

802 (38%)

 < 0.001

Visible head injury

2654 (75%)

1046 (73%)

1608 (76%)

0.030

Abnormal GCS score

276 (7.8%)

33 (2.3%)

243 (12%)

 < 0.001

Respiratory rate (br/pm)

18.0 (16.0, 18.0)

17.0 (16.0, 18.0)

18.0 (16.0, 18.5)

 < 0.001

Sp02 (%)

97.00 (96.00, 98.00)

97.00 (96.00, 98.00)

97.00 (96.00, 98.00)

0.044

Heart rate (bpm

78 (68, 88)

76 (68, 85)

79 (68, 89)

 < 0.001

Systolic blood pressure

145 (130, 164)

140 (126, 156)

150 (131, 170)

 < 0.001

Diastolic blood pressure

80 (70, 90)

78 (70, 85)

80 (70, 92)

 < 0.001

GCS score

15.00 (14.00, 15.00)

15.00 (15.00, 15.00)

15.00 (14.00, 15.00)

0.2

GCS components

    

Eye

   

0.047

Open

3394 (96%)

1362 (95%)

2032 (96%)

 

Verbal

94 (2.7%)

43 (3.0%)

51 (2.4%)

 

Pain

34 (1.0%)

21 (1.5%)

13 (0.6%)

 

Closed

23 (0.6%)

8 (0.6%)

15 (0.7%)

 

Voice

   

0.006

Normal

2643 (75%)

1082 (75%)

1561 (74%)

 

Confused

775 (22%)

285 (20%)

490 (23%)

 

Incomprehensible

45 (1.3%)

23 (1.6%)

22 (1.0%)

 

Inappropriate

37 (1.0%)

17 (1.2%)

20 (0.9%)

 

Unresponsive

45 (1.3%)

27 (1.9%)

18 (0.9%)

 

Motor

   

 > 0.9

Obeys

3442 (97%)

1394 (97%)

2048 (97%)

 

Localises

57 (1.6%)

22 (1.5%)

35 (1.7%)

 

Withdraws

33 (0.9%)

13 (0.9%)

20 (0.9%)

 

Extensor

4 (0.1%)

2 (0.1%)

2 (< 0.1%)

 

No response

9 (0.3%)

3 (0.2%)

6 (0.3%)

 

AcVPU

   

 < 0.001

Alert

3282 (93%)

1336 (93%)

1946 (92%)

 

Confused

158 (4.5%)

40 (2.8%)

118 (5.6%)

 

Verbal

41 (1.2%)

19 (1.3%)

22 (1.0%)

 

Pain

35 (1.0%)

21 (1.5%)

14 (0.7%)

 

Unresponsive

29 (0.8%)

18 (1.3%)

11 (0.5%)