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Table 5 Mission outcome and quality indicators

From: Template for documenting and reporting data in physician-staffed pre-hospital services: a consensus-based update

Data variable number

Main data variable name

Type of data

Data variable categories or values

Data variable sub-categories or values

Type

Definition of data variable

How often should variable be reported

5. Mission outcome and quality indicators

5.1.

Mission outcome

Categorical

5.1.1. Patient left at scene

 

Check box

Patient left by p-EMS at scene. If necessary, taken to GP or other

For each mission

  

5.1.2. Patient taken to hospital, not escorted by p-EMS

  

To hospital by EMS or other

 
  

5.1.3. Patient taken to hospital, escorted by p-EMS

    
  

5.1.4. Patient declared dead on arrival at hospital

    
  

5.1.5. Patient declared dead at scene

    
  

5.1.6. Discharged alive from scene

  

Patient is alive when leaving scene

 
  

5.1.7. Transported to hospital in cardiac arrest with ongoing CPR

    
  

5.1.8. Patient alive at handover

  

Patient is alive when p-EMS hand over patient to hospital/GP/EMS unit or other

 
  

5.1.9. Patient alive at discharge from hospital

    
  

5.1.10. Patient alive at 30 days

    

5.2.

Was the patient’s “post-p-EMS” followed up and registered?

Categorical

  

Bullet list

30-day outcome or outcome at discharge from hospital

For each mission

  

5.2.1. Yes

    
  

5.2.2. No

    
  

5.2.3. Unknown

    

5.3.

Intubation success

Categorical

5.3.1. Yes, on first attempt

 

Bullet list

Successful ETI by p-EMS

For each mission

  

5.3.2. Yes, after two or more attempts

    
  

5.3.3. No

    

5.4.

Complications to ETI

Categorical

5.4.1. Yes

5.4.1.1. SpO2 < 90% (at any time)

Check box

 

For each mission

   

5.4.1.2. Blood pressure below 90 (at any time)

   
   

5.4.1.3. If TBI: Blood pressure below 120 (at any time)

   
   

5.4.1.4. Blood pressure above 200 (at any time)

   
   

5.4.1. 5. Cardiac arrest or severe, clinically significant bradycardia in relation to the procedure

   
  

5.4.2. No

  

No complications to ETI

 

5.5.

Patient with MI

Categorical

5.5.1. Transferred to PCI centre?

5.5.1.1. Yes

Bullet list

Patient meets criteria for myocardial infarction

For each mission

   

5.5.1.2. No

   
  

5.5.2. On-scene time

 

Number

  

5.6.

Stroke patients

Categorical

5.6.1. Transferred to a stroke centre?

5.6.1.1 Yes

Bullet list

All patients considered as having stroke by p-EMS

For each mission

   

5.6.1.2 No

   
 

Continuous

5.6.2. On-scene time

 

Number

  

5.7.

Cardiac arrest patients

Categorical

5.7.1. Did patient achieve ROSC for more than 5 min

5.7.1.1. Yes

Bullet list

Patients with cardiac arrest

For each mission

   

5.7.1.2. No

   
 

Categorical

5.7.2. If ROSC: patient transferred to a PCI centre?

5.7.2.1. Yes

Bullet list

  
   

5.7.2.2. No

   

5.8.

Pain

Categorical

5.8.1. Was the patient’s pain VAS score reduced below 4?

5.8.1.1. Yes

Bullet list

 

For each mission

   

5.8.1.2. No

   
   

5.8.1.3. Unknown

   
  

5.8.2. Did the prehospital treatment reduce pain or otherwise control/improve the subjective symptoms and well-being?

5.8.2.1. Yes

 

As defined by attending p-EMS

 
   

5.8.2.2. No

   
   

5.8.2.3. Unknown

   

5.9.

Did the prehospital interventions improve or stabilize the vital functions?

Categorical

5.9.1. Yes

 

Bullet list

As defined by attending p-EMS

For each mission

  

5.9.2. No

    
  

5.9.3. Unknown

    

5.10.

Adverse events during mission

Categorical

5.10.1. Adverse operational events

 

Check box

Missing material or teamwork issues during mission

For each mission

  

5.10.2. Adverse medical events

  

Any adverse medical events during mission

 
  1. EMS Emergency medical services, p-EMS physician-staffed emergency medical services, GP General practitioner,
  2. CPR Cardiopulmonary resuscitation, ETI Endotracheal intubation, SpO2 Peripheral capillary oxygen saturation, TBI Traumatic brain injury, PCI Percutaneous coronary intervention, MI Myocardial infarction, ROSC Return of spontaneous circulation, VAS Visual analogue scale