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Table 3 Factors associated with complete vital sign registration during EMS care time in the post-intervention period

From: Prehospital vital sign monitoring in paediatric patients: an interregional study of educational interventions

 

Intervention region

(n = 3710)

Reference region

(n = 7836)

Relative risk compared to ref. [95% CI]

Risk difference compared to ref. [95% CI]

Relative risk compared to ref. [95% CI]

Risk difference compared to ref. [95% CI]

Age group

    

0–2 months

0.3 [0.2;0.4]

 − 0.35 [− 0.40; − 0.30]

0.1 [0.0;0.1]

 − 0.32 [− 0.34; − 0.29]

3–11 months

0.6 [0.5;0.8]

 − 0.18 [− 0.23; − 0.12]

0.2 [0.2;0.3]

 − 0.26 [− 0.29; − 0.24]

1–2 years

0.6 [0.6;0.7]

 − 0.18 [− 0.22; − 0.14]

0.3 [0.3;0.4]

 − 0.23 [− 0.25; − 0.21]

3–7 years

0.9 [0.8;1.0]

 − 0.04 [− 0.09; 0.00]

0.6 [0.5;0.6]

 − 0.15 [− 0.18; − 0.13]

8–17 years (= ref)

1

1

Missing data, n (%)

0 (0.0%)

 

0 (0.0%)

 

Sex

    

Female

1.0 [1.0;1.1]

0.01 [− 0.02; 0.04]

1.1 [1.0;1.1]

0.01 [− 0.01; 0.03]

Male (= ref)

1

1

Missing data, n (%)

35 (0.9%)

 

65 (0.8%)

 

EMS care timea

    

0–15 min

0.6 [0.4;0.8]

 − 0.21 [− 0.29; − 0.13]

0.5 [0.4;0.7]

 − 0.13 [− 0.18; − 0.08]

 > 15 min (= ref)

1

1

Missing data, n (%)

370 (11.9%)

 

751 (11.1%)

 

Treat-and-release situations

   

Yes

0.5 [0.4;0.5]

 − 0.24 [− 0.28; − 0.20]

0.6 [0.5;0.7]

 − 0.11 [− 0.13; − 0.08]

No (= ref)

1

1

 

Missing data, n (%)

0 (0.0%)

 

0 (0.0%)

 

COVID-19

    

Months with school lockdown in place > 50% of the timeb

1.0 [0.9;1.1]

 − 0.01 [− 0.06;0.03]

0.8 [0.7;0.9]

 − 0.04 [− 0.07; − 0.02]

Months without lockdown (= ref)

1

1

Missing data, n (%)

0 (0.0%)

 

0 (0.0%)

 

Implementation of ZOLL® monitors during the post-intervention periodc

2 months following implementation date

1.0 [0.8;1.2]

0.01 [− 0.06;0.08]

NA

NA

2 months before implementation date (= ref)

1

  

Missing data, n (%)

0 (0.0%)

   

Glasgow Coma Score (first observation)

   

Green = normal LOC

1.0 [0.9;1.2]

0.02 [− 0.04; 0.08]

0.7 [0.7;0.8]

 − 0.10 [− 0.14; − 0.05]

Yellow/orange/red = altered LOC (= ref)

1

1

Missing data, n (%)

571 (15.4%)

 

1513 (19.3%)

 

Triage score (first)

    

Green = ‘Not urgent’

0.8 [0.7;0.9]

 − 0.11 [− 0.14; − 0.07]

0.8 [0.7;0.9]

 − 0.07 [− 0.09; − 0.05]

Yellow/orange/red = ‘Less urgent’/’Urgent’/’Life-threatening’ (= ref)

1

1

Missing data, n (%)

925 (24.9%)

 

1758 (22.4%)

 

Prehospital physician at the scene

   

Yes, HEMS or MECU physician

0.8 [0.7;0.9]

 − 0.08 [− 0.11; − 0.04]

0.7 [0.7;0.8]

 − 0.08 [− 0.10; − 0.06]

No (= ref)

1

1

Missing data, n (%)

0 (0.0%)

 

0 (0.0%)

 

Accidentsd

    

Trauma

1.2 [1.1;1.3]

0.06 [0.02;0.10]

1.1 [1.0;1.3]

0.03 [0.01;0.06]

Minor injuries

1.4 [1.2;1.6]

0.15 [0.07;0.23]

1.6 [1.4;1.9]

0.14 [0.08;0.20]

Not accident (= ref)

1

1

Missing data, n (%)

137 (3.7%)

 

136 (1.7%)

 

Critical intervention(s)e

    

 ≥ 1 intervention(s) performed

1.6 [1.4;1.7]

0.22 [0.17;0.27]

2.2 [2.0;2.4]

0.25 [0.22;0.28]

None (= ref)

1

1

Missing data, n (%)

0 (0.0%)

 

0 (0.0%)

 
  1. COVID-19 Coronavirus disease of 2019. EMS emergency medical services. HEMS helicopter emergency medical services. LOC level of consciousness. MECU mobile emergency care unit. NA not applicable
  2. aTime from arrival at scene to arrival at hospital for patients that were not released at the scene (n = 3117 in the intervention region and n = 6758 in the reference region)
  3. bMonths: January 2021, February 2021, December 2021
  4. cThe North Denmark EMS replaced their LIFEPAK® monitors with ZOLL® monitors on 1 December 2020 (refer to the ‘Data collection and outcomes’ paragraph)
  5. dAccidents as defined in Table 1: Trauma defined as accidents within chapters ‘04: Large scale accident’ or ‘32: Traffic accident’ or ‘33: Accidents (not traffic-related)’. Minor injuries defined as accidents within chapter ‘31: Minor wounds—fractures—injuries’
  6. eCritical interventions include peripheral venous catheter, intraosseous vascular access, intubation or bag-valve-mask ventilation