Association between mortality and phone-line waiting time for non-urgent medical care : a Danish registry-based cohort study
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved..
BACKGROUND AND IMPORTANCE: Telephone calls are often patients' first healthcare service contact, outcomes associated with waiting times are unknown.
OBJECTIVES: Examine the association between waiting time to answer for a medical helpline and 1- and 30-day mortality.
DESIGN, SETTING AND PARTICIPANTS: Registry-based cohort study using phone calls data (January 2014 to December 2018) to the Capital Region of Denmark's medical helpline. The service refers to hospital assessment/treatment, dispatches ambulances, or suggests self-care guidance.
EXPOSURE: Waiting time was grouped into the following time intervals in accordance with political service targets for waiting time in the Capital Region: <30 s, 0:30-2:59, 3-9:59, and ≥10 min.
OUTCOME MEASURES AND ANALYSIS: The association between time intervals and 1- and 30-day mortality per call was calculated using logistic regression with strata defined by age and sex.
MAIN RESULTS: In total, 1 244 252 callers were included, phoning 3 956 243 times, and 78% of calls waited <10 min. Among callers, 30-day mortality was 1% (16 560 deaths). For calls by females aged 85-110 30-day mortality increased with longer waiting time, particularly within the first minute: 9.6% for waiting time <30 s, 10.8% between 30 s and 1 minute and 9.1% between 1 and 2 minutes. For calls by males aged 85-110 30-day mortality was 11.1%, 12.9% and 11.1%, respectively. Additionally, among calls with a Charlson score of 2 or higher, longer waiting times were likewise associated with increased mortality. For calls by females aged 85-110 30-day mortality was 11.6% for waiting time <30 s, 12.9% between 30 s and 1 minute and 11.2% between 1 and 2 minutes. For calls by males aged 85-110 30-day mortality was 12.7%, 14.1% and 12.6%, respectively. Fewer ambulances were dispatched with longer waiting times (4%/2%) with waiting times <30 s and >10 min.
CONCLUSION: Longer waiting times for telephone contact to a medical helpline were associated with increased 1- and 30-day mortality within the first minute, especially among elderly or more comorbid callers.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:31 |
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| Enthalten in: |
European journal of emergency medicine : official journal of the European Society for Emergency Medicine - 31(2024), 2 vom: 01. Feb., Seite 127-135 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mills, Elisabeth Helen Anna [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 29.02.2024 Date Revised 29.02.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1097/MEJ.0000000000001088 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM362819025 |
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| 100 | 1 | |a Mills, Elisabeth Helen Anna |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Association between mortality and phone-line waiting time for non-urgent medical care |b a Danish registry-based cohort study |
| 264 | 1 | |c 2024 | |
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| 500 | |a Date Completed 29.02.2024 | ||
| 500 | |a Date Revised 29.02.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved. | ||
| 520 | |a BACKGROUND AND IMPORTANCE: Telephone calls are often patients' first healthcare service contact, outcomes associated with waiting times are unknown | ||
| 520 | |a OBJECTIVES: Examine the association between waiting time to answer for a medical helpline and 1- and 30-day mortality | ||
| 520 | |a DESIGN, SETTING AND PARTICIPANTS: Registry-based cohort study using phone calls data (January 2014 to December 2018) to the Capital Region of Denmark's medical helpline. The service refers to hospital assessment/treatment, dispatches ambulances, or suggests self-care guidance | ||
| 520 | |a EXPOSURE: Waiting time was grouped into the following time intervals in accordance with political service targets for waiting time in the Capital Region: <30 s, 0:30-2:59, 3-9:59, and ≥10 min | ||
| 520 | |a OUTCOME MEASURES AND ANALYSIS: The association between time intervals and 1- and 30-day mortality per call was calculated using logistic regression with strata defined by age and sex | ||
| 520 | |a MAIN RESULTS: In total, 1 244 252 callers were included, phoning 3 956 243 times, and 78% of calls waited <10 min. Among callers, 30-day mortality was 1% (16 560 deaths). For calls by females aged 85-110 30-day mortality increased with longer waiting time, particularly within the first minute: 9.6% for waiting time <30 s, 10.8% between 30 s and 1 minute and 9.1% between 1 and 2 minutes. For calls by males aged 85-110 30-day mortality was 11.1%, 12.9% and 11.1%, respectively. Additionally, among calls with a Charlson score of 2 or higher, longer waiting times were likewise associated with increased mortality. For calls by females aged 85-110 30-day mortality was 11.6% for waiting time <30 s, 12.9% between 30 s and 1 minute and 11.2% between 1 and 2 minutes. For calls by males aged 85-110 30-day mortality was 12.7%, 14.1% and 12.6%, respectively. Fewer ambulances were dispatched with longer waiting times (4%/2%) with waiting times <30 s and >10 min | ||
| 520 | |a CONCLUSION: Longer waiting times for telephone contact to a medical helpline were associated with increased 1- and 30-day mortality within the first minute, especially among elderly or more comorbid callers | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Møller, Amalie Lykkemark |e verfasserin |4 aut | |
| 700 | 1 | |a Gnesin, Filip |e verfasserin |4 aut | |
| 700 | 1 | |a Zylyftari, Nertila |e verfasserin |4 aut | |
| 700 | 1 | |a Jensen, Britta |e verfasserin |4 aut | |
| 700 | 1 | |a Christensen, Helle Collatz |e verfasserin |4 aut | |
| 700 | 1 | |a Blomberg, Stig Nikolaj |e verfasserin |4 aut | |
| 700 | 1 | |a Kragholm, Kristian Hay |e verfasserin |4 aut | |
| 700 | 1 | |a Gislason, Gunnar |e verfasserin |4 aut | |
| 700 | 1 | |a Køber, Lars |e verfasserin |4 aut | |
| 700 | 1 | |a Gerds, Thomas |e verfasserin |4 aut | |
| 700 | 1 | |a Folke, Fredrik |e verfasserin |4 aut | |
| 700 | 1 | |a Lippert, Freddy |e verfasserin |4 aut | |
| 700 | 1 | |a Torp-Pedersen, Christian |e verfasserin |4 aut | |
| 700 | 1 | |a Andersen, Mikkel Porsborg |e verfasserin |4 aut | |
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