The association between age and vital signs documentation of trauma patients in prehospital settings: analysis of a nationwide database in Japan
Abstract Background Emergency medical service (EMS) providers are the first medical professionals to make contact with patients in an emergency. However, the frequency of care by EMS providers for severely injured children is limited. Vital signs are important factors in assessing critically ill or...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | BMC Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12873-022-00725-2 |
| _version_ | 1817979683741892608 |
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| author | Mafumi Shinohara Takashi Muguruma Chiaki Toida Masayasu Gakumazawa Takeru Abe Ichiro Takeuchi |
| author_facet | Mafumi Shinohara Takashi Muguruma Chiaki Toida Masayasu Gakumazawa Takeru Abe Ichiro Takeuchi |
| author_sort | Mafumi Shinohara |
| collection | DOAJ |
| description | Abstract Background Emergency medical service (EMS) providers are the first medical professionals to make contact with patients in an emergency. However, the frequency of care by EMS providers for severely injured children is limited. Vital signs are important factors in assessing critically ill or injured patients in the prehospital setting. However, it has been reported that documentation of pediatric vital signs is sometimes omitted, and little is known regarding the performance rate of vital sign documentation by EMS providers in Japan. Using a nationwide data base in Japan, this study aimed to evaluate the relationship between patients’ age and the documentation of vital signs in prehospital settings. Methods This study was a secondary data analysis of the Japan Trauma Data Bank. The inclusion criterion was patients with severe trauma, as defined by an Injury Severity Score ≥ 16. Our primary outcome was the rate of recording all four basic vital signs, namely blood pressure, heart rate, respiratory rate, and level of consciousness in the prehospital setting among different age groups. We also compared the prehospital vital sign completion rate, that is, the rate at which all four vital signs were recorded in a prehospital setting based on age groups. Multivariate analysis was performed to evaluate factors associated with the prehospital vital sign completion rate. Results We analyzed 75,777 severely injured patients. Adults accounted for 94% (71400) of these severely injured patients, whereas only 6% of patients were children. The rate of prehospital recording of vital signs was lower in children ≤5 years than in adult patients for all four vital signs. When the adult group was used as a reference, the adjusted odds ratios of vital sign completion rate in infants (0 years), younger children (1–5 years), older children (6–11 years), and teenagers (12–17 years) were 0.09, 0.30, 0.78, and 0.87, respectively. Conclusions Analysis of the nationwide trauma registry showed that younger children tended to have a lower rate of vital sign documentation in prehospital settings. |
| first_indexed | 2024-04-13T22:45:42Z |
| format | Article |
| id | doaj.art-8f9f092749fc40c291fdb93d7a033524 |
| institution | Directory Open Access Journal |
| issn | 1471-227X |
| language | English |
| last_indexed | 2024-04-13T22:45:42Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Emergency Medicine |
| spelling | doaj.art-8f9f092749fc40c291fdb93d7a0335242022-12-22T02:26:24ZengBMCBMC Emergency Medicine1471-227X2022-10-012211810.1186/s12873-022-00725-2The association between age and vital signs documentation of trauma patients in prehospital settings: analysis of a nationwide database in JapanMafumi Shinohara0Takashi Muguruma1Chiaki Toida2Masayasu Gakumazawa3Takeru Abe4Ichiro Takeuchi5Advanced Critical Care and Emergency Center, |Yokohama City University Medical CenterAdvanced Critical Care and Emergency Center, |Yokohama City University Medical CenterAdvanced Critical Care and Emergency Center, |Yokohama City University Medical CenterAdvanced Critical Care and Emergency Center, |Yokohama City University Medical CenterAdvanced Critical Care and Emergency Center, |Yokohama City University Medical CenterAdvanced Critical Care and Emergency Center, |Yokohama City University Medical CenterAbstract Background Emergency medical service (EMS) providers are the first medical professionals to make contact with patients in an emergency. However, the frequency of care by EMS providers for severely injured children is limited. Vital signs are important factors in assessing critically ill or injured patients in the prehospital setting. However, it has been reported that documentation of pediatric vital signs is sometimes omitted, and little is known regarding the performance rate of vital sign documentation by EMS providers in Japan. Using a nationwide data base in Japan, this study aimed to evaluate the relationship between patients’ age and the documentation of vital signs in prehospital settings. Methods This study was a secondary data analysis of the Japan Trauma Data Bank. The inclusion criterion was patients with severe trauma, as defined by an Injury Severity Score ≥ 16. Our primary outcome was the rate of recording all four basic vital signs, namely blood pressure, heart rate, respiratory rate, and level of consciousness in the prehospital setting among different age groups. We also compared the prehospital vital sign completion rate, that is, the rate at which all four vital signs were recorded in a prehospital setting based on age groups. Multivariate analysis was performed to evaluate factors associated with the prehospital vital sign completion rate. Results We analyzed 75,777 severely injured patients. Adults accounted for 94% (71400) of these severely injured patients, whereas only 6% of patients were children. The rate of prehospital recording of vital signs was lower in children ≤5 years than in adult patients for all four vital signs. When the adult group was used as a reference, the adjusted odds ratios of vital sign completion rate in infants (0 years), younger children (1–5 years), older children (6–11 years), and teenagers (12–17 years) were 0.09, 0.30, 0.78, and 0.87, respectively. Conclusions Analysis of the nationwide trauma registry showed that younger children tended to have a lower rate of vital sign documentation in prehospital settings.https://doi.org/10.1186/s12873-022-00725-2Emergency medical serviceWounds and injuriesPediatric traumaPrehospital care |
| spellingShingle | Mafumi Shinohara Takashi Muguruma Chiaki Toida Masayasu Gakumazawa Takeru Abe Ichiro Takeuchi The association between age and vital signs documentation of trauma patients in prehospital settings: analysis of a nationwide database in Japan BMC Emergency Medicine Emergency medical service Wounds and injuries Pediatric trauma Prehospital care |
| title | The association between age and vital signs documentation of trauma patients in prehospital settings: analysis of a nationwide database in Japan |
| title_full | The association between age and vital signs documentation of trauma patients in prehospital settings: analysis of a nationwide database in Japan |
| title_fullStr | The association between age and vital signs documentation of trauma patients in prehospital settings: analysis of a nationwide database in Japan |
| title_full_unstemmed | The association between age and vital signs documentation of trauma patients in prehospital settings: analysis of a nationwide database in Japan |
| title_short | The association between age and vital signs documentation of trauma patients in prehospital settings: analysis of a nationwide database in Japan |
| title_sort | association between age and vital signs documentation of trauma patients in prehospital settings analysis of a nationwide database in japan |
| topic | Emergency medical service Wounds and injuries Pediatric trauma Prehospital care |
| url | https://doi.org/10.1186/s12873-022-00725-2 |
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