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dc.contributor.authorFarhat, Hassan
dc.contributor.authorMakhlouf, Ahmed
dc.contributor.authorGangaram, Padarath
dc.contributor.authorAifa, Kawther El
dc.contributor.authorKhenissi, Mohamed Chaker
dc.contributor.authorHowland, Ian
dc.contributor.authorAbid, Cyrine
dc.contributor.authorJones, Andre
dc.contributor.authorHoward, Ian
dc.contributor.authorCastle, Nicholas
dc.contributor.authorAl Shaikh, Loua
dc.contributor.authorKhadhraoui, Moncef
dc.contributor.authorGargouri, Imed
dc.contributor.authorLaughton, James
dc.contributor.authorAlinier, Guillaume
dc.date.accessioned2024-04-30T08:15:21Z
dc.date.available2024-04-30T08:15:21Z
dc.date.issued2024-12
dc.identifier.citationFarhat , H , Makhlouf , A , Gangaram , P , Aifa , K E , Khenissi , M C , Howland , I , Abid , C , Jones , A , Howard , I , Castle , N , Al Shaikh , L , Khadhraoui , M , Gargouri , I , Laughton , J & Alinier , G 2024 , ' Exploring factors influencing time from dispatch to unit availability according to the transport decision in the pre-hospital setting: an exploratory study ' , BMC Emergency Medicine , vol. 24 , no. 1 , 77 , pp. 1-13 . https://doi.org/10.1186/s12873-024-00992-1
dc.identifier.otherJisc: 1930215
dc.identifier.otherpublisher-id: s12873-024-00992-1
dc.identifier.othermanuscript: 992
dc.identifier.urihttp://hdl.handle.net/2299/27814
dc.description© 2024 The Author(s). This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY), https://creativecommons.org/licenses/by/4.0/
dc.description.abstractBackground: Efficient resource distribution is important. Despite extensive research on response timings within ambulance services, nuances of time from unit dispatch to becoming available still need to be explored. This study aimed to identify the determinants of the duration between ambulance dispatch and readiness to respond to the next case according to the patients’ transport decisions. Methods: Time from ambulance dispatch to availability (TDA) analysis according to the patients’ transport decision (Transport versus Non-Transport) was conducted using R-Studio™ for a data set of 93,712 emergency calls managed by a Middle Eastern ambulance service from January to May 2023. Log-transformed Hazard Ratios (HR) were examined across diverse parameters. A Cox regression model was utilised to determine the influence of variables on TDA. Kaplan–Meier curves discerned potential variances in the time elapsed for both cohorts based on demographics and clinical indicators. A competing risk analysis assessed the probabilities of distinct outcomes occurring. Results: The median duration of elapsed TDA was 173 min for the transported patients and 73 min for those not transported. The HR unveiled Significant associations in various demographic variables. The Kaplan–Meier curves revealed variances in TDA across different nationalities and age categories. In the competing risk analysis, the ‘Not Transported’ group demonstrated a higher incidence of prolonged TDA than the ‘Transported’ group at specified time points. Conclusions: Exploring TDA offers a novel perspective on ambulance services’ efficiency. Though promising, the findings necessitate further exploration across diverse settings, ensuring broader applicability. Future research should consider a comprehensive range of variables to fully harness the utility of this period as a metric for healthcare excellence.en
dc.format.extent13
dc.format.extent1365001
dc.language.isoeng
dc.relation.ispartofBMC Emergency Medicine
dc.subjectpre-hospital
dc.subjectTime to event
dc.subjectambulance response
dc.subjectnon-conveyance
dc.subjectEMS
dc.subjectEmergency Medicine
dc.titleExploring factors influencing time from dispatch to unit availability according to the transport decision in the pre-hospital setting: an exploratory studyen
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionAllied Health Professions
dc.contributor.institutionParamedic Science
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85191770320&partnerID=8YFLogxK
rioxxterms.versionofrecord10.1186/s12873-024-00992-1
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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