Optimizing Ambulance Transport of Hemodialysis Patients to the Emergency Department: A Cohort Study.

ABSTRACT:

Background

Dialysis patients who require ambulance transport to the emergency department ("ambulance-ED") may subsequently require timely dialysis in a monitored setting ("urgent dialysis").

Objective

The purpose of this study was to develop and internally validate a risk prediction model for urgent dialysis based on patient characteristics at the time of paramedic assessment before ambulance-ED.

Design

Cohort Study.

Setting

Region of Nova Scotia, Canada, covered by a single emergency medical services provider.

Patients

Thrice-weekly hemodialysis patients who initiated dialysis between 2009 and 2013 (follow-up to 2015) and experienced one or more ambulance-ED events.

Measurements

The primary outcome ("urgent dialysis") was defined as dialysis with

SUBMITTER: Vinson AJ 

PROVIDER: S-EPMC6582295 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature