Assessment of Mortality among Patients Utilizing Emergency Medical Services of Tertiary Care Hospital, Pune
International Journal of Medical Research Professionals
Lot of progress has been made in emergency medical services in India. Assessment of mortality among patients utilizing emergency medical services is necessary. Aim: To assess the mortality among patients utilizing emergency medical services based on their severity and purpose to call emergency medical services. Material & Methods: It was hospital record based study. Proforma enlisting required socio-demographic and clinical parameters of the patients was developed for data collection. A person
... llection. A person with medical background was trained to extract required data. Glassgow coma scale was used to assess severity of the patients. Patients with incomplete records were excluded. Data were entered in Microsoft excel and imported in SPSS 15.0 software for analysis. Frequencies and proportions were enlisted. Associations were tested by Chi squared test. Results: 849 patients were enrolled. 39.75% were females, 61.0% were males. Mean age 62.56 years (+20.76). Ambulance services reached at scene within 25 minutes in 75% cases. Highest number (38.4%) of patients had altered sensorium. 28% of the patients were in severe category and majority (62%) were in mild to moderate category. 9.7% patients with mild to moderate category died while 12.3% (27/212) severe category of patients died, difference in mortality was not significant (p=0.220, OR= 1.266, 95% CI= 0.814-1.969). Highest percentage of deaths among severe GCS category was recorded in patients with road traffic accidents (VIII) and seizures (XI). Conclusion: Emergency medical services help to reduce mortality among severe category of to the extent that reported in mild to moderate category. Patients with road traffic accidents need other provisions for prompt & effective management. Relatives or persons accompanying known seizure patients can be educated about emergency measures taken in seizure episodes.