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. 2016 Sep 28;6(9):e013205. doi: 10.1136/bmjopen-2016-013205

Table 3.

Multivariate Poisson regression model for total emergency medical services time in the control and affected period

Control period
Affected period
Estimate (95% CI) p Value Estimate (95% CI) p Value
Constant, minutes 24.0 (23.5 to 24.4) <0.001*** 28.6 (27.1 to 30.1) <0.001***
Variable RR (95% CI) p Value RR (95% CI) p Value
Age, year
 0–14 0.89 (0.88 to 0.91) <0.001*** 0.79 (0.72 to 0.86) <0.001***
 15–64 Reference Reference
 65– 0.98 (0.98 to 0.99) <0.001*** 0.98 (0.95 to 1.01) 0.18
Sex
 Male Reference Reference
 Female 0.99 (0.98 to 1.00) <0.01** 0.97 (0.94 to 0.99) 0.02*
Time of the day
 6:00–12:00 Reference Reference
 12:00–18:00 1.01 (1.00 to 1.02) 0.17 0.96 (0.93 to 0.99) 0.01*
 18:00–24:00 1.06 (1.05 to 1.07) <0.001*** 1.07 (1.03 to 1.11) <0.001***
 24:00–6:00 1.14 (1.12 to 1.15) <0.001*** 1.06 (1.02 to 1.11) <0.01**
Day of the week
 Weekday Reference Reference
 Weekend 1.01 (1.00 to 1.02) <0.01** 0.98 (0.95 to 1.00) 0.08
Scene of EMS call
 Soma Reference Reference
 Minamisoma 30 km 0.98 (0.96 to 1.00) 0.01* 0.83 (0.79 to 0.87) <0.001***
 Minamisoma 20–30 km 0.97 (0.96 to 0.98) <0.001*** 0.97 (0.94 to 1.00) 0.05
 Minamisoma −20 km 1.07 (1.06 to 1.09) <0.001*** 0.95 (0.87 to 1.04) 0.30
 Iitate 1.07 (1.05 to 1.09) <0.001*** 1.15 (1.11 to 1.20) <0.001***
 Other 1.04 (0.98 to 1.11) 0.21 1.35 (1.19 to 1.53) <0.001***
Reason for EMS call
 Disaster-related 1.08 (1.01 to 1.15) 0.03*
 Abdominal pain Reference Reference
 Chest pain 1.06 (1.04 to 1.08) <0.001*** 1.01 (0.95 to 1.07) 0.78
 CPA 0.97 (0.94 to 0.99) <0.01** 0.86 (0.79 to 0.94) <0.001***
 DOC 1.04 (1.03 to 1.06) <0.001*** 1.02 (0.97 to 1.07) 0.44
 Fever 1.01 (0.98 to 1.03) 0.61 1.05 (0.99 to 1.12) 0.09
 General weakness 1.07 (1.05 to 1.10) <0.001*** 1.03 (0.97 to 1.10) 0.29
 Gynaecology 0.91 (0.83 to 1.00) 0.05* 0.89 (0.72 to 1.10) 0.27
 Intoxicated 1.13 (1.09 to 1.18) <0.001*** 1.31 (1.20 to 1.44) <0.001***
 Neurological symptom 1.05 (1.04 to 1.07) <0.001*** 1.00 (0.95 to 1.06) 0.95
 Pain, unspecified 1.12 (1.10 to 1.15) <0.001*** 1.07 (0.98 to 1.15) 0.12
 Self-harm 1.15 (1.10 to 1.21) <0.001*** 0.86 (0.76 to 0.97) 0.01*
 SOB 1 (0.98 to 1.02) 0.74 1.02 (0.96 to 1.09) 0.47
 Trauma 1.08 (1.06 to 1.10) <0.001*** 1.02 (0.97 to 1.07) 0.55
 Other 1 (0.96 to 1.03) 0.90 1.11 (1.02 to 1.20) 0.02*
Distance (km)
 From FS to scene of call 1.02 (1.02 to 1.02) <0.001*** 1.02 (1.02 to 1.02) <0.001***
 From scene of call to hospital 1.02 (1.02 to 1.02) <0.001*** 1.02 (1.02 to 1.02) <0.001***

*Statistically significant at 0.05 level.

**Statistically significant at 0.01 level.

***Statistically significant at 0.001 level.

CPA, cardiopulmonary arrest; DOC, disturbance of consciousness; EMS, emergency medical services; FS, fire station; SOB, shortness of breath; RR, relative ratio.