Table 5.
Data variable number | Main data variable name | Type of data | Data variable categories or values | Data variable sub-categories or values | Type | Definition of data variable | How often should variable be reported |
---|---|---|---|---|---|---|---|
5. Mission outcome and quality indicators | |||||||
5.1. | Mission outcome | Categorical | 5.1.1. Patient left at scene | Check box | Patient left by p-EMS at scene. If necessary, taken to GP or other | For each mission | |
5.1.2. Patient taken to hospital, not escorted by p-EMS | To hospital by EMS or other | ||||||
5.1.3. Patient taken to hospital, escorted by p-EMS | |||||||
5.1.4. Patient declared dead on arrival at hospital | |||||||
5.1.5. Patient declared dead at scene | |||||||
5.1.6. Discharged alive from scene | Patient is alive when leaving scene | ||||||
5.1.7. Transported to hospital in cardiac arrest with ongoing CPR | |||||||
5.1.8. Patient alive at handover | Patient is alive when p-EMS hand over patient to hospital/GP/EMS unit or other | ||||||
5.1.9. Patient alive at discharge from hospital | |||||||
5.1.10. Patient alive at 30 days | |||||||
5.2. | Was the patient’s “post-p-EMS” followed up and registered? | Categorical | Bullet list | 30-day outcome or outcome at discharge from hospital | For each mission | ||
5.2.1. Yes | |||||||
5.2.2. No | |||||||
5.2.3. Unknown | |||||||
5.3. | Intubation success | Categorical | 5.3.1. Yes, on first attempt | Bullet list | Successful ETI by p-EMS | For each mission | |
5.3.2. Yes, after two or more attempts | |||||||
5.3.3. No | |||||||
5.4. | Complications to ETI | Categorical | 5.4.1. Yes | 5.4.1.1. SpO2 < 90% (at any time) | Check box | For each mission | |
5.4.1.2. Blood pressure below 90 (at any time) | |||||||
5.4.1.3. If TBI: Blood pressure below 120 (at any time) | |||||||
5.4.1.4. Blood pressure above 200 (at any time) | |||||||
5.4.1. 5. Cardiac arrest or severe, clinically significant bradycardia in relation to the procedure | |||||||
5.4.2. No | No complications to ETI | ||||||
5.5. | Patient with MI | Categorical | 5.5.1. Transferred to PCI centre? | 5.5.1.1. Yes | Bullet list | Patient meets criteria for myocardial infarction | For each mission |
5.5.1.2. No | |||||||
5.5.2. On-scene time | Number | ||||||
5.6. | Stroke patients | Categorical | 5.6.1. Transferred to a stroke centre? | 5.6.1.1 Yes | Bullet list | All patients considered as having stroke by p-EMS | For each mission |
5.6.1.2 No | |||||||
Continuous | 5.6.2. On-scene time | Number | |||||
5.7. | Cardiac arrest patients | Categorical | 5.7.1. Did patient achieve ROSC for more than 5 min | 5.7.1.1. Yes | Bullet list | Patients with cardiac arrest | For each mission |
5.7.1.2. No | |||||||
Categorical | 5.7.2. If ROSC: patient transferred to a PCI centre? | 5.7.2.1. Yes | Bullet list | ||||
5.7.2.2. No | |||||||
5.8. | Pain | Categorical | 5.8.1. Was the patient’s pain VAS score reduced below 4? | 5.8.1.1. Yes | Bullet list | For each mission | |
5.8.1.2. No | |||||||
5.8.1.3. Unknown | |||||||
5.8.2. Did the prehospital treatment reduce pain or otherwise control/improve the subjective symptoms and well-being? | 5.8.2.1. Yes | As defined by attending p-EMS | |||||
5.8.2.2. No | |||||||
5.8.2.3. Unknown | |||||||
5.9. | Did the prehospital interventions improve or stabilize the vital functions? | Categorical | 5.9.1. Yes | Bullet list | As defined by attending p-EMS | For each mission | |
5.9.2. No | |||||||
5.9.3. Unknown | |||||||
5.10. | Adverse events during mission | Categorical | 5.10.1. Adverse operational events | Check box | Missing material or teamwork issues during mission | For each mission | |
5.10.2. Adverse medical events | Any adverse medical events during mission |
EMS Emergency medical services, p-EMS physician-staffed emergency medical services, GP General practitioner,
CPR Cardiopulmonary resuscitation, ETI Endotracheal intubation, SpO2 Peripheral capillary oxygen saturation, TBI Traumatic brain injury, PCI Percutaneous coronary intervention, MI Myocardial infarction, ROSC Return of spontaneous circulation, VAS Visual analogue scale