Erika Fernanda Dos Santos Bezerra Ludwig, Maria do Carmo Fernandez Lourenço Haddad, Mariana Ângela Rossaneis Moreira, Aroldo Gavioli, Lilia de Souza Nogueira, Eleine Aparecida Penha Martins
{"title":"在移动急救服务中接受治疗的用户死亡率分析：一项观察性研究，2019-2020。","authors":"Erika Fernanda Dos Santos Bezerra Ludwig, Maria do Carmo Fernandez Lourenço Haddad, Mariana Ângela Rossaneis Moreira, Aroldo Gavioli, Lilia de Souza Nogueira, Eleine Aparecida Penha Martins","doi":"10.1590/S2237-96222025v34e20240092.en","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To analyze the mortality of users attended by a Mobile Emergency Care Service located in Paraná.</p><p><strong>Methods: </strong>This is a cross-sectional analytical study based on service reports from 2019 and 2020. The Mobile Emergency Care Service covered 21 municipalities, divided into hubs A and B. The dependent variables defined were death and time of care. Survival functions were calculated using the Kaplan-Meier estimator and the log-rank test; hazard ratio (HR) for death, by Cox regression with 95% confidence interval (95%CI).</p><p><strong>Results: </strong>The study evaluated 13,326 instances of care provided. Of these, 246 resulted in death. The risk of death was higher in time-sensitive calls (HR 0.17; 95%CI 0.008; 0.37), in 2020 (HR 2.09; 95%CI 1.39; 3.16), attended by advanced support (HR 21.51; 95%CI 12.61; 36.70) and in Hub B (HR 4.26; 95%CI 2.53; 7.17).</p><p><strong>Conclusion: </strong>Mortality was higher in cases that had a long wait for time-sensitive calls, occurred in less populated regions, and were dealt with by advanced support in 2020.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240092"},"PeriodicalIF":2.0000,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435964/pdf/","citationCount":"0","resultStr":"{\"title\":\"Analysis of mortality of users treated at a Mobile Emergency Care Service: an observational study, Paraná, 2019-2020.\",\"authors\":\"Erika Fernanda Dos Santos Bezerra Ludwig, Maria do Carmo Fernandez Lourenço Haddad, Mariana Ângela Rossaneis Moreira, Aroldo Gavioli, Lilia de Souza Nogueira, Eleine Aparecida Penha Martins\",\"doi\":\"10.1590/S2237-96222025v34e20240092.en\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To analyze the mortality of users attended by a Mobile Emergency Care Service located in Paraná.</p><p><strong>Methods: </strong>This is a cross-sectional analytical study based on service reports from 2019 and 2020. The Mobile Emergency Care Service covered 21 municipalities, divided into hubs A and B. The dependent variables defined were death and time of care. Survival functions were calculated using the Kaplan-Meier estimator and the log-rank test; hazard ratio (HR) for death, by Cox regression with 95% confidence interval (95%CI).</p><p><strong>Results: </strong>The study evaluated 13,326 instances of care provided. Of these, 246 resulted in death. The risk of death was higher in time-sensitive calls (HR 0.17; 95%CI 0.008; 0.37), in 2020 (HR 2.09; 95%CI 1.39; 3.16), attended by advanced support (HR 21.51; 95%CI 12.61; 36.70) and in Hub B (HR 4.26; 95%CI 2.53; 7.17).</p><p><strong>Conclusion: </strong>Mortality was higher in cases that had a long wait for time-sensitive calls, occurred in less populated regions, and were dealt with by advanced support in 2020.</p>\",\"PeriodicalId\":520611,\"journal\":{\"name\":\"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil\",\"volume\":\"34 \",\"pages\":\"e20240092\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-09-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435964/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1590/S2237-96222025v34e20240092.en\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/S2237-96222025v34e20240092.en","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Analysis of mortality of users treated at a Mobile Emergency Care Service: an observational study, Paraná, 2019-2020.
Objective: To analyze the mortality of users attended by a Mobile Emergency Care Service located in Paraná.
Methods: This is a cross-sectional analytical study based on service reports from 2019 and 2020. The Mobile Emergency Care Service covered 21 municipalities, divided into hubs A and B. The dependent variables defined were death and time of care. Survival functions were calculated using the Kaplan-Meier estimator and the log-rank test; hazard ratio (HR) for death, by Cox regression with 95% confidence interval (95%CI).
Results: The study evaluated 13,326 instances of care provided. Of these, 246 resulted in death. The risk of death was higher in time-sensitive calls (HR 0.17; 95%CI 0.008; 0.37), in 2020 (HR 2.09; 95%CI 1.39; 3.16), attended by advanced support (HR 21.51; 95%CI 12.61; 36.70) and in Hub B (HR 4.26; 95%CI 2.53; 7.17).
Conclusion: Mortality was higher in cases that had a long wait for time-sensitive calls, occurred in less populated regions, and were dealt with by advanced support in 2020.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
