1887
Volume 2020, Issue 2
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

There is limited research outside the USA, Europe, or Australia on the capacity, efficiency, and development of prehospital emergency medicine services (EMS) between urban and rural areas. This study aimed to examine the usage of prehospital EMS across rural and urban areas in Riyadh region in the Kingdom of Saudi Arabia. A random sample of 800 (400 urban and 400 rural) emergency patient records from the Saudi Red Crescent Authority EMS was collected. The following variables were analyzed: patient demographics, clinical characteristics, length of hospital stay, and length of intensive care unit (ICU) stay. A skewed distribution was noted with respect to sex, i.e., 559 men versus 241 women. Rural patients were younger (42.75 vs. 39.72 years) and had significantly longer hospital (15 days versus 9 days) and ICU (5 days versus 2 days) stays than urban patients following transportation. All injury types were comparable, except for head injury, which was higher in the rural group than in the urban group. Advanced treatment and trauma transport were more often used in rural areas than in urban areas. In this study, rural EMS users were more likely to experience trauma-related incidents that necessitate EMS transportation, while medical reasons were more common among urban EMS users. Moreover, men used EMS at much higher rates than women and were more likely to be transported to the hospital following a call-out.

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2020-11-19
2021-01-19
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References

  1. Chng CL, Collins J, Eaddy S. A comparison of rural and urban emergency medical system (EMS) personnel: a Texas study. Prehosp Disaster Med. 2001;16(3):159–165 .
  2. Choo E, Newgard C, Lowe R, Hall M, McConnell KJ. Rural-urban disparities in emergency department intimate partner violence resources. West J Emerg Med. 2011;12(2):178–183 .
  3. Fatovich DM, Phillips M, Langford SA, Jacobs IG. A comparison of metropolitan vs rural major trauma in Western Australia. Resuscitation, 2011;82(7):886–890 .
  4. Mihalicz D, Phillips L, Bratu I. Urban vs rural pediatric trauma in Alberta: where can we focus on prevention? J Pediatr Surg. 2010;45(5):908–911 .
  5. Alanazy ARM, Wark S, Fraser J, Nagle, A. Factors impacting patient outcomes associated with use of emergency medical services operating in urban versus rural areas: a systematic review. Int J Environ Res Public Health. 2019;16(10):1728 .
  6. Jennings PA, Cameron P, Walker T, Bernard S, Smith K. Out-of-hospital cardiac arrest in Victoria: rural and urban outcomes. Med J Aust. 2006;185(3):135–139 .
  7. Gonzalez RP, Cummings G, Mulekar M, Rodning CB. Increased mortality in rural vehicular trauma: identifying contributing factors through data linkage. J Trauma Acute Care Surg. 2006;61(2):404–409 .
  8. Newgard CD, Fu R, Bulger E, Hedges JR, Mann NC, Wright DA, et al., Evaluation of rural vs urban trauma patients served by 9-1-1 emergency medical services. JAMA Surg. 2017;152(1):11–18 .
  9. AlShammari T, Jennings P, Williams B. Evolution of emergency medical services in Saudi Arabia. J Emerg Med Trauma Acute Care. 2017; 4:1–11 .
  10. General authority for statistics. Saudi Arabia health statistics. https://www.stats.gov.sa . Accessed April 12, 2020 .
  11. Saudi Red Crescent Authority. Saudi Red Crescent Authority Statistics. https://www.srca.org.sa/en/Statistics/opendata . Accessed April 2, 2020 .
  12. Kadam P, Bhalerao S. Sample size calculation. Int J Ayurveda Res. 2010; 1(1): 55–57 .
  13. Aftyka A, Rybojad B, Rudnicka-Drozak E. Are there any differences in medical emergency team interventions between rural and urban areas? A single-centre cohort study. Aust J Rural Health. 2014;22(5):223–228 .
  14. Sariyer G, Ataman, MG, Sofuoğlu T, Sofuoğlu Z. Does ambulance utilization differ between urban and rural regions: a study of 112 services in a populated city. Izmir. J Public Health. 2017;25(4):379–385 .
  15. Weiss S, Ernst A, Phillips, J, Hill B. Gender differences in state-wide EMS transports. Am J Emerg Med, 2000;18(6):666–670 .
  16. Toloo S, Fitzgerald G, Rego J, Tippett V, Quinn J. Age and gender differences in ambulance utilisation in Queensland. https://eprints.qut.edu.au/40191/. Accessed 2 April, 2020 .
  17. Norman C, Mello M, Choi B. Identifying frequent users of an urban emergency medical service using descriptive statistics and regression analyses. West J Emerg Med, 2016;17(1):39 .
  18. Knowlton A, et al., Patient demographic and health factors associated with frequent use of emergency medical services in a midsized city. Acad Emerg Med, 2013;20(11):1101–1111 .
  19. World Bank. Gender Portal Data - Saudi Arabia - Labor Force. http://datatopics.worldbank.org/gender/country/saudi-arabia . Accessed March 5, 2020 .
  20. Beillon L, Suserud B-O, Karlberg I, Herlitz J. Does ambulance use differ between geographic areas? A survey of ambulance use in sparsely and densely populated areas. Am J Emerg Med, 2009;27(2):202–211 .
  21. Newgard C, et al., Evaluation of rural vs urban trauma patients served by 9-1-1 emergency medical services. JAMA Surgery, 2017;152(1):11–18 .
  22. McCowan C, Swanson E, Thomas F, Handrahan D. Outcomes of blunt trauma victims transported by HEMS from rural and urban scenes. Prehosp Emerg Care, 2007;11(4):383–388 .
  23. McGuffie A, et al., Scottish urban versus rural trauma outcome study. J Trauma Acute Care Surg, 2005;(3):632–638 .
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  • Article Type: Research Article
Keyword(s): Rural; Urban; Emergency Medical Services; Saudi Arabia; Riyadh
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