1887
Volume 2025, Issue 1
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

The aim of this study was to present the rationale behind field interventions aimed at enhancing the functioning of emergency medicine services by analyzing field visits conducted by Emergency Medical Service (EMS) teams of Health Center Barajevo (HCB), Belgrade, Serbia. It also aims to assess the adequacy of current telephone triage in determining the need for field interventions. Other objectives include identifying the most common diagnoses and the most commonly prescribed drugs in order to aid in disease prevention and improve the overall healthcare system. Together, these aims also serve an important educational purpose.

For the purposes of this study, patient field protocols for 2023 were used, which include data about the patients, mainly their medical history, diagnoses, and therapy administered during the visit. Data on interventions by EMS teams from January 1, 2023 at 00:00:00 hours to December 31, 2023 at 23:59:59 hours were used. Patients were divided into eight age groups. Statistical data were analyzed using SPSS v. 21.

EMS HCB made 3,345 field interventions in 2023. The total number of patients consisted of 1,501 males (44.9%) and 1,803 females (53.9%). The patients’ mean age was 67.54 years, with a median age of 72 years. The age range was 0–98 years. The total number of diagnoses was 5,776, with an average of 1.7 diagnoses per patient.

The results of our research partially align with those of other studies available in the literature. The most common individual reason for the intervention by EMS HCB teams was arterial hypertension (I10).

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2025-02-24
2025-07-17
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References

  1. WHO, Emergency and critical care [Internet]. Available from: https://www.who.int/health-topics/emergency-care#tab=tab_1
  2. International Federation for Emergency Medicine, Emergency medicine facts [Internet]. Available from: https://www.ifem.cc/emergency_medicine_facts
  3. Andelic S, Lazic A, Detki S. Emergency medical care in the health system of the Republic of Serbia. SJ urgent medic HALO 194, 2015; 21:(2):136–52.
    [Google Scholar]
  4. Regulation on the Health Institution Network Plan, Official Gazette of the Republic of Serbia No. 5/2020, 11/2020, 52/2020, 88/2020, 62/2021, 69/2021, 74/2021, 95/2021, 43/2023, 58/2023, 87/2023, and 103/2023.
  5. Republic Institute for Statistics of the Republic of Serbia. Available from: http://devinfo.stat.gov.rs/SerbiaProfileLauncher/files/profiles/sr/1/DI_Profil_Barajevo_EURSRB001001001001.pdf
  6. WHO. Deaths by sex and age group for a selected country or area and year [Internet]. Available at: https://platform.who.int/mortality/themes/theme-details/MDB/ill-defined-diseases
  7. Health Care Law, Official Gazette No. 25/2019 and 92/2023 – authentic interpretation.
  8. Population of the Republic of Serbia 2023, Statistical Office of the Republic of Serbia, Belgrade, 2024.
  9. Analysis of the Health Status of the Population in the Raska District, Public Health Institute Kraljevo, 2022.
  10. WHO. Health data overview for the Republic of Serbia [Internet]. Available from: https://data.who.int/countries/688
    [Google Scholar]
  11. Barot PA, Malhotra SD, Rana DA, Patel VJ, Patel KP. Drug utilization in emergency medicine department at a tertiary care teaching hospital: A prospective study. J Basic Clin Pharm. 2013; 4:(4):78–81. https://doi.org/10.4103/0976-0105.121650
    [Google Scholar]
  12. Birrenbach T, Hoffmann M, Hautz SC, Kämmer JE, Exadaktylos AK, Sauter TC, et al. Frequency and predictors of unspecific medical diagnoses in the emergency department: A prospective observational study. BMC Emerg Med. 2022Jun15; 22:(1):109. https://doi.org/10.1186/s12873-022-00665-x
    [Google Scholar]
  13. Weiss AJ, Jiang HJ. Most frequent reasons for emergency department visits, 2018. HCUP Statistical Brief #286. Rockville, MDAgency for Healthcare Research and Quality; December 2021. Available from: https://hcup-us.ahrq.gov/reports/statbriefs/sb286-ED-Frequent-Conditions-2018.pdf
    [Google Scholar]
  14. Khurshid S, Choi SH, Weng L-C, Wang EY, Trinquart L, Benjamin EJ, et al. Frequency of cardiac rhythm abnormalities in a half million adults. Circ Arrhythm Electrophysiol. 2018Jul; 11:(7):e006273. https://doi.org/10.1161/CIRCEP.118.006273
    [Google Scholar]
  15. Miljuš D. Malignant tumors and mortality in Serbia and Europe: A comparative analysis. Public Health Bulletin, Belgrade, 2021. Available at: https://serbjph.batut.org.rs/resources/Obolevanje-i-umiranje-od-malignih-tumora.pdf
    [Google Scholar]
  16. Miljus D. Non-communicable diseases. In: Jovanovic V, Ivanovic I, Krstic M, Medarevic A, editors. Health statistical yearbook of Republic of Serbia 2018. BelgradeInstitute of Public Health of Serbia; 2019p. 422–42. Available from: http://www.batut.org.rs/download/publikacije/pub2018.pdf
    [Google Scholar]
  17. Gallaway MS, Idaikkadar N, Tai E, Momin B, Rohan EA, Townsend J, et al. Emergency department visits among people with cancer: Frequency, symptoms, and characteristics. J Am Coll Emerg Physicians Open. 2021May1; 2:(3):e12438. https://doi.org/10.1002/emp2.12438
    [Google Scholar]
  18. Pettit N, Sarmiento E, Kline J. Disparities in outcomes among patients diagnosed with cancer in proximity to an emergency department visit. Sci Rep. 2022Jun23; 12:(1):10667. https://doi.org/10.1038/s41598-022-13422-8
    [Google Scholar]
  19. Smiljka A, Mihaela B, Kornelija JH, Anka I, Jovanka M, Milica V. Prehospital cardiac arrest and cardiopulmonary resuscitation: Our experience, original paper. ABC J Emerg Med. 2014; XIV:(2–3):19–25.
    [Google Scholar]
  20. Health Center Subotica. Služba hitne medicinske pomoci [Internet]. Available from: https://www.domzdravlja.org.rs/sluzba-hitne-medicinske-pomoci
    [Google Scholar]
  21. Pavlovic A. Cardiopulmonary Cerebral Resuscitation, Faculty of Medicine, University of Pristina with Temporary Seat in Kosovska Mitrovica; 2022.
    [Google Scholar]
  22. Herold G. Innere Medizin. CologneDe Gruyter; 2024.
    [Google Scholar]
  23. Krittanawong C, Khawaja M, Tamis-Holland JE, Girotra S, Rao SV. Acute myocardial infarction: Etiologies and mimickers in young patients. J Am Heart Assoc. 2023Sep19; 12:(18):e029971. https://doi.org/10.1161/JAHA.123.029971
    [Google Scholar]
  24. Salari N, Morddarvanjoghi F, Abdolmaleki A, Rasoulpoor S, Khaleghi AA, Hezarkhani LA, et al. The global prevalence of myocardial infarction: a systematic review and meta-analysis. BMC Cardiovasc Disord. 2023Apr22; 23:(1):206. https://doi.org/10.1186/s12872-023-03231-w
    [Google Scholar]
  25. Jovic M, Jovic Lj, Jolic A, Manojlovic-Miloševic I. Arterial hypotension – The forgotten diagnosis. ABC J Emerg Med. 2005; 5:(1–3):80–85. Available at: https://scindeks.ceon.rs/article.aspx?query=ISSID%26and%26283&page=12&sort=8&stype=0&backurl=%2fissue.aspx%3fissue%3d283
    [Google Scholar]
  26. Institute for Public Health “Dr Milan Jovanovic-Batut”. Available from: https://www.batut.org.rs/download/publikacije/maligniTumoriURepubliciSrbiji2019.pdf
  27. Sadik M, Ozlem K, Huseyin M, AliAyberk B, Ahmet S, Ozgur O. Attributes of cancer patients admitted to the emergency department in one year. World J Emerg Med. 2014; 5:(2):85–90. https://doi.org/10.5847/wjem.j.issn.1920-8642.2014.02.001
    [Google Scholar]
  28. Delamare Fauvel A, Bischof JJ, Reinbolt RE, Weihing VK, Boyer EW, Caterino JM, et al. Diagnosis of cancer in the Emergency Department: A scoping review. Cancer Med. 2023Apr; 12:(7):8710–28. https://doi.org/10.1002/cam4.5600
    [Google Scholar]
  29. Isikber C, Gulen M, Satar S, Avci A, Acehan S, Isikber GG, et al. Evaluation of the frequency of patients with cancer presenting to an emergency department. Rev Assoc Med Bras (1992). 2020Oct; 66:(10):1402–8. https://doi.org/10.1590/1806-9282.66.10.1402
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): emergency servicefield interventions and ICD-10
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