9/11/2023 0 Comments Alternate conveyance![]() Initial evidence suggests that referring individuals to a GP may provide an appropriate and safe alternative path of care. Conclusionsĭespite limited data and a small sample size, there were differences between patients conveyed directly to ED and those who were referred into GP care. Those conveyed to ED had a higher risk of death compared to those who were referred to the GP (HR: 2.59 95% CI 1.14–5.89), however when analyses were restricted to those who presented at ED within 30 days, there was no difference in mortality risk (HR: 1.45 95% CI 0.58–3.65). These patients were more likely to be admitted then than were those initially conveyed directly to ED (59% vs 31%). Of those patients referred to the GP, only 22.4% presented at ED within 30 days. ![]() Older individuals, females, and those with minor incidents were more likely to be referred to a GP than conveyed directly to ED. ![]() To compare differences in patient outcomes, we include follow-up data of a smaller subset of each cohort (up to n = 150 in each) including hospital admission, history of long-term illness, previous ED attendance, length of stay, hospital investigations, internal transfers, 30-day re-admission and 10-month mortality. This was a prospective study comparing patients from two cohorts, one conveyed directly to the ED ( n = 4219) and the other referred to a GP by the on-scene paramedic ( n = 321). ![]() We investigated differences between patients who are conveyed directly to ED after calling 999 and those referred by an ambulance crew to a novel GP referral scheme. Even so, there has been little evaluation of patient outcomes. UK Ambulance services are under pressure to safely stream appropriate patients away from the Emergency Department (ED). ![]()
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