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Author Weiss, N. R. ♦ Weiss, S. J. ♦ Tate, R. ♦ Oglesbee, S. ♦ Ernst, A. A.
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Computer science, information & general works ♦ Library & information sciences ♦ Philosophy & psychology ♦ Psychology ♦ Social sciences ♦ Sociology & anthropology ♦ Social problems & services; associations ♦ Social welfare problems & services ♦ Natural sciences & mathematics ♦ Life sciences; biology ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Incidence & prevention of disease ♦ Pharmacology and therapeutics ♦ Diseases ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Therapeutics ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Behavior and Behavior Mechanisms ♦ Psychiatry and Psychology ♦ Social Sciences ♦ Anthropology, Education, Sociology and Social Phenomena ♦ Information Science ♦ Information Science ♦ Persons ♦ Persons ♦ Health Care Facilities, Manpower, and Services ♦ Health Care Quality, Access, and Evaluation ♦ Health Care ♦ Geographic Locations ♦ Geographic Locations
Subject Keyword Discipline Emergency ♦ Discipline Medicine ♦ Communication Barriers ♦ Emergency Service, Hospital ♦ Language ♦ Transportation Of Patients ♦ Adult ♦ Age Factors ♦ Aged ♦ Female ♦ Health Status ♦ Humans ♦ Male ♦ Middle Aged ♦ New Mexico ♦ Retrospective Studies ♦ Sex Factors ♦ Journal Article
Abstract BACKGROUND: The population of the United States continues to diversify with an increasing percentage of residents with limited English proficiency (LEP). A major concern facing emergency medical services (EMS) providers is increasing scene and transport times. We hypothesized that there would be a significant difference in EMS scene and transport times when comparing LEP and English-speaking (ES) patients and there would be a difference in care, both in and out of hospital. METHODS: This is a retrospective case-control study with patient data extracted from hospital records and EMS run reports from a 911 emergency ambulance service. Patients were only included if they were transported to our level I trauma center. Inclusion in the LEP group was based on a field in EMS run reports that claimed language barrier as the sole reason for no patient signature. All LEP patients from July 1, 2012, to November 1, 2012, were reviewed. A random comparison sampling of ES patients from the same period was evaluated. The patients' demographic data, pain scores, interventions, medications, transport times, and scene times were analyzed. Patients were followed up from emergency department (ED) management through to disposition. Percentages were compared using 95% confidence intervals (CIs). Bivariate analysis used the Student t test and χ(2) test. A multivariable logistic regression model was created to determine predictive variables. A 5% random sampling was compared by 2 investigators for interrater agreement. RESULTS: Data were collected from a total of 101 ES and 100 LEP patients. Interrater agreement was 94% between extractors. Limited English proficiency patients were significantly older (56 ± 20 years old) than ES patients (41 ± 21 years old) and more likely to be female (odds ratio [OR], 2; 95% CI, 1.1-3.3). Limited English proficiency patients had a greater mean EMS transport time of 2.2 minutes (95% CI, 0.04-4.0). The odds of LEP patients receiving electrocardiograms were greater both in the ambulance (OR, 3.7; 95% CI, 1.7-8.1) and in the ED (OR, 2.0; 95% CI, 1.1-3.3) compared to ES patients. There were no differences in additional interventions, medications administered, or pain scores obtained between the 2 groups. In a multivariable logistic regression model corrected for age, type of call, smoking history, and sex, there was no difference in transport times in LEP patients. CONCLUSION: Compared to ES patients, LEP patients are older and more likely to be female. When corrected for differences in age, type of call, smoking history, and sex, we found no difference in scene or transport time for LEP patients. Results of this study indicate that EMS providers should be prepared for a different patient encounter when responding to 911 calls involving LEP patients rather than language variations alone.
Spatial Coverage New Mexico
Description Author Affiliation: Weiss NR ( Department of Emergency Medicine, University of New Mexico, Albuquerque, NM. Electronic address: sweiss52@aol.com.); Weiss SJ ( Department of Emergency Medicine, University of New Mexico, Albuquerque, NM.); Tate R ( Department of Emergency Medicine, University of New Mexico, Albuquerque, NM.); Oglesbee S ( Department of Emergency Medicine, University of New Mexico, Albuquerque, NM.); Ernst AA ( Department of Emergency Medicine, University of New Mexico, Albuquerque, NM.)
ISSN 07356757
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2015-12-01
Publisher Place United States
e-ISSN 15328171
Journal The American Journal of Emergency Medicine
Volume Number 33
Issue Number 12


Source: WHO-Global Index Medicus