Impact of a government triple zero awareness campaign on emergency department patient characteristics

Hou, Xiang-Yu and Zhao, Jingzhou and Chu, Kevin (2012) Impact of a government triple zero awareness campaign on emergency department patient characteristics. Emergency Medicine Australasia, 24 (4). pp. 393-400. ISSN 1742-6731

[img]
Preview
Text (Accepted Version)
Accepted Version.pdf

Download (128kB) | Preview

Abstract

Objective: To evaluate the impact of a government triple zero community awareness campaign on the characteristics of patients attending an ED.

Methods: A study using Emergency Department Information System data was conducted in an adult metropolitan tertiary-referral teaching hospital in Brisbane. The three outcomes measured in the 3 month post-campaign period were arrival mode, Australasian Triage Scale and departure status. These measures reflect ambulance usage, clinical urgency and illness severity, respectively. They were compared with those in the 3 month pre-campaign period. Multivariate logistic regression models were used to investigate the impacts of the campaign on each of the three outcome measures after controlling for age, sex, day and time of arrival, and daily minimum temperature.

Results: There were 17 920 visits in the pre- and 17 793 visits in the post-campaign period. After the campaign, fewer patients arrived at the ED by road ambulance (odds ratio [OR] 0.90, 95% confidence interval [CI] 0.80–1.00), although the impact of the campaign on the arrival mode was only close to statistical significance (Wald χ2-test, P= 0.055); and patients were significantly less likely to have higher clinical urgency (OR 0.86, 95% CI 0.79–0.94), while more likely to be admitted (OR 1.68, 95% CI 1.38–2.05) or complete treatment in the ED (OR 1.46, 95% CI 1.23–1.73) instead of leaving without waiting to be seen.

Conclusions: The campaign had no significant impact on the arrival mode of the patients. After the campaign, the illness acuity of the patients decreased, whereas the illness severity of the patients increased.


Statistics for USQ ePrint 42354
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Accepted version deposited in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 16 Sep 2021 01:59
Last Modified: 18 Oct 2021 06:15
Uncontrolled Keywords: ambulance; campaign; departure status; emergency department; urgency
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111706 Epidemiology
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111709 Health Care Administration
11 Medical and Health Sciences > 1103 Clinical Sciences > 110305 Emergency Medicine
Fields of Research (2020): 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320207 Emergency medicine
42 HEALTH SCIENCES > 4203 Health services and systems > 420306 Health care administration
Identification Number or DOI: https://doi.org/10.1111/j.1742-6723.2012.01560.x
URI: http://eprints.usq.edu.au/id/eprint/42354

Actions (login required)

View Item Archive Repository Staff Only