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Table 2 Study characteristics included in systematic review

From: The accuracy of medical dispatch - a systematic review

First author (year of publication)

Design

GRADE Rating

Area and/or Country of publication

Population

Number of patients/incidents

Dispatching system category

Additional information

Clawson J. J. et al. (2016) [25].

Retrospective descriptive

Very low

Salt Lake City, USA

EMD identified strokes

4712 hospital confirmed strokes

Medical Priority Dispatch System

Final inhospital diagnosis as stroke was reference

Dami F. et al. (2017) [22].

Retrospective observational

Very low

Region of Vaud, Switzerland

Identification of acute stroke, onset within 5 h

427 patients

Criteria Based Dispatch

Final inhospital diagnosis as stroke was reference

Malekzadeh J. et al. (2015) [24].

“Quasi empirical design”

Moderate

Mashhad, Iran

Suspected stroke among callers

246 patients

CPSS vs. “Regional system”

Final inhospital diagnosis as stroke was reference

Krebes S. et al. (2012) [26].

Retrospective observational

Low

Berlin, Germany

Emergency calls due to stroke

207 patients

MPDS with a new developed algorithm

Final inhospital diagnosis as stroke was reference

Viereck S. et al. (2016) [23].

Retrospective observational

Very low

EMS Copenhagen

Emergency calls due to stroke

2653 patients

Criteria Based Dispatch

Final inhospital diagnosis as stroke/TIA was reference

Deakin C. D. et al. (2017) [17].

Retrospective observational

Very low

United Kingdom

Emergency calls due to CA, adult

469,400/8830 emergency calls, adult

NHS Pathways

Using ambulance crew’s decision as reference

Moller T. P. et al. (2016) [18].

Retrospective observational

Very low

Denmark and Sweden

Patients from national cardiac arrest registers and connected emergency calls

776 patients from Denmark and 346 from Sweden

Criteria Based Dispatch

The information from the ambulance crew (cardiac arrest register) was reference

Fukushima H. et al. (2015) [19].

Before/after comparison

Very low

Japan

Patients from national cardiac arrest register and connected emergency calls

478 patients (before) and 427 (after)

“Regional system”

The information from the ambulance crew (cardiac arrest register) was reference

Tanaka Y. et al. (2014) [20].

Prospective observational

Very low

Japan

Emergency calls due to CA and connected ambulance records

2747 emergency calls with dispatcher-assisted cardiopulmonary resuscitation attempt

“Regional system”

The information from the fire department crew (cardiac arrest register) was reference

Vaillancourt C. et al. (2015) [16].

Retrospective observational

Very low

Canada

Emergency calls due to CA

2260/1536 emergency calls

DPCI

The information from the ambulance crew (cardiac arrest register) was reference

Gellerstedt M. et al. (2016) [21].

Retrospective observational

Low

Vätragötland, Sweden

Emergency calls due to chest pain

2285 consecutive patients dialed 112 with chest pain

Criteria Based Dispatch

Inhospital diagnosis as acute coronary syndrome was reference

Giannakopoulos G. F. et al. (2012) [15].

Retrospective

Very low

Netherlands

Trauma-related dispatch

420 trauma patients

Based on MOI

Identification of major trauma due to definitions

Wilmer I. et al. (2015) [27].

Retrospective observational

Low

London’s Air Ambulance

Major trauma

2203 helicopter activations

Closest to CBD, but there is no formal protocol

Identification of patients with serious injury due to definitions

Ball S. J. et al. (2016) [28].

Retrospective observational

Low

Australia, Perth Western Australia

Consecutive cases of ambulance dispatch

211,473 consecutive cases of ambualnce dispatch, “whole of population study”

Medical Priority Dispatch System

Time critical condition by paramedic-determined patient condition at the time of departing the scene was used as reference

Dami F. et al. (2015) [13].

Retrospective observational

Very low

Switzerland

Primary missions

29,008 ambulance missions

Criteria Based Dispatch

The severity of cases assessed by paramedics on site using the NACA-score was reference

Ek B. et al. (2013) [29].

Retrospective

Very low

Jämtland, Sweden

Consecutive cases of medical dispatch

4835 ambulance dispatches

Criteria Based Dispatch

METTS-A according to ambulance was reference

Leopardi M. and Sommacampagna M (2013) [30].

Retrospective observational

Very low

Italy

Emergency calls

53,606 emergency calls

“Regional system”

The sensitivity of subjective experience-based nurse dispatch in detecting the need for phycisian interventions

Moser A. et al. (2017) [14].

Before/after comparison

Very low

Switzerland

Emergency calls and connected ambulance records

27,886 (before) and 38,748(after)

Criteria Based Dispatch

Severity of cases assessed by paramedics on site using the NACA-score was used as reference

  1. CA Cardiac arrest, CPSS Cincinnati Prehospital Stroke Score, DPCI Dispatch Priority Card Index, HEMS Helicopter Emergency Medical Service, INT Paramedic interrogation of caller, MOI Mechanism of injury, NHS National Health System, REQ Land ambulance request