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

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


Author Hou, Xiang-Yu
Zhao, Jingzhou
Chu, Kevin
Title Impact of a government triple zero awareness campaign on emergency department patient characteristics
Journal name Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1742-6731
1742-6723
Publication date 2012-08
Sub-type Article (original research)
DOI 10.1111/j.1742-6723.2012.01560.x
Volume 24
Issue 4
Start page 393
End page 400
Total pages 8
Place of publication Richmond, Vic., Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2013
Language eng
Formatted 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.
Keyword Ambulance
Campaign
Departure status
Emergency department
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Medicine Publications
 
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Created: Mon, 17 Sep 2012, 10:14:56 EST by Matthew Lamb on behalf of School of Medicine