Aim. We attempted to identify disorders of glycaemia as a reason for intervention of Team 1 EMS, to determine their proportion of total interventions, the method of treatment, and to determine incidence of those who were transported to hospital for further treatment.
Methods: We conducted a descriptive retrospective study over a period of three years (2011-2013) at the Institute of Emergency Medicine of the City of Zagreb, in Zagreb, Croatia. We used the database of the Institute by analysing the interventions according to (MKB) ICD E10-E14 and R73. The data was divided into three groups according to patient age.
Results. The results showed that hypo and hyperglycemia are the most common reason for intervention of Team 1 EMS. Of all interventions at the Institute, only 0.5% are caused by these disorders. The majority of reasons for intervention, according to the Croatian Index, are in the red (priority I). The most common reasons are impaired consciousness, described neurological symptoms, hypoglycaemia or a diabetic patient. The largest number of interventions was in the group older than 65 years (59%), the active working group comprised of 40% of interventions, while the youngest group accounted for less than 1% of interventions. Hyperglycaemia was the main reason for hospital admission. We did not find any relationship with age.
Conclusion. The most common reasons of glycaemic related emergency medical interventions are hypo and hyperglycaemia. The largest number of interventions were performed in the group of patients older than 65 years, which received the most targeted therapies. Such results were expected considering age and comorbidity. The least amount of interventions was performed in the age group up to 17 years. This leads to the conclusion that the latter group is well-educated about the disease, about the signs of glycaemic disorders and the treatment options. Most of the patients who were admitted to hospital suffered from hyperglycaemia. This was not age dependent. It is necessary to continue educating the population to successfully identify the early signs of the disorder in an effort to provide timely assistance and prevent harmful consequences.
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