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To systematically analyze randomized controlled trials (RCT) on improving the coordination of care in emergency medical services (EMS), and to mainly focus on sequential intervention that aimed to achieve seamless care between difference service settings, as well as to provide evidence-based suggestion for improving the integration of emergency medical system.
Using keyword and Mesh-term search, Embase, PubMed, CNKI, Wanfang Database and other eight databases were searched to identify related studies, and then the interventions were confirmed by study screening and quality evaluation. Effectiveness of the interventions were assessed according to treatment time, patient outcomes and satisfaction.
In total, 19 articles were included. Sequential intervention maximumly could shorten pre-hospital time and in-hospital time by 68.7 minutes and 79.8 minutes, respectively. The incidence of adverse events could be reduced by from 3.8% to 16.7%. There were significant reductions in the rates of readmission (20%), mortality (17%) and complication (28.9%). The functional status and satisfaction of the patients in the intervention group were better than that in the control group.
Interventions aiming to improve coordination of care in EMS play a positive role in shortening treatment time and improving patient outcome. Given the quality of the included studies, study locations and study sample, future studies should pay more attention to the rigorousness of their study design and the completeness of their outcome report.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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