Association between patient and call characteristics and hospital transport
| Variable | Unadjusted* OR (95% CI) | Adjusted† OR (95% CI) |
|---|---|---|
| Age (years) | 1.00 (1.00–1.01) | 1.00 (1.00–1.01) |
| Sex, male | 0.89 (0.79–1.01) | 0.89 (0.79–1.01) |
| Documented diabetes diagnosis | 0.82 (0.69–0.96) | 0.82 (0.69–0.96) |
| Insulin use | 0.95 (0.82–1.09) | 0.95 (0.82–1.09) |
| Oral antihyperglycemic agent use | 1.06 (0.89–1.25) | 1.06 (0.89–1.26) |
| Glasgow Coma Scale score < 9 | 1.13 (0.97–1.32) | 1.12 (0.65–1.31) |
| Canadian Triage Acuity Scale level ≤ 3 | 2.09 (1.61–2.71) | 2.05 (1.58–2.66) |
| Overnight call (18:00–06:00) | 0.81 (0.72–0.91) | 0.80 (0.72–0.91) |
| “Diabetic emergency” as final primary problem code | 1.10 (0.97–1.25) | 1.10 (0.97–1.25) |
| Crew type | ||
| Advanced care paramedics (referent group) | 1.00 | 1.00 |
| Emergency medical assistants or primary care paramedics | 0.94 (0.80–1.10) | 0.94 (0.81–1.10) |
| Primary care paramedics with advanced training to administer IV medications | 1.34 (0.83–2.17) | 1.31 (0.82–2.11) |
| CBG (per mmol/L) | 0.26 (0.24–0.29) | 0.31 (0.22–0.44) |
| Treatment | ||
| Oral glucose alone (referent group) | 1.00 | 1.00 |
| IV dextrose alone or with oral glucose | 1.11 (0.92–1.30) | 1.63 (0.70–3.80) |
| Any IM glucagon (alone, with oral glucose or with IV dextrose) | 1.14 (0.97–1.34) | 3.89 (1.64–9.20) |
| All 3 (oral glucose + IV dextrose + IM glucagon) | 0.45 (0.14–1.37) | 0.21 (0.02–2.18) |
| Interaction of CBG and treatment | ||
| CBG (per mmol/L), oral glucose (referent group) | – | 1.00 |
| CBG (per mmol/L), IV dextrose alone or with oral glucose | – | 0.90 (0.63–1.28) |
| CBG (per mmol/L), any IM glucagon (alone, with oral glucose or with IV dextrose) | – | 0.67 (0.47–0.95) |
| CBG (per mmol/L), all 3 (oral glucose + IV dextrose + IM glucagon) | – | 1.52 (0.56–4.12) |