Wie heb ik aan de lijn?: Het effect op triage wanneer iemand namens de patiënt belt voor pijn op de borst

Mathé Delissen; Anique S M Dobbe; Carmen D C A Erkelens; Loes T C M Wouters; Hester M den Ruijter; Joy S A Corsel; Alja Sluiter; Frans H Rutten; Dorien L M Zwart

Wie heb ik aan de lijn? Het effect op triage wanneer iemand namens de patiënt belt voor pijn op de borst

Translated title of the contribution: Who's calling?: The effect on triage when someone calls on behalf of a patient with chest pain

Mathé Delissen^*
, Anique S M Dobbe
, Carmen D C A Erkelens
, Loes T C M Wouters
, Hester M den Ruijter
, Joy S A Corsel
, Alja Sluiter
, Frans H Rutten
, Dorien L M Zwart

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

OBJECTIVE: Is a call made by a surrogate related to urgency allocation or higher odds of a life-threatening event (LTE)?

DESIGN: Cross-sectional study.

METHOD: Calls to the OHS-PC were classified into 'patient-initiated call' or 'surrogate call'. Odds ratios were calculated for the relationship between the type of call and (a) urgency allocation, (b) ACS, and (c) life-threatening event.

RESULTS: In total 2428 recordings were included for analysis. Around half of the recordings were surrogate calls, and these more often received a high urgency (80.0%) than patient-initiated calls (57.8%). Of all participants, 13.9% were diagnosed with a LTE; in women 10.3%, in men 18.3%. In the surrogate call group this was 18.8%, in the patient-initiated call group 8.9%.

CONCLUSIONS: Surrogate calls on behalf of a patient with symptoms suggestive of ACS receive more often a high urgency, and these patients have a risk twice as high of an LTE.

Translated title of the contribution	Who's calling?: The effect on triage when someone calls on behalf of a patient with chest pain
Original language	Dutch
Article number	D8748
Journal	Nederlands Tijdschrift voor Geneeskunde
Volume	169
Publication status	Published - 28 Oct 2025

Keywords

Humans
Cross-Sectional Studies
Triage
Female
Chest Pain/diagnosis
Male
Middle Aged
Aged

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https://www.ntvg.nl/artikelen/wie-heb-ik-aan-de-lijn

Cite this

Delissen, M., Dobbe, A. S. M., Erkelens, C. D. C. A., Wouters, L. T. C. M., den Ruijter, H. M., Corsel, J. S. A., Sluiter, A., Rutten, F. H., & Zwart, D. L. M. (2025). Wie heb ik aan de lijn? Het effect op triage wanneer iemand namens de patiënt belt voor pijn op de borst. Nederlands Tijdschrift voor Geneeskunde, 169, Article D8748. https://www.ntvg.nl/artikelen/wie-heb-ik-aan-de-lijn

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title = "Wie heb ik aan de lijn?: Het effect op triage wanneer iemand namens de pati{\"e}nt belt voor pijn op de borst",

abstract = "OBJECTIVE: Is a call made by a surrogate related to urgency allocation or higher odds of a life-threatening event (LTE)?DESIGN: Cross-sectional study.METHOD: Calls to the OHS-PC were classified into 'patient-initiated call' or 'surrogate call'. Odds ratios were calculated for the relationship between the type of call and (a) urgency allocation, (b) ACS, and (c) life-threatening event.RESULTS: In total 2428 recordings were included for analysis. Around half of the recordings were surrogate calls, and these more often received a high urgency (80.0\%) than patient-initiated calls (57.8\%). Of all participants, 13.9\% were diagnosed with a LTE; in women 10.3\%, in men 18.3\%. In the surrogate call group this was 18.8\%, in the patient-initiated call group 8.9\%.CONCLUSIONS: Surrogate calls on behalf of a patient with symptoms suggestive of ACS receive more often a high urgency, and these patients have a risk twice as high of an LTE.",

keywords = "Humans, Cross-Sectional Studies, Triage, Female, Chest Pain/diagnosis, Male, Middle Aged, Aged",

author = "Math{\'e} Delissen and Dobbe, \{Anique S M\} and Erkelens, \{Carmen D C A\} and Wouters, \{Loes T C M\} and \{den Ruijter\}, \{Hester M\} and Corsel, \{Joy S A\} and Alja Sluiter and Rutten, \{Frans H\} and Zwart, \{Dorien L M\}",

year = "2025",

month = oct,

day = "28",

language = "Dutch",

volume = "169",

journal = "Nederlands Tijdschrift voor Geneeskunde",

issn = "0028-2162",

publisher = "Vereniging Nederlands Tijdschrift voor Geneeskunde",

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TY - JOUR

T1 - Wie heb ik aan de lijn?

T2 - Het effect op triage wanneer iemand namens de patiënt belt voor pijn op de borst

AU - Delissen, Mathé

AU - Dobbe, Anique S M

AU - Erkelens, Carmen D C A

AU - Wouters, Loes T C M

AU - den Ruijter, Hester M

AU - Corsel, Joy S A

AU - Sluiter, Alja

AU - Rutten, Frans H

AU - Zwart, Dorien L M

PY - 2025/10/28

Y1 - 2025/10/28

N2 - OBJECTIVE: Is a call made by a surrogate related to urgency allocation or higher odds of a life-threatening event (LTE)?DESIGN: Cross-sectional study.METHOD: Calls to the OHS-PC were classified into 'patient-initiated call' or 'surrogate call'. Odds ratios were calculated for the relationship between the type of call and (a) urgency allocation, (b) ACS, and (c) life-threatening event.RESULTS: In total 2428 recordings were included for analysis. Around half of the recordings were surrogate calls, and these more often received a high urgency (80.0%) than patient-initiated calls (57.8%). Of all participants, 13.9% were diagnosed with a LTE; in women 10.3%, in men 18.3%. In the surrogate call group this was 18.8%, in the patient-initiated call group 8.9%.CONCLUSIONS: Surrogate calls on behalf of a patient with symptoms suggestive of ACS receive more often a high urgency, and these patients have a risk twice as high of an LTE.

AB - OBJECTIVE: Is a call made by a surrogate related to urgency allocation or higher odds of a life-threatening event (LTE)?DESIGN: Cross-sectional study.METHOD: Calls to the OHS-PC were classified into 'patient-initiated call' or 'surrogate call'. Odds ratios were calculated for the relationship between the type of call and (a) urgency allocation, (b) ACS, and (c) life-threatening event.RESULTS: In total 2428 recordings were included for analysis. Around half of the recordings were surrogate calls, and these more often received a high urgency (80.0%) than patient-initiated calls (57.8%). Of all participants, 13.9% were diagnosed with a LTE; in women 10.3%, in men 18.3%. In the surrogate call group this was 18.8%, in the patient-initiated call group 8.9%.CONCLUSIONS: Surrogate calls on behalf of a patient with symptoms suggestive of ACS receive more often a high urgency, and these patients have a risk twice as high of an LTE.

KW - Humans

KW - Cross-Sectional Studies

KW - Triage

KW - Female

KW - Chest Pain/diagnosis

KW - Male

KW - Middle Aged

KW - Aged

UR - https://www.scopus.com/pages/publications/105022228788

M3 - Article

C2 - 41255186

SN - 0028-2162

VL - 169

JO - Nederlands Tijdschrift voor Geneeskunde

JF - Nederlands Tijdschrift voor Geneeskunde

M1 - D8748

ER -

Wie heb ik aan de lijn? Het effect op triage wanneer iemand namens de patiënt belt voor pijn op de borst

Abstract

Keywords

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