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Study 02 · BMC Medical Informatics and Decision Making

Peer reviewed

Breathing emergencies and nonlinear risk

How response time, age and sex interact with high-risk time-sensitive triage among 132,395 breathing-problem missions.

Conceptual illustration · not a plot of study data

Age was the most important model feature. Patients older than 60 showed complex rising HRTS probability at prolonged response times beyond two hours; discrimination was modest (AUC 0.66).

Study population132,395 EMS missions
SettingStockholm, Sweden
Study period2017–2022
DOI10.1186/s12911-025-03046-z
Research question
How response time, age and sex interact with high-risk time-sensitive triage among 132,395 breathing-problem missions.
Study population
132,395 EMS missions · 2017–2022 · Stockholm, Sweden
Method
Retrospective observational analysis of 132,395 breathing-problem missions in Stockholm, 2017–2022. Multiple models were explored, with PD and ICE plots used to examine nonlinear relationships.
Key findings
Age was the most important model feature. Patients older than 60 showed complex rising HRTS probability at prolonged response times beyond two hours; discrimination was modest (AUC 0.66).
Operational relevance
Extended waits may justify systematic reassessment, especially when demographic and clinical vulnerability could be underestimated at the first call.

The exploratory model is not validated for patient-level prediction or dispatch automation and was based on limited variables from one region.

Open publication ↗

Original publication title

Uncovering nonlinear patterns in time-sensitive prehospital breathing emergencies: an exploratory machine learning study

This page is a research summary. Consult the original English publication for the full methods, results and reuse terms.

Research provenance
Publication status
Peer reviewed
Research question
How response time, age and sex interact with high-risk time-sensitive triage among 132,395 breathing-problem missions.
Study population
132,395 EMS missions
Setting
Stockholm, Sweden
Study period
2017–2022
Method
Retrospective observational analysis of 132,395 breathing-problem missions in Stockholm, 2017–2022. Multiple models were explored, with PD and ICE plots used to examine nonlinear relationships.
Interpretation boundaries
The exploratory model is not validated for patient-level prediction or dispatch automation and was based on limited variables from one region.
DOI
10.1186/s12911-025-03046-z
Cite this research
Hill P, Jonsson D, Lederman J, Bolin P, et al. Uncovering nonlinear patterns in time-sensitive prehospital breathing emergencies: an exploratory machine learning study. BMC Med Inform Decis Mak. 2025;25:205. doi:10.1186/s12911-025-03046-z