We give details of a *-linear bijection between adapted (in the sense of Hudson and Parthasarathy) and vacuum-adapted quantum stochastic integrals. This provides new insight into Attal's remarkable transformation of quantum semimartingales, by showing that it factorizes in a natural manner. The Banach *-algebras of regular quantum and Ω-semimartingales are consequently isomorphic, and an intrinsic characterisation of Ω-semimartingales is obtained as an application of this fact. Various formulae occurring in quantum stochastic calculus are shown to have a more natural appearance in the vacuum-adapted framework. We finish by providing the full generalization of this theory to higher dimensions.