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The Epidemiology of Prehospital Emergency Responses for Older Adults in a Provincial EMS System.
CJEM. 2015 Sep; 17(5):491-6.CJEM

Abstract

OBJECTIVES

Societal aging is expected to impact the use of emergency medical services (EMS). Older adults are known as high users of EMS. Our primary objective was to quantify the rate of EMS use by older adults in a Canadian provincial EMS system. Our secondary objective was to compare those transported to those not transported.

METHODS

We analysed data from a provincial EMS database for emergency responses between January 1, 2010 and December 31, 2010 and included all older adults (≥65 years) requesting EMS for an emergency call. We described EMS use in relation to age, sex, and resources.

RESULTS

There were 30,653 emergency responses for older adults in 2010, representing close to 50% of the emergency call volume and an overall response rate of 202.8 responses per 1,000 population 65 years and older. The mean age was 79.9±8.5 years for those 57.3% who were female. The median paramedic-determined Canadian Triage and Acuity Scale (CTAS) score was 3 and the mean on-scene time was 24.2 minutes. Non-transported calls (12.3%) for the elderly involved predominantly (54.9%) female patients of similar mean age (78.3 years) but lower acuity (CTAS 5) and longer average on-scene times (32.6 minutes).

CONCLUSIONS

We confirmed the increasingly high rate of EMS use with age to be consistent with other industrialized populations. The low-priority and non-transport calls by older adults consumed considerable resources in this provincial system and might be the areas most malleable to meet the challenges facing EMS systems.

Authors+Show Affiliations

*Division of Geriatric Medicine,Geriatric Medicine Research Unit,Dalhousie University,Halifax,Canada.†Nova Scotia Emergency Health Services,Halifax,NS.†Nova Scotia Emergency Health Services,Halifax,NS.†Nova Scotia Emergency Health Services,Halifax,NS.*Division of Geriatric Medicine,Geriatric Medicine Research Unit,Dalhousie University,Halifax,Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25989943

Citation

Goldstein, Judah, et al. "The Epidemiology of Prehospital Emergency Responses for Older Adults in a Provincial EMS System." CJEM, vol. 17, no. 5, 2015, pp. 491-6.
Goldstein J, Jensen JL, Carter AJ, et al. The Epidemiology of Prehospital Emergency Responses for Older Adults in a Provincial EMS System. CJEM. 2015;17(5):491-6.
Goldstein, J., Jensen, J. L., Carter, A. J., Travers, A. H., & Rockwood, K. (2015). The Epidemiology of Prehospital Emergency Responses for Older Adults in a Provincial EMS System. CJEM, 17(5), 491-6. https://doi.org/10.1017/cem.2015.20
Goldstein J, et al. The Epidemiology of Prehospital Emergency Responses for Older Adults in a Provincial EMS System. CJEM. 2015;17(5):491-6. PubMed PMID: 25989943.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Epidemiology of Prehospital Emergency Responses for Older Adults in a Provincial EMS System. AU - Goldstein,Judah, AU - Jensen,Jan L, AU - Carter,Alix J E, AU - Travers,Andrew H, AU - Rockwood,Kenneth, Y1 - 2015/05/20/ PY - 2015/5/21/entrez PY - 2015/5/21/pubmed PY - 2015/5/21/medline KW - Emergency medical services KW - aging KW - epidemiology KW - geriatrics KW - health service use KW - transport SP - 491 EP - 6 JF - CJEM JO - CJEM VL - 17 IS - 5 N2 - OBJECTIVES: Societal aging is expected to impact the use of emergency medical services (EMS). Older adults are known as high users of EMS. Our primary objective was to quantify the rate of EMS use by older adults in a Canadian provincial EMS system. Our secondary objective was to compare those transported to those not transported. METHODS: We analysed data from a provincial EMS database for emergency responses between January 1, 2010 and December 31, 2010 and included all older adults (≥65 years) requesting EMS for an emergency call. We described EMS use in relation to age, sex, and resources. RESULTS: There were 30,653 emergency responses for older adults in 2010, representing close to 50% of the emergency call volume and an overall response rate of 202.8 responses per 1,000 population 65 years and older. The mean age was 79.9±8.5 years for those 57.3% who were female. The median paramedic-determined Canadian Triage and Acuity Scale (CTAS) score was 3 and the mean on-scene time was 24.2 minutes. Non-transported calls (12.3%) for the elderly involved predominantly (54.9%) female patients of similar mean age (78.3 years) but lower acuity (CTAS 5) and longer average on-scene times (32.6 minutes). CONCLUSIONS: We confirmed the increasingly high rate of EMS use with age to be consistent with other industrialized populations. The low-priority and non-transport calls by older adults consumed considerable resources in this provincial system and might be the areas most malleable to meet the challenges facing EMS systems. SN - 1481-8035 UR - https://www.unboundmedicine.com/medline/citation/25989943/The_Epidemiology_of_Prehospital_Emergency_Responses_for_Older_Adults_in_a_Provincial_EMS_System_ L2 - https://www.cambridge.org/core/product/identifier/S1481803515000202/type/journal_article DB - PRIME DP - Unbound Medicine ER -