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Titolo:
EMERGENCY MEDICAL TRANSPORT OF THE ELDERLY - A POPULATION-BASED STUDY
Autore:
WOFFORD JL; MORAN WP; HEUSER MD; SCHWARTZ E; VELEZ R; MITTELMARK MB;
Indirizzi:
WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT INTERNAL MED,INTERNAL MED &GERONTOL SECT,MED CTR BLVD WINSTON SALEM NC 27103 WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT EMERGENCY MED WINSTON SALEMNC 00000 WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT PUBL HLTH SCI WINSTON SALEMNC 27103
Titolo Testata:
The American journal of emergency medicine
fascicolo: 3, volume: 13, anno: 1995,
pagine: 297 - 300
SICI:
0735-6757(1995)13:3<297:EMTOTE>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
NO
Recensione:
Indirizzi per estratti:
Citazione:
J.L. Wofford et al., "EMERGENCY MEDICAL TRANSPORT OF THE ELDERLY - A POPULATION-BASED STUDY", The American journal of emergency medicine, 13(3), 1995, pp. 297-300

Abstract

Patterns of utilization of emergency medical services transport (EMS)by the elderly are poorly understood. We determined population-based rates of EMS utilization by the elderly and characterized utilization patterns by age, gender, race, and reason for transport. This observational, population-based study was conducted in Forsyth County, NC, a semi-urban county served by one convalescent ambulance service and one EMS service. Using data on all 1990 EMS transports and the 1990 U.S. census data, age-, gender-, and race-specific transport rates for persons aged 60 or older were calculated. Reasons for transport and frequency of repeat users were established. After exclusion of transports because of an address outside the county, a nonhospital destination, a scheduled transport, or missing data, 4,688 transports (78% of total) remained for analysis. The overall rate of transport was 104/1,000 county residents, Transport rates increased for successively older five-year age groups, demonstrating a 5.7-fold stepwise increase from ages 60-65 to 85+ (51/1,000 to 291/1,000), There was no difference in mean agebetween patients who were frequent EMS users (more than three transports during the year) (n = 66) and other elderly transportees. Reasons for transport differed little between those 60 to 84 years of age and those 85 years of age and older with the exception of chest pain, cardiac arrest, and seizures, all of which were significantly more prevalent in the younger age group. African-Americans used EMS at a rate 1.7 times that of whites (143.4/1,000 v 95.4/1,000, 95% confidence internal [CI] 1.40 to 1.61), but there was little difference between genders (0.99, 95% CI 0.93 to 1.05). Our data show that in this county, the use of EMS transport increases dramatically with age. The need for EMS transport of elderly patients will increase dramatically as the U.S, population ages. These findings have implications for care of the individual patient and for future changes in health policy. Copyright (C) 1995 by W.B. Saunders Company

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 17:59:35