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Evaluation of ambulance calls for patients over 65 years of age in İzmir, Turkey: a two-year retrospective analysis

BACKGROUND/AIM: Analysis of interventions for special patient groups is important for the planning of health services, especially emergency medical services. In this study, we aimed to evaluate emergency medical service (EMS) interventions for the elderly and determine the decisive factors affecting...

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Autores principales: PAKDEMİRLİ, Ahu, BAYRAM, Başak, GÜVENÇ, Erkan, ELLİDOKUZ, Hülya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Scientific and Technological Research Council of Turkey 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283469/
https://www.ncbi.nlm.nih.gov/pubmed/33726483
http://dx.doi.org/10.3906/sag-2010-152
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author PAKDEMİRLİ, Ahu
BAYRAM, Başak
GÜVENÇ, Erkan
ELLİDOKUZ, Hülya
author_facet PAKDEMİRLİ, Ahu
BAYRAM, Başak
GÜVENÇ, Erkan
ELLİDOKUZ, Hülya
author_sort PAKDEMİRLİ, Ahu
collection PubMed
description BACKGROUND/AIM: Analysis of interventions for special patient groups is important for the planning of health services, especially emergency medical services. In this study, we aimed to evaluate emergency medical service (EMS) interventions for the elderly and determine the decisive factors affecting transfer to the hospital of EMS team over 2 years (2017 and 2018) in İzmir. MATERIALS AND METHODS: Records of 112 emergency calls that were made between 2017 and 2018 followed up with interventions for patients aged 65 years and older were obtained from the 112 system. The reasons for the calls, outcomes, possible diagnoses of the patients, differences in time intervals and seasons, characteristics of the patients transferred to the hospital, and factors affecting the need for transfer to the hospital were investigated. RESULTS: A total of 176,104 elderly patients with a mean age of 78.02 ± 8.0 years required ambulance services, and out of them, 66% were transferred to the hospital. Transfer to the hospital was significantly associated with the event location, sex, time interval, international classification of diseases (ICD) codes, and physical examination findings. CONCLUSION: Ambulance interventions are more frequently required in urban areas than in the countryside, and calls are mostly made during daytime hours and during winter months. The decision to transfer a patient to the hospital is based on the patient’s respiratory status, skin examination, state of consciousness, pulse, systolic blood pressure, call time, and the preliminary diagnosis of the crew.
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spelling pubmed-82834692021-08-02 Evaluation of ambulance calls for patients over 65 years of age in İzmir, Turkey: a two-year retrospective analysis PAKDEMİRLİ, Ahu BAYRAM, Başak GÜVENÇ, Erkan ELLİDOKUZ, Hülya Turk J Med Sci Article BACKGROUND/AIM: Analysis of interventions for special patient groups is important for the planning of health services, especially emergency medical services. In this study, we aimed to evaluate emergency medical service (EMS) interventions for the elderly and determine the decisive factors affecting transfer to the hospital of EMS team over 2 years (2017 and 2018) in İzmir. MATERIALS AND METHODS: Records of 112 emergency calls that were made between 2017 and 2018 followed up with interventions for patients aged 65 years and older were obtained from the 112 system. The reasons for the calls, outcomes, possible diagnoses of the patients, differences in time intervals and seasons, characteristics of the patients transferred to the hospital, and factors affecting the need for transfer to the hospital were investigated. RESULTS: A total of 176,104 elderly patients with a mean age of 78.02 ± 8.0 years required ambulance services, and out of them, 66% were transferred to the hospital. Transfer to the hospital was significantly associated with the event location, sex, time interval, international classification of diseases (ICD) codes, and physical examination findings. CONCLUSION: Ambulance interventions are more frequently required in urban areas than in the countryside, and calls are mostly made during daytime hours and during winter months. The decision to transfer a patient to the hospital is based on the patient’s respiratory status, skin examination, state of consciousness, pulse, systolic blood pressure, call time, and the preliminary diagnosis of the crew. The Scientific and Technological Research Council of Turkey 2021-06-28 /pmc/articles/PMC8283469/ /pubmed/33726483 http://dx.doi.org/10.3906/sag-2010-152 Text en Copyright © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Article
PAKDEMİRLİ, Ahu
BAYRAM, Başak
GÜVENÇ, Erkan
ELLİDOKUZ, Hülya
Evaluation of ambulance calls for patients over 65 years of age in İzmir, Turkey: a two-year retrospective analysis
title Evaluation of ambulance calls for patients over 65 years of age in İzmir, Turkey: a two-year retrospective analysis
title_full Evaluation of ambulance calls for patients over 65 years of age in İzmir, Turkey: a two-year retrospective analysis
title_fullStr Evaluation of ambulance calls for patients over 65 years of age in İzmir, Turkey: a two-year retrospective analysis
title_full_unstemmed Evaluation of ambulance calls for patients over 65 years of age in İzmir, Turkey: a two-year retrospective analysis
title_short Evaluation of ambulance calls for patients over 65 years of age in İzmir, Turkey: a two-year retrospective analysis
title_sort evaluation of ambulance calls for patients over 65 years of age in i̇zmir, turkey: a two-year retrospective analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283469/
https://www.ncbi.nlm.nih.gov/pubmed/33726483
http://dx.doi.org/10.3906/sag-2010-152
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