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Using paramedics to identify at-risk elderly.

L W Gerson¹, D T Schelble, J E Wilson

¹Department of Epidemiology, Northeastern Ohio Universities College of Medicine, Rootstown.

Annals of Emergency Medicine

|June 1, 1992

Summary

Paramedics effectively identified at-risk elderly individuals needing services. This study shows paramedics can be valuable in connecting older adults to essential geriatric assessments and care.

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Area of Science:

Geriatric Medicine
Emergency Medical Services
Public Health

Background:

Elderly individuals often face complex health and social challenges.
Early identification and intervention are crucial for improving health outcomes in older adults.
Emergency medical services (EMS) interact with a significant number of elderly individuals.

Purpose of the Study:

To assess the capability of paramedics in identifying elderly individuals at risk.
To evaluate the effectiveness of referring at-risk elderly individuals for professional assessment and services.

Main Methods:

A prospective, nonrandomized open trial was conducted in Akron, Ohio.
130 firefighter paramedics screened approximately 6,000 elderly patients (age 60+) for various issues.
Screening included medical, mental health, social, and environmental factors, with referrals to the Area Agency on Aging.

Main Results:

Paramedics identified 197 individuals with potential problems, leading to 124 assessments.
Geriatric assessors confirmed problems in 121 of the 124 assessed cases (98% positive predictive value).
The program proved beneficial for 94 individuals (48% of those identified and assessed).

Conclusions:

Paramedics can successfully function as case finders for vulnerable elderly populations.
Effective referral pathways can be established between EMS and community service agencies.
This model demonstrates a viable approach to linking at-risk seniors with necessary support systems.

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