确定社区EMS防摔预防机会
Tynan H Friend1, Alexander J Ordoobadi2, Zara Cooper3
1Warren Alpert Medical School of Brown University, Providence, RI, USA; Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Injury
|September 26, 2024
概括
在摔倒伤害之前,有过先前遇到紧急医疗服务 (EMS) 的老年人往往更生病,社会经济地位更低. 这些人代表社区EMS防摔计划的关键人群.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 跌倒是老年人死亡和残疾的主要原因.
- 现有的防摔计划需要患者的参与和独立性.
- 社区紧急医疗服务 (CEMS) 提供了一种积极预防跌倒的新方法.
研究的目的:
- 识别高风险摔倒的老年人,他们可以从CEMS干预中受益.
- 描述与跌倒相关的伤害和之前的EMS遭遇的老年人的特征.
主要方法:
- 链接了2019年马萨诸塞州医疗保健数据库 (ED,住院患者) 与医院调查数据.
- 分析了55岁或以上的成年人与跌倒相关的ED遭遇 (2019年7月至12月).
- 在前六个月中,那些有和没有先前的EMS遭遇的人的比较特征.
主要成果:
- 在66,027名患有摔倒的老年人中,有11%的老年人以前曾经经历过EMS.
- 之前的EMS遭遇与更糟糕的健康状况 (更多的并发症) 和较低的社会经济地位有关.
- 曾经接触过EMS的人更容易患复杂的并发症和收入较低.
结论:
- 有相当数量的受摔伤的老年人最近与EMS有过接触.
- 这些人容易受到负面的健康和经济后果的影响.
- CEMS的防摔计划可以有效地针对这种高风险人群.
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