Epidemiology of emergency medical service responses to older people who have fallen: A prospective cohort study

Prehospital Emergency Care

Volumn 18, Issue 2, 2014, Pages 185-194

  Simpson, Paul M ^a,b,c   Bendall, Jason C ^g   Tiedemann, Anne ^d,e   Lord, Stephen R ^e   Close, Jacqueline C T ^c,f  

^a UNIVERSITY OF WESTERN SYDNEY   (Australia)

^b Greater Sydney Area Helicopter Emergency Medical Service Ambulance Service New South Wales Rescue Helicopter Base Bankstown Airport   (Australia)

^c UNIVERSITY OF NEW SOUTH WALES   (Australia)

^d UNIVERSITY OF SYDNEY   (Australia)

^e UNIVERSITY OF SYDNEY   (Australia)

^f NEUROSCIENCE RESEARCH AUSTRALIA   (Australia)

^g Prince of Wales Clinical School University of New South Wales ^*

Author keywords

Accidental falls; Aged; Ambulance; Emergencies; Emergency medical services

Indexed keywords

AGE DISTRIBUTION; AGED; AUSTRALIA; EDUCATION; EMERGENCY HEALTH SERVICE; EPIDEMIOLOGY; FALLING; FEMALE; HUMAN; INFORMATION PROCESSING; MALE; PARAMEDICAL PERSONNEL; PATIENT TRANSPORT; PROCEDURES; PROSPECTIVE STUDY; SEX RATIO; STATISTICS AND NUMERICAL DATA; TIME; VERY ELDERLY;

ACCIDENTAL FALLS; AGE DISTRIBUTION; AGED; AGED, 80 AND OVER; ALLIED HEALTH PERSONNEL; DATA COLLECTION; EMERGENCY MEDICAL SERVICES; FEMALE; HUMANS; MALE; NEW SOUTH WALES; PROSPECTIVE STUDIES; SEX DISTRIBUTION; TIME FACTORS; TRANSPORTATION OF PATIENTS;

EID: 84896448419     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.3109/10903127.2013.856504     Document Type: Article

References (34)

1. Bendall J, Simpson P, Goodger M, Middleton P. Operational epidemiology of ambulance responses within Sydney: implications for paramedic education and models of care (conference proceedings of the Australasian College of Ambulance Professionals 2009 National Conference, 15-17 October 2009, Auckland New Zealand). J Emerg Primary Healthcare. 2009;7(3).
2. Simpson PM, Bendall JC, Tiedamann A, Close JCT, Mid-dleton PM. Epidemiology of ambulance responses to older fallers in New South Wales, Australia. Australas J Ageing. 2013;32:171-176.
3. Lowthian J, Jolley D, Curtis A, Currell A, Cameron P, Stoel-winder J, McNeil J. The challenges of population ageing: accelerating demand for emergency ambulance services by older patients, 1995-2015. MJA. 2011;194:574-8. Epub 23 May 2011.
4. Donaldson MG, Khan KM, Davis JC, Salter AE, Buchanan J, McKnight D, Janssen PA, Bell M, McKay HA. Emergency department fall-related presentations do not trigger fall risk assessment: a gap in care of high-risk outpatient fallers. Arch Gerontol Geriatr. 2005;41(3):311-7.
5. Salter AE, Khan KM, Donaldson MG, Davis JC, Buchanan J, Abu-Laban RB, Cook WL, Lord SR, McKay HA. Community-dwelling seniors who present to the emergency department with a fall do not receive Guideline care and their fall risk profile worsens significantly: a 6-month prospective study. Osteoporosis Int. 2006;17(5):672-83.
6. Tiedemann A, Sherrington C, Orr T, Hallen J, Lewis D, Kelly A, Vogler C, Lord SR, Close JC. Identifying older people at high risk of future falls: development and validation of a screening tool for use in emergency departments. Emerg Med J. 2013;30(11):918-922.
7. Cone DC, Ahern J, Lee CH, Baker D, Murphy T, Bogucki S. A descriptive study of the "lift-assist" call. Prehosp Emerg Care. 17(1):51-6.
8. Snooks HA, Halter M, Close JC, Cheung WY, Moore F, Roberts SE. Emergency care of older people who fall: a missed opportunity. Qual Safety Health Care. 2006;15(6):390-2.
9. Tiedemann A, Mikolaizak S, Sherrington C, Segin K, Lord SR, Close JCT. Older fallers attended to by an ambulance but not transported to hospital: a vulnerable population at high risk of future falls. Aust NZ J Public Health. 2013;37: 179-85.
10. Weiss SJ, Chong R, Ong M, Ernst AA, Balash M. Emergency medical services screening of elderly falls in the home. Prehosp Emerg Care. 2003;7(1):79-84.
11. Ambulance Service of New South Wales. Demand for our services. Ambulance Service of New South Wales; 2012 [March 22, 2012]; Available from: www.ambulance.nsw.gov.au/Our-performance/Demand-for-Our-Services.html.
12. The prevention of falls in later life: a report of the Kellogg International Work Group on the Prevention of Falls by the Elderly. Danish Med Bull. 1987;34(Suppl 4):1-24.
13. New South Wales Department of Health. Between the Flags. Sydney, Australia: New South Wales Department of Health; 2010 [June 18, 2012]; Available from: www.health.nsw. gov.au/initiatives/btf/index.asp.
14. Johnston K, Worley A, Grimmer-Somers K, Sutherland M, Amos L. Personal alarm use to call the ambulance after a fall in older people: characteristics of clients and falls. J Emerg Primary Healthcare. 2010;8(4).
15. Tinetti ME, Liu W-L, Claus EB. Predictors and prognosis of inability to get up after falls among elderly persons. JAMA. 1993;269(1):65-70.
16. Wild D, Nayak US, Isaacs B. How dangerous are falls in old people at home? Br Med J Clin Res. 282(6260):266-8.
17. Marks PJ, Daniel TD, Afolabi O, Spiers G, Nguyen-Van-Tam JS. Emergency (999) calls to the ambulance service that do not result in the patient being transported to hospital: an epidemio-logical study. Emerg Med J. 2002;19(5):449-52.
18. Weiss SJ, Ernst AA, Miller P, Russell S. Repeat EMS transports among elderly emergency department patients. Prehosp Emerg Care. 2002;6(1):6-10.
19. Close J, Ellis M, Hooper R, Glucksman E, Jackson S, Swift C. Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. Lancet. 1999;353(9147):93-7.
20. Logan PA, Coupland CA, Gladman JR, Sahota O, Stoner-Hobbs V, Robertson K, Tomlinson V, Ward M, Sach T, Avery AJ. Community falls prevention for people who call an emergency ambulance after a fall: randomised controlled trial. BMJ. 2010;340:c2102.
21. Ahern J, Cone D, Baker D, Bogucki S. EMS-initiated community intervention can reduce lift assist calls. Prehosp Emerg Care. 2012;12(1):163-4.
22. Comans TA, Currin ML, Quinn J, Tippett V, Rogers A, Haines TP. Problems with a great idea: referral by prehospital emergency services to a community-based falls-prevention service. Inj Prev. 2013;19:134-138.
23. Thomas SL, Muscatello DJ, Middleton PM, Zheng W. Characteristics of fall-related injuries attended by an ambulance in Sydney, Australia: a surveillance summary. New South Wales Public Health Bull. 2011;22(4):49-54.
24. Mitchell R, Curtis K, Watson WL, Nau T. Age differences in fall-related injury hospitalisations and trauma presentations. Aus-tralas J Ageing. 2010;29(3):117-25.
25. Lord SR, Sherrington C, Menz HB, Close JCT. Falls in Older People: Risk Factors and Strategies for Prevention, 2nd ed. Cambridge: Cambridge University Press; 2006.
26. Close JC, Halter M, Elrick A, Brain G, Swift CG. Falls in the older population: a pilot study to assess those attended by London ambulance service but not taken to A&E. Age Ageing. 2002;31(6):488-9.
27. Dixon S, Mason S, Colwell B, Knowles E, Wardrope J, Snooks H, Gorringe R, Perrin J, Nicoll J. Is it cost effective to introduce paramedic practitioners for older people to the ambulance service? Results of a cluster-randomised trial. Emerg Med J. 2009;26:446-51.
28. Gray JT, Walker A. Avoiding admissions from the ambulance service: a review of elderly patients with falls and patients with breathing difficulties seen by emergency care practitioners in South Yorkshire. Emerg Med J. 2008;25(3):168-71.
29. Bower A, Freitas H, Bawden J, Bendall J. Falls screening and intervention: a new approach by ambulance service extended care paramedics. Proceedings of the 3rd Australian New Zealand Falls Prevention Conference, 12-14 October 2008. J Emerg Primary Healthcare. 2008;4.
30. Bachman M, Myers J, Williams J, Miller D, Currie B, Lyons M, Zalkin J, DeMaio V, Tibbo-Valeriote H, Register-Mihalik J, Jones A, Kronhaus A. Emergency medical services evaluation of falls in assisted living facilities: a retrospective cohort study and clinical protocol evaluation. Prehosp Emerg Care. 2013;17(1):103-34.
31. Lowthian JA, Cameron PA, Stoelwinder JU, Curtis A, Currell A, Cooke MW, McNeil JJ. Increasing utilisation of emergency ambulances. Aust Health Rev. 2011;35(1):63-9.
32. Mason S, Knowles E, Freeman J, Snooks H. Safety of paramedics with extended skills. Acad Emerg Med. 2008;15(7): 607-12.
33. Swain AH, Al-Salami M, Hoyle SR, Larsen PD. Patient satisfaction and outcome using emergency care practitioners in New Zealand. Emerg Mede Australas. 2012;24(2):175-80.
34. Campbell JP, Maxey VA, Watson WA. Hawthorne effect: implications for prehospital research. Ann Emerg Med. 1995;26(5):590-4.