School of Public Health and Preventive Medicine, Monash University, Melbourne, Vic., Australia.
Peninsula Health, Frankston, Vic., Australia.
Australas J Ageing. 2020 Dec;39(4):350-358. doi: 10.1111/ajag.12803. Epub 2020 Jun 18.
People living in residential aged care (RAC) frequently experience ambulance call-out. These episodes may have unintended consequences, yet remain under-investigated. Our aim was to examine clinical and sociodemographic features associated with transfer to hospital for this population.
Retrospective cohort study using 6 years of clinical data from Ambulance Victoria (AV). Data analysis included multilevel multivariable logistic regression analysis of factors associated with transport to hospital.
Odds of transfer were greater for people in rural areas, those with a history of depression, cardiovascular disease and osteoporosis, and residents prescribed antipsychotic and antidepressant medication. Ambulance call-out for trauma (commonly low-level fall) was less frequently transferred to hospital than that for a medical complaint.
These results will improve prediction of call-outs likely to require transfer. Findings include identification of clinical features to be targeted by community and preventative health programs to reduce risk of acute health deterioration and requirement for emergency hospital transfer.
居住在养老院的人经常需要叫救护车。这些事件可能会产生意想不到的后果，但仍未得到充分研究。我们的目的是研究与该人群转至医院相关的临床和社会人口学特征。
使用来自维多利亚救护车（AV）的 6 年临床数据进行回顾性队列研究。数据分析包括多水平多变量逻辑回归分析与转至医院相关的因素。
农村地区的人、有抑郁、心血管疾病和骨质疏松症病史的人、以及服用抗精神病药和抗抑郁药的居民，转院的可能性更大。因创伤（通常为轻度跌倒）叫救护车的人比因医疗投诉叫救护车的人更不容易转院。
这些结果将提高对需要转院的呼叫的预测能力。研究结果包括确定临床特征，以便社区和预防保健计划针对这些特征进行干预，以降低急性健康恶化和紧急住院转院的风险。
