Sheridan Elizabeth, Wiseman Jessica M, Quatman Carmen E
Division of Trauma, Department of Orthopaedics, The Ohio State University College of Medicine, Columbus, OH, USA.
The Center for the Advancement of Team Science, Analytics and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH, USA.
Arch Gerontol Geriatr Plus. 2024 Jun;1(2). doi: 10.1016/j.aggp.2024.100020. Epub 2024 Mar 29.
Falls are a major challenge to public health, particularly among older adults. Understanding factors that influence fall risk is pivotal in the prevention of falls and fall-related injuries. This study evaluated the timing of emergency medical service (EMS) activations for falls and transport patterns for adults age ≥65.
A patient care report system at a single fire-based emergency medical service agency in a suburban, Midwest city was retrospectively reviewed. Type of call (lift assist/fall), time of injury (time, day, and month), and demographics (sex, age) were collected for residents age ≥65 who activated 9-1-1 for a lift assist or fall.
1169 calls met inclusion criteria. Mornings and afternoons were the time of day associated with falls (33 % and 36 % of EMS activations, respectively, vs. 21 % and 10 % for evenings and nights, respectively; = 0.002) while day of the week and month were not associated with falls or lift assists. More males requested lift assists than females (256 vs. 238) and more females called for falls than males (408 vs. 267; < 0.001). Falls were more likely to be associated with transport to the hospital than lift assists (78% vs. 7 %). Female sex was associated with increased risk for transport to the hospital (60 % of females vs. 40 % of males; < 0.001).
Mornings and afternoons were associated with increased risk for falls and sex (female) with increased risk for transport to the hospital.
跌倒对公众健康构成重大挑战，在老年人中尤为如此。了解影响跌倒风险的因素对于预防跌倒及与跌倒相关的伤害至关重要。本研究评估了≥65岁成年人跌倒时紧急医疗服务（EMS）启动的时间及转运模式。
回顾性分析美国中西部一个郊区城市一家以消防为基础的单一紧急医疗服务机构的患者护理报告系统。收集≥65岁因需要抬升协助或跌倒而拨打9-1-1的居民的呼叫类型（抬升协助/跌倒）、受伤时间（时间、日期和月份）以及人口统计学信息（性别、年龄）。
1169次呼叫符合纳入标准。上午和下午是与跌倒相关的时段（分别占EMS启动的33%和36%，而晚上和夜间分别为21%和10%；P = 0.002），而一周中的日期和月份与跌倒或抬升协助无关。请求抬升协助的男性多于女性（256例对238例），呼叫跌倒的女性多于男性（408例对267例；P<0.001）。与抬升协助相比，跌倒更有可能与送往医院的转运相关（78%对7%）。女性性别与送往医院的风险增加相关（60%的女性对40%的男性；P<0.001）。
上午和下午与跌倒风险增加相关，女性性别与送往医院的风险增加相关。
