2023
DOI: 10.3390/jcm12020643
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The Epidemiology of Pre-Hospital EMS Treatment of Geriatric Patients in the City of Vienna—An Overview

Abstract: Background: The city of Vienna, Austria, has a gradually aging population. Elderly people, over 65 years old and living at home or in nursing homes, frequently use Emergency Medical Services (EMS). However, there is no previous data comparing the EMS utilization of elderly- and non-elderly patients in Vienna. Methods: We retrospectively analyzed all EMS incidents in Vienna from 2012 to 2019. Transport- and emergency physician treatment rates, annual fluctuations, and the number of non-transports were compared … Show more

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Cited by 6 publications
(9 citation statements)
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“…This result aligns with the well-documented vulnerability of the older adult population, who often experience complex health issues, reduced physiological reserves, and psychosocial challenges ( 5 , 15 , 16 ). In the context of prehospital emergency care, older adults may face difficulties in accessing timely care due to mobility issues or a lack of social support ( 17 , 18 ). Healthcare systems should consider tailored interventions for this demographic, such as geriatric-focused EMS training and specialized protocols for assessing and addressing the unique needs of older patients ( 19–22 ).…”
Section: Discussionmentioning
confidence: 99%
“…This result aligns with the well-documented vulnerability of the older adult population, who often experience complex health issues, reduced physiological reserves, and psychosocial challenges ( 5 , 15 , 16 ). In the context of prehospital emergency care, older adults may face difficulties in accessing timely care due to mobility issues or a lack of social support ( 17 , 18 ). Healthcare systems should consider tailored interventions for this demographic, such as geriatric-focused EMS training and specialized protocols for assessing and addressing the unique needs of older patients ( 19–22 ).…”
Section: Discussionmentioning
confidence: 99%
“…EMS teams in Belgium are often overqualified for the NH interventions they are sent to. One should reflect on downscaling the tier for NH interventions (8,23).…”
Section: Discussionmentioning
confidence: 99%
“…At this moment, almost 50% of daily emergency calls are for people aged 65 years or older, with a considerable percentage of these calls being for nursing home residents (NHRs). This poses a challenge for emergency care as NHRs are characterized by multimorbidity and frailty and hospital admissions are more frequent among NHRs when compared to community dwelling elderly, with more than 60% of transfers to ED resulting in a hospital admission, as confirmed by Carron et al (2,3,[5][6][7][8][9][10][11][12][13][14]. In addition, transferring NHRs may have adverse complications such as pressure ulcers, delirium, hospital acquired infections and iatrogenic complications (15)(16)(17).…”
Section: Introductionmentioning
confidence: 99%
“…Is a low-threshold activation of the highest (physician based) tier of EMS appropriate for emergency calls in NHs, and are hospital admissions the best available medical care? (8,23) or should health care systems optimize their use and deployment of resources for NHRs? When reviewing the literature, a proportion of these interventions and transfers may be preventable and considered inappropriate by prehospital emergency medical personnel (with inappropriate emergency department transfers accounting for 4-55% of all EMS calls), soliciting the need for further investigation of the appropriateness of hospital transfers in this patient group (5,(24)(25)(26).…”
Section: Introductionmentioning
confidence: 99%
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