PDF(Pubmed)
Abstract：
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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; p = 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; p < 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; p < 0.001).
UNASSIGNED: Mornings and afternoons were associated with increased risk for falls and sex (female) with increased risk for transport to the hospital.
UNASSIGNED: 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.
UNASSIGNED: 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; p = 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; p < 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; p < 0.001).
UNASSIGNED: Mornings and afternoons were associated with increased risk for falls and sex (female) with increased risk for transport to the hospital.
摘要：
■瀑布是对公共卫生的重大挑战，尤其是在老年人中。了解影响跌倒风险的因素对于预防跌倒和跌倒相关伤害至关重要。这项研究评估了≥65岁成年人跌倒和交通方式的紧急医疗服务（EMS）启动时间。
■郊区一家以火为基础的紧急医疗服务机构的患者护理报告系统，中西部城市进行了回顾性审查。呼叫类型（提升辅助/下降），受伤时间（时间，day,和月份)，和人口统计(性别，年龄）是为年龄≥65岁的居民收集的，他们激活了9-1-1进行升降辅助或跌倒。
■1169电话符合纳入标准。早晨和下午是与跌倒相关的一天中的时间(33%和36%的EMS激活,分别,vs.21%和10%的夜晚，分别；p=0.002），而一周中的某一天和一个月与跌倒或举升辅助无关。要求提升助攻的男性多于女性（256对238）和更多的女性呼吁跌倒比男性（408与267；p<0.001）。跌倒更可能与运输到医院有关，而不是与电梯辅助有关(78%与7%)。女性性别与转移到医院的风险增加相关(60%的女性与40%的男性；p<0.001)。
■早晨和下午与跌倒和性行为（女性）的风险增加相关，并增加了转移到医院的风险。
■郊区一家以火为基础的紧急医疗服务机构的患者护理报告系统，中西部城市进行了回顾性审查。呼叫类型（提升辅助/下降），受伤时间（时间，day,和月份)，和人口统计(性别，年龄）是为年龄≥65岁的居民收集的，他们激活了9-1-1进行升降辅助或跌倒。
■1169电话符合纳入标准。早晨和下午是与跌倒相关的一天中的时间(33%和36%的EMS激活,分别,vs.21%和10%的夜晚，分别；p=0.002），而一周中的某一天和一个月与跌倒或举升辅助无关。要求提升助攻的男性多于女性（256对238）和更多的女性呼吁跌倒比男性（408与267；p<0.001）。跌倒更可能与运输到医院有关，而不是与电梯辅助有关(78%与7%)。女性性别与转移到医院的风险增加相关(60%的女性与40%的男性；p<0.001)。
■早晨和下午与跌倒和性行为（女性）的风险增加相关，并增加了转移到医院的风险。
