Elderly and Nonelderly Use of a Dedicated Ambulance Corps’ Emergency Medical Services in Taiwan.

Backgrounds and Aim. Taiwan’s population is gradually aging; however, there are no comparative data on emergency medical services (EMS) use between the elderly and nonelderly. Methods. We analyzed the emergency calls dealt with between January 1 and April 4, 2014, by EMS in one city in Taiwan. All c...

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Publicado en:BioMed Research International Vol. 2016; pp. 1 - 8
Autores principales: Huang, Chien-Chia, Chen, Wei-Lung, Hsu, Chien-Chin, Lin, Hung-Jung, Su, Shih-Bin, Guo, How-Ran, Huang, Chien-Cheng, Chen, Pi-Ching
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 7/11/2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 7/11/2016
      vid: 2016
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        116734687
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        10.1155/2016/1506436
        116734687
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        atl: Elderly and Nonelderly Use of a Dedicated Ambulance Corps’ Emergency Medical Services in Taiwan.
      aug:
        au:
          Huang, Chien-Chia
          Chen, Wei-Lung
          Hsu, Chien-Chin
          Lin, Hung-Jung
          Su, Shih-Bin
          Guo, How-Ran
          Huang, Chien-Cheng
          Chen, Pi-Ching
        affil: Tainan City Government Fire Bureau, Annan Branch, Tainan 709, Taiwan
      sug:
        subj:
          Emergency Medical Services Utilization
          Age Factors
          Ambulances
          Human
          Taiwan
          Comparative Studies
          Aged
          Middle Age
          Descriptive Statistics
          P-Value
          Time Factors
          Respiratory Therapy
          Oxygen Saturation
          Consciousness
          Retrospective Design
          Male
          Female
          Mann-Whitney U Test
          Chi Square Test
          Unpaired T-Tests
          Fisher's Exact Test
          Data Analysis Software
          Aged, 80 and Over
          Adult
          Trauma Classification
          Vital Signs
          Aged: 65+ years
          Middle Aged: 45-64 years
          Aged, 80 & over
          Adult: 19-44 years
          Male
          Female
      ab: Backgrounds and Aim. Taiwan’s population is gradually aging; however, there are no comparative data on emergency medical services (EMS) use between the elderly and nonelderly. Methods. We analyzed the emergency calls dealt with between January 1 and April 4, 2014, by EMS in one city in Taiwan. All calls were divided into two groups: elderly (≥65 years) and nonelderly (<65 years). Nontransport and transport calls were compared between the groups for demographic characteristics, transport time, reasons for calling EMS, vital signs, and emergency management. Results. There were 1,001 EMS calls: 226 nontransport and 775 transport calls. The elderly accounted for significantly (P<0.05) fewer (28 (9.2%)) nontransport calls than did the nonelderly (136 (21.4%)). In the transport calls, 276 (35.6%) were the elderly. The elderly had a higher proportion of histories for cardiovascular disease, cerebrovascular disease, hypertension, diabetes, end-stage renal disease, cancer, Parkinson’s disease, and Alzheimer’s disease. In addition, the elderly had significantly longer total transport time, more nontrauma reasons, and poorer consciousness levels and lower oxygen saturation and needed more respiratory management and more frequent resuscitation during transport than did the nonelderly. Conclusion. The elderly have more specific needs than do the nonelderly. Adapting EMS training, operations, and government policies to aging societies is mandatory and should begin now.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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