Factors influencing the decision to convey or not to convey elderly people to the emergency department after emergency ambulance attendance: a systematic mixed studies review

BMJ Open
Johan OosterwoldManda Broekhuis

Abstract

The decision over whether to convey after emergency ambulance attendance plays a vital role in preventing avoidable admissions to a hospital's emergency department (ED). This is especially important with the elderly, for whom the likelihood and frequency of adverse events are greatest. To provide a structured overview of factors influencing the conveyance decision of elderly people to the ED after emergency ambulance attendance, and the outcomes of these decisions. A mixed studies review of empirical studies was performed based on systematic searches, without date restrictions, in PubMed, CINAHL and Embase (April 2018). Twenty-nine studies were included. Only studies with evidence gathered after an emergency medical service (EMS) response in a prehospital setting that focused on factors that influence the decision whether to convey an elderly patient were included. Prehospital, EMS setting; participants to include EMS staff and/or elderly patients after emergency ambulance attendance. The Mixed Methods Appraisal Tool was used in appraising the included articles. Data were assessed using a 'best fit' framework synthesis approach. ED referral by EMS staff is determined by many factors, and not only the acuteness of the medical em...Continue Reading

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Citations

May 31, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jani PaulinTimo Iirola
Dec 16, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Verity F ToddBridget Dicker
Aug 11, 2021·Emergency Medicine Journal : EMJ·Dennis SagelPim van der Harst
Aug 20, 2021·International Emergency Nursing·Veronica VicenteHelena Sjölin
Oct 11, 2021·BMC Emergency Medicine·Jani PaulinTimo Iirola

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