Ten years of EMS Fall Calls in a Community: An Opportunity for Injury Prevention Strategies

Geriatric Orthopaedic Surgery & Rehabilitation
Carmen E QuatmanJulie A Switzer

Abstract

To determine whether fall calls, lift assists, and need for transport to the hospital over the past 10 years in one emergency medical services (EMS) system have altered coincident with demographic changes and to estimate health-care cost for lift assists. We conducted a retrospective chart review of EMS fall-related care. The HealthEMS database for a suburban community surveyed was queried from March 1, 2007, to March 1, 2017. Fall-related calls in patients 60 years or older were identified and determined to be either lift assists (calls that do not result in transport) or fall calls that resulted in transport to the hospital. Of the 38 237 EMS care responses in patients 60 years or older, 11.5% were related to falls. Fall calls increased by 268% over the past 10 years (P = .0006), yet the number of transports to the hospital significantly decreased over time (P = .02). Lift assists increased significantly (P = .0003), nearly doubling over the decade. At the same time, fall calls that did not result in transport to the hospital cost the community an estimated US$1.5 million over a 10-year period. There has been a dramatic shift in fall-related calls to EMS in older individuals with more frequent calls for lesser acuity needs. U...Continue Reading

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Citations

Apr 29, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Catherine C Quatman-YatesCarmen E Quatman

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Software Mentioned

HealthEMS
SPSS
Excel

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