Paramedics and EMTs’ Perceptions of Geriatric Trauma Care in Saudi Arabia DOI Creative Commons
Naif Harthi, Steve Goodacre, Fiona Sampson

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 12, 2024

Abstract Background Saudi ambulance clinicians face ageing-related challenges and impacts of ageing changes while providing prehospital geriatric trauma care but little is known about their understanding such care. Methods A qualitative study was conducted using a purposive sample paramedics technicians from Riyadh Makkah online semi-structured interviews analysed the framework method. Results The recruited twenty participants identified that they reported age-related including physiological changes, polypharmacy, communication difficulties. They all wanted training guidelines to improve knowledge. struggling with difficulties, inaccurate adverse outcomes predictions, difficult intravenous cannulations, cultural restrictions affecting provision for female patients. We organisational barriers (e.g. lack shared patient records guidelines) assessing women, attitudes towards older people, paramedics) influenced implementation Conclusion Ambulance in Arabia want managing patients these need take into account we facilitate implementing knowledge changing practice improved

Language: Английский

Geriatric Falls: Patient Characteristics Associated with Emergency Department Revisits DOI Creative Commons

Dustin Cox,

Rachna Subramony,

Ben Supat

et al.

Western Journal of Emergency Medicine, Journal Year: 2022, Volume and Issue: 23(5), P. 734 - 738

Published: Sept. 12, 2022

Introduction: Falls are the leading cause of traumatic injury among elderly adults in United States, which represents a significant source morbidity and leads to exorbitant healthcare costs. The purpose this study was characterize fall patients identify risk factors associated with seven-day emergency department (ED) revisits. Methods: This multicenter, retrospective, longitudinal cohort using non-public data from 321 licensed, nonfederal, general, acute care hospitals California obtained Department Healthcare Access Information January 1–December 31, 2017. Included were 65 older who had fall-related ED visit identified by International Classification Diseases codes W00x W19x. Primary outcome return within window following index encounter. Demographics collected included age, gender, ethnicity/race, patient payer status, Charlson Comorbidity Index (CCI), psychiatric diagnoses, alcohol/substance use disorder diagnoses. We performed multivariate logistic regression characteristics revisit. Results: total 2,758,295 visits during period 347,233 (12.6%) corresponding injuries. After applying exclusion criteria, 242,572 identified, representing 206,612 patients. Of these, 24,114 (11.7%) returned an seven days (revisit). Within revisit population, 6,161 (22.6%) presented facility that distinct their visit, 4,970 (18.2%) ultimately discharged same primary diagnosis as visit. Characteristics largest independent associations presence (odds ratio [OR] 1.75; 95% confidence interval [CI] 1.69 1.80), alcohol or substance (OR 1.70; CI 1.64 1.78), CCI ≥ 3 2.79; 2.68 2.90). Conclusion: In we experienced Patients multiple comorbidities, disorder, exhibited increased odds experiencing These findings will help target at-risk may benefit preventative multidisciplinary intervention reduce

Language: Английский

Citations

3
Risk of falls is associated with 30-day mortality among older adults in the emergency department DOI
Matthew Hamilton, Fernanda Bellolio, Molly M. Jeffery

et al.

The American Journal of Emergency Medicine, Journal Year: 2024, Volume and Issue: 79, P. 122 - 126

Published: Feb. 21, 2024

Language: Английский

Citations

0
Nonspecific stress biomarkers for mortality prediction in older emergency department patients presenting with falls: a prospective multicenter observational study DOI Creative Commons
Lukas Terhalle,

Laura Arntz,

Felix Hoffmann

et al.

Internal and Emergency Medicine, Journal Year: 2024, Volume and Issue: unknown

Published: July 3, 2024

Abstract Background Older patients presenting to the emergency department (ED) after falling are increasingly prevalent. Falls associated with functional decline and death. Biomarkers predicting short-term mortality might facilitate decisions regarding resource allocation disposition. D-dimer levels used rule out thromboembolic disease, while copeptin adrenomedullin (MR-proADM) may be as measures of patient`s stress level. These nonspecific biomarkers were selected potential predictors for mortality. Methods Prospective, international, multicenter, cross-sectional observation was performed in two tertiary regional hospitals Germany Switzerland. Patients aged 65 years or older ED a fall enrolled. Demographic data, Activities Daily Living (ADL), D-dimers collected upon presentation. Copeptin MR-proADM determined from frozen samples. Primary outcome 30-day mortality; secondary outcomes at 90, 180, 365 days. Results Five hundred seventy-two included. Median age 83 [IQR 78, 89] years, 236 (67.7%) female. Mortality overall 3.1% (30 d), 5.4% (90 7.5% (180 13.8% (365 respectively. Non-survivors older, had lower ADL index higher all three biomarkers. Elevated risk showed high sensitivity low negative likelihood ratio mortality, whereas did not. Conclusion useful prognostic markers fall, by identifying Trial registration ClinicalTrials.gov Identifier: NCT02244983.

Language: Английский

Citations

0
Global emergency medicine research priorities: a mapping review DOI
Erin Kim, Prashant Mahajan,

Chris Barousse

et al.

European Journal of Emergency Medicine, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 16, 2024

Recognizing and prioritizing research areas in emergency care is crucial for generating evidence advancing programs, aiming to enhance health outcomes both individuals populations. The objective of this review document global clinical nonclinical priorities. Emergency Medicine Education Research by Global Experts network, consisting 22 sites across six continents, conducted a mapping publications on medicine priorities (2000–2022) seven databases. We included studies with replicable methodologies determining priorities, excluding those limited individual diseases. Three reviewers independently screened, selected, categorized results into topics. Discrepancies were resolved an independent investigator consensus. Outcomes measures analysis include descriptive grouped topics, characteristics including countries represented the author list, target audience (such as researchers or policy makers), participants (e.g. patients), methods Delphi) priority setting. Among 968 screened papers, 57 from all WHO regions included. Most (36, 63%) had authors only single country, primarily North America Europe. Patient representatives 10 (18%). Clinical clustered resuscitation, cardiology, central nervous system, medical services, infectious disease, mental health, respiratory trauma. Distribution was broad Europe but focused diseases resuscitation Africa Asia. Eleven topics access care, policy, screening/triage, social determinants staffing, technology/simulation, shared decision making, cross-sectoral collaboration, education, patient-centered networks. Nonclinical America, screening Africa, mostly absent other regions. Published are heterogeneous geographically limited, containing groups same country. majority setting stem Western countries, covering spectrum Asia tend focus specific issues more prevalent world.

Language: Английский

Citations

0
Paramedics and EMTs’ Perceptions of Geriatric Trauma Care in Saudi Arabia DOI Creative Commons
Naif Harthi, Steve Goodacre, Fiona Sampson

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 12, 2024

Abstract Background Saudi ambulance clinicians face ageing-related challenges and impacts of ageing changes while providing prehospital geriatric trauma care but little is known about their understanding such care. Methods A qualitative study was conducted using a purposive sample paramedics technicians from Riyadh Makkah online semi-structured interviews analysed the framework method. Results The recruited twenty participants identified that they reported age-related including physiological changes, polypharmacy, communication difficulties. They all wanted training guidelines to improve knowledge. struggling with difficulties, inaccurate adverse outcomes predictions, difficult intravenous cannulations, cultural restrictions affecting provision for female patients. We organisational barriers (e.g. lack shared patient records guidelines) assessing women, attitudes towards older people, paramedics) influenced implementation Conclusion Ambulance in Arabia want managing patients these need take into account we facilitate implementing knowledge changing practice improved

Language: Английский

Citations

0