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Repeat emergency medical services use by older adults in a rural community: Impact on research methods andstudy length

机译：在农村社区中老年人重复使用紧急医疗服务：对研究方法和研究时间的影响

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Objectives. To evaluate the proportion of emergency medical services (EMS) requests in a rural community made by unique, noninstitutionalized older adults, or individuals making their first request for EMS assistance during the study period, andthe impact on research parameters. Methods. This study was a retrospective chart review of patients aged 65 years andolder cared for by the Geneseo Fire Department Ambulance between February 2004 andMay 2005 (period 1) andbetween July 2006 andOctober 2007 (period 2). The Geneseo Fire Department Ambulance response territory is a rural community in Upstate New York. We obtained demographic information including age, race, gender, call location, andthe frequency of EMS use from the medical record, as well as clinical information including level of prehospital care, chief complaint, anddisposition. Descriptive statistics were used for the analysis, along with 95 confidence intervals. Results. Over two 16-month periods, approximately 70 of the EMS calls by community-dwelling (noninstitutionalized) older adults were from unique individuals. The monthly proportion ranged from 75100 during the first four months to 4380 for the remaining 12 months for both groups. Conclusion. In rural, prehospital studies that enroll older adults andlast more than four months, approximately 70 of EMS requests are made by unique older adults, or individuals making their first request for EMS assistance. Investigators must consider these results when estimating the enrollment period for prehospital studies.
机译：目标。评估在研究期间由独特的，非机构化的老年人或首次提出EMS援助的个人在农村社区中提出的紧急医疗服务（EMS）的比例，以及对研究参数的影响。方法。这项研究是对2004年2月至2005年5月（期间1）以及2006年7月至2007年10月（期间2）由Geneseo消防部门救护车护理的65岁及以上老年人的回顾性图表回顾。 Geneseo消防部门的救护车响应区域是纽约州北部的一个农村社区。我们从病历中获得了人口统计信息，包括年龄，种族，性别，求诊地点和EMS使用频率，以及临床信息，包括院前护理水平，主要投诉和处置。描述性统计数据与95个置信区间一起用于分析。结果。在两个16个月的时间内，社区居住（非机构化）老年人的EMS呼叫中约有70个来自独特的个体。两组的每月比例从前四个月的75100到剩余的12个月的4380。结论。在农村地区的院前研究中招募了老年人并且历时四个月以上，大约70项EMS请求是由独特的老年人或首次提出EMS援助请求的个人提出的。研究人员在估计院前研究的入学时间时必须考虑这些结果。

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