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首页> 外文期刊>Prehospital emergency care >PARAMEDIC ATTENDANCE TO OLDER PATIENTS IN AUSTRALIA, AND THE PREVALENCE AND IMPLICATIONS OF PSYCHOSOCIAL ISSUES
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PARAMEDIC ATTENDANCE TO OLDER PATIENTS IN AUSTRALIA, AND THE PREVALENCE AND IMPLICATIONS OF PSYCHOSOCIAL ISSUES

机译：对澳大利亚老年患者的有查询人员，以及心理社会问题的患病率和含义

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Objective: This study aims to determine the number and reasons for emergency paramedic attendances to older adults in Victoria, Australia. A second aim is to investigate the prevalence of psychosocial factors that may contribute to older patients requiring emergency paramedic attendance. Methods: This descriptive retrospective study analyzed all emergency paramedic attendances to patients aged 65 or older between July 1, 2011 and June 30, 2014 in Victoria, Australia. Fully de-identified data were extracted from the Ambulance Victoria Data Warehouse. Data included demographic and clinical variables such as age, gender, case nature (cause), past history, management and transportation, paramedic final assessment (diagnosis), social situation, past history; as well as free text case descriptions. Results: A total of 596,579 patients 65 years or older were attended by emergency paramedics during the study period. This accounted for 24.1% of Ambulance Victoria workload during that period. The mean (SD) age of patients was 79.8(8.2). The majority (70.7%) of cases involved patients at private residences. The most common final assessments were pain (18.7%), cardiac problem (7.2%), infection (6.9%), trauma (6.7%), other/unknown (6.4%), and respiratory problem (5.7%). The vast majority of patients were transported to hospital (82.8%). Psychosocial issues were evident in the free text case descriptions of more than 91,000 cases. Conclusion: Paramedics attended almost 600,000 patients 65 years and older during the study period. Patients suffered from conditions including, pain, trauma, infections, cardiac complaints, and respiratory problems. Free text case descriptions provided more detail and insight into the reasons for emergency paramedic attendance. Psychosocial problems were far more prevalent than indicated by the "final assessment" field. Further research is required to determine the reasons and implications of this.
机译：目的：本研究旨在确定澳大利亚维多利亚大型成年人应急护理人员参加的数量和原因。第二个目的是探讨可能导致需要紧急护理人员出席的老年患者的心理社会因素的患病率。方法：这种描述性回顾性研究分析了2011年7月1日和2014年6月30日之间65岁或以上的患者的所有紧急护理人员出席。从救护车维多利亚数据仓库中提取完全解除识别的数据。数据包括年龄，性别，案例性质（原因），过去的历史，管理和运输，护理人员最终评估（诊断），社会形势，过去历史的人口统计和临床变量以及免费的文本案例描述。结果：应急护理人员在研究期间出席了65岁或以上的596,579名患者。这占该期间的24.1％的救护车维多利亚工作负荷。患者的平均值（SD）年龄为79.8（8.2）。大多数（70.7％）患者涉及私人住宅的患者。最常见的最终评估是疼痛（18.7％），心脏问题（7.2％），感染（6.9％），创伤（6.7％），其他/未知（6.4％）和呼吸问题（5.7％）。绝大多数患者被运送到医院（82.8％）。在自由文本案例中有超过91,000个案件的自由文本案说明，心理社会问题是显而易见的。结论：医护人员在研究期间参加了65 000名患者近60万名患者。患者患有病症，包括疼痛，创伤，感染，心脏投诉和呼吸问题。自由文本案例描述提供了更详细的和洞察应急护理人员出席的原因。心理社会问题比“最终评估”领域所示更为普遍。需要进一步的研究来确定这一点的原因和含义。

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