Differences in emergency ambulance demand between older adults living in residential aged care facilities and those living in the community in Melbourne, Australia

Kate Cantwell, Amee Morgans, Karen Smith, Michael Livingston, Paul Dietze

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Objective: To describe the clinical presentation and temporal variation in ambulance service cases involving patients aged 65 years or older (older adults) from residential aged care facilities and those who are community dwelling (CD). Methods: This study used four years of electronic case records from Ambulance Victoria in Melbourne, Australia. Trigonometric regression was used to analyse demand patterns. Results: Residential aged care facility cases included proportionally more falls and infection-related problems and fewer circulatory-related incidents than CD cases. Community dwelling demand patterns differed between weekdays and weekends and peaked late morning. Residential aged care facility cases peaked late morning, with a secondary peak early evening, but with no significant difference between days. Conclusions: Older adult ambulance demand has distinct temporal patterns that differ by place of residence and are associated with different clinical presentations. These results provide a basis for informing ambulance planning and the identification of alternate health services.

Original languageEnglish
Pages (from-to)212-221
Number of pages10
JournalAustralasian Journal on Ageing
Volume36
Issue number3
DOIs
Publication statusPublished - Sep 2017

Keywords

  • Aged
  • Ambulance
  • Emergency medical services
  • Epidemiology

Cite this

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abstract = "Objective: To describe the clinical presentation and temporal variation in ambulance service cases involving patients aged 65 years or older (older adults) from residential aged care facilities and those who are community dwelling (CD). Methods: This study used four years of electronic case records from Ambulance Victoria in Melbourne, Australia. Trigonometric regression was used to analyse demand patterns. Results: Residential aged care facility cases included proportionally more falls and infection-related problems and fewer circulatory-related incidents than CD cases. Community dwelling demand patterns differed between weekdays and weekends and peaked late morning. Residential aged care facility cases peaked late morning, with a secondary peak early evening, but with no significant difference between days. Conclusions: Older adult ambulance demand has distinct temporal patterns that differ by place of residence and are associated with different clinical presentations. These results provide a basis for informing ambulance planning and the identification of alternate health services.",
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Differences in emergency ambulance demand between older adults living in residential aged care facilities and those living in the community in Melbourne, Australia. / Cantwell, Kate; Morgans, Amee; Smith, Karen; Livingston, Michael; Dietze, Paul.

In: Australasian Journal on Ageing, Vol. 36, No. 3, 09.2017, p. 212-221.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Differences in emergency ambulance demand between older adults living in residential aged care facilities and those living in the community in Melbourne, Australia

AU - Cantwell, Kate

AU - Morgans, Amee

AU - Smith, Karen

AU - Livingston, Michael

AU - Dietze, Paul

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AB - Objective: To describe the clinical presentation and temporal variation in ambulance service cases involving patients aged 65 years or older (older adults) from residential aged care facilities and those who are community dwelling (CD). Methods: This study used four years of electronic case records from Ambulance Victoria in Melbourne, Australia. Trigonometric regression was used to analyse demand patterns. Results: Residential aged care facility cases included proportionally more falls and infection-related problems and fewer circulatory-related incidents than CD cases. Community dwelling demand patterns differed between weekdays and weekends and peaked late morning. Residential aged care facility cases peaked late morning, with a secondary peak early evening, but with no significant difference between days. Conclusions: Older adult ambulance demand has distinct temporal patterns that differ by place of residence and are associated with different clinical presentations. These results provide a basis for informing ambulance planning and the identification of alternate health services.

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