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In total, 18,572 first-time ambulance contacts were identified in the period of inclusion.
Emergency ambulance contacts resulted in admission to hospital in less than half of all cases (40% of all trauma related contacts specifically).
In addition to trauma following a following a fall in the home, results suggest that at least a reasonable proportion of ambulance contacts are for ambulatory care sensitive conditions.
Other reasons for contacts with an emergency ambulance as recorded in the care notes include respiratory problems (9% of all emergency ambulance contacts), cardiovascular complaints (7%), gastrointestinal complaints (6%) and genitourinary complaints (6%).
One comprehensive review of the appropriateness of ambulance transport concludes that there is relatively little variation across study methodologies of ambulance contacts determined as inappropriate on the basis of clinical diagnosis (30 55%).
Older people with dementia come into contact with emergency ambulances for clinical events (see Table 2) the most common being trauma following a fall in the home (42% of all emergency ambulance contacts).
Similar(53)
The main reason for each emergency ambulance contact recorded over the period of data collection was extracted from the care notes and classified by main reason for contact.
The assessment of 'inappropriateness' of an ambulance contact is complex and varied in the included evidence; a result of methodological limitations and conceptual variation.
Studies that reported on any stage of an ambulance contact episode (including emergency telephone call or referral, ambulance attendance, ambulance journey, clinical treatment and conveyance outcome) were of interest and thus included.
The emergency response centre responds by dispatching an ambulance or contacting the responder identified by the senior.
A survey conducted in Osaka city revealed that ambulance officers contacted more hospitals to transport patients with drug poisoning than all patients (average number of contacted hospitals: 7.6 vs 1.8, respectively).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com