Ambulance Transport of the Oldest Old in Tokyo: A Population-Based Study
Ambulance Transport of the Oldest Old in Tokyo: A Population-Based Study
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DOI：
10.2188/jea.je20090210
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发表时间：
2010-11-01
影响因子：
4.7
通讯作者：
Hinohara, Shigeaki
中科院分区：
文献类型：
--
作者：
Tokuda, Yasuharu;Abe, Toshikazu;Hinohara, Shigeaki
背景资料：很少有研究调查救护车利用率的人年龄在85岁或以上，即最古老的old.Methods：我们进行了为期1年的人口为基础的观察性研究，由救护车运送到急诊科在日本东京，人口约12万。记录人口统计学数据、与救护车运输相关的症状/事件以及住院比例。使用背景人群和救护车运输数据计算按年龄和性别划分的运输率，并比较最年长者和65至84岁者之间需要运输的10种最常见症状/事件。结果：在642 764名由救护车送往医院的患者中，59 570名（9%）年龄≥ 85岁; 64%为女性。这一人群的年度救护车运送率为250/1000/年，明显高于65至84岁人群的比率（90/1000/年）。85至99岁的男性发病率最高（每年每1 000人中有292人）。在年龄最大的老年人中，救护车运输的最常见原因是跌倒（38.5/1000/年），最有可能导致住院的症状是呼吸困难。结论：年龄最大的老年人的救护车运输率很高，特别是年龄>= 95岁的男性。为了减少高龄老人对救护车运输的需求，需要采取预防性护理，以减少福尔斯和心脏及呼吸系统疾病的急性加重。
Background: Few studies have investigated ambulance utilization in people aged 85 years or older, ie, the oldest old.Methods: We conducted a 1-year population-based observational study of patients transported by ambulance to emergency departments in Tokyo, Japan, which has a population of about 12 million. Demographic data, symptoms/events associated with ambulance transport, and the proportion of hospital admissions were recorded. Transport rates by age and sex were calculated using data for the background population and ambulance transports, and the 10 most frequent symptoms/events requiring transport were compared between the oldest old and those aged 65 to 84 years.Results: Of the 642 764 patients who were transported to hospitals by ambulances, 59 570 (9%) were aged >= 85 years; 64% were women. The annual ambulance transport rate for this population was 250 per 1000/year and was significantly greater than the rate (90 per 1000/year) for those aged 65 to 84 years. The highest rate was for men aged 85 to 99 years (292 per 1000/year). Among the oldest old, the most frequent reason for ambulance transport was fall (38.5 per 1000/year), and the symptom most likely to result in hospital admission was dyspnea.Conclusions: The ambulance transport rate for the oldest old was high, particularly among men aged >= 95 years. To reduce the need for ambulance transport among the oldest old, preventive care is needed to reduce falls and acute exacerbations of cardiac and respiratory disorders.