[Care of older patients by community emergency paramedics : Comparison of community-dwellers and nursing home residents]. / Versorgung älterer Patienten durch Gemeindenotfallsanitäter : Vergleich der Einsätze im Pflegeheim und in der Häuslichkeit.
Med Klin Intensivmed Notfmed
; 117(7): 542-548, 2022 Oct.
Article
em De
| MEDLINE
| ID: mdl-34529128
ABSTRACT
BACKGROUND:
Emergency departments and emergency services are increasingly burdened by non-emergency patients. A substantial proportion of these is represented by older people. The project "community emergency paramedic" ("Gemeindenotfallsanitäter" [G-NFS]) was initiated to prevent unnecessary use of emergency services.OBJECTIVE:
To identify specific utilizations of the GNFS services by older people at home and in nursing homes. MATERIAL ANDMETHODS:
Retrospective analysis of the assignment protocols from July 2019 through June 2020. Only data from patients aged ≥â¯65 years were included. Data were grouped into whether patients lived on their own or in nursing homes.RESULTS:
A total of 2358 protocols of older patients (mean age 80.8 years; 52.9% female) were evaluated and 55% of patients were treated on-site. The most frequently used measures by GNFS were counselling (79.4%), aid in self-medication (16.7%) and administration of medication (23.2%). Of the GNFS assignments 329 (14.0%) were carried out for nursing home residents. Measures related to urine catheter complications were more frequently performed in nursing home residents than in patients who lived at home (32.2% vs. 5.7%). Compared to other emergency cases, patients with catheter-related complications were most often treated at the scene (84.3% vs. 52.2%).CONCLUSION:
The GNFS enabled the majority of patients to be treated on-site, thus saving resources of emergency services and hospitals; however, the GNFS also performed measures that were normally the responsibility of general practitioners. This possibly highlights structural deficits in the medical and nursing care of older people.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Serviços Médicos de Emergência
/
Auxiliares de Emergência
Idioma:
De
Ano de publicação:
2022
Tipo de documento:
Article