To explore the potential of emergency medical services (EMS) encounters as opportunities for fall prevention among older adults.
Approach:
Study Design: Retrospective analysis examining EMS encounters prior to ground-level falls (GLFs) resulting in injury limiting activities of daily living (IL-ADL).
Data Analysis: Identified older adults with ambulance-transported ED visits for GLFs and analyzed their EMS contacts in the preceding year.
Key Findings:
1 in 3 older adults with GLFs had at least 1 EMS contact in the previous year.
1 in 10 GLFs followed 3 or more EMS visits in that year.
Higher number of EMS visits correlated with increased use of medications listed in the AGS Beers Criteria.
Limitations:
Excludes patients who self-presented to EDs or other outpatient settings, potentially skewing the sample.
Data limitations due to fragmented EMS records and lack of crossover to hospital encounters.
Uncertainty whether EMS use reflects worsening health or is a consequence of underlying factors.
Increases in apnea-hypopnea events were greatest among patients with an elevated baseline index, while evidence supporting mouth taping remained preliminary.
Investigators examined Life’s Essential 8 scores and carotid ultrasonography measures across cardiovascular-kidney-metabolic stages in 1,283 young adults.