alexa Randomized Controlled Trial Of A Prehospital Decision System By Emergency Medical Services To Ensure Optimal Treatment For Older Adults In Sweden | 18146
ISSN: 2167-7182

Journal of Gerontology & Geriatric Research
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

International Conference on Geriatrics & Gerontology

Veronica Vicente, Leif Svensson, BirgittaWireklint Sundstr?m, Fredrik Sj?strand and Maaret Castren
ScientificTracks Abstracts: J Gerontol Geriat Res
DOI: 10.4172/2167-7182.S1.002
Abstract
Objectives: To evaluate the feasibility and appropriateness of a prehospital system allowing ambulance nurses to transport older adults directly to geriatric care at a community-based hospital (CH) or to an emergency department (ED). Design: Randomized controlled trial. Setting: Emergency medical services in Stockholm, Sweden. Participants: Older adults who called the emergency number were randomized to an intervention group (n=410) or a control group (n=396). Intervention: The dispatcher randomized the individuals. Those randomized to the intervention group were transported to several alternative destinations decided by a trained nurse performing a comprehensive assessment, using the new prehospital system. Those randomized to the control group were transported to the ED. Measurements: Primary endpoint: Number of individuals triaged directly to a CH (feasibility). Secondary endpoint: Number of subsequent transfers (appropriateness) from CH to ED within 24 hours after initial admission. Results: After exclusion and cross-over, the control group consisted of 217 and the intervention group of 449 older adults. The nurse send 20% of the intervention group (90/449) (95% confidence interval (CI)=16.6?24.0) directly to the CH when using the prehospital system. Six of those individuals (6.7%) (95% CI=3.1?13.8) were subsequently transferred from the CH to the ED. Overall, the nurse appropriately triaged 93.3% of the participants (84/90) and transferred them to the CH, avoiding an ED visit. Conclusion: Ambulance nurses are able to send older adults to an alternative healthcare facility with the help of a prehospital decision support system. In this geographical setting, this appears to be a promising method to optimize resources and improve emergency care of elderly adults.
Biography
Veronica Vicente has completed her PhD in 2013 from Karolinska Institute, Sweden. She worked as a nurse at the intensive care unit & in surgery and anesthesia & neonatal unit at Karolinska university hospital during 1996- 2010. She has been working as a Pre- hospital nurse at AISAB, Ambulance service in Stockholm from 2005. Currently she is the head, director of research and development department of the ambulance service in Stockholm.
image PDF   |   image HTML
 

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7