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1000
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Abstract/Summary
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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 G‑NFS services by older people at home and in nursing homes.!##!Material and methods!#!Retrospective analysis of the assignment protocols from July 2019 through June 2020. Only data from patients aged ≥ 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 G‑NFS were counselling (79.4%), aid in self-medication (16.7%) and administration of medication (23.2%). Of the G‑NFS 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 G‑NFS enabled the majority of patients to be treated on-site, thus saving resources of emergency services and hospitals; however, the G‑NFS 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.
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1000
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Hinweis
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DeepGreen-ID: 4ce64d8d9d354fc7b5f609e79dcd20f9 ; metadata provieded by: DeepGreen (https://www.oa-deepgreen.de/api/v1/), LIVIVO search scope life sciences (http://z3950.zbmed.de:6210/livivo), Crossref Unified Resource API (https://api.crossref.org/swagger-ui/index.html), to.science.api (https://frl.publisso.de/), ZDB JSON-API (beta) (https://zeitschriftendatenbank.de/api/), lobid - Dateninfrastruktur für Bibliotheken (https://lobid.org/resources/search)
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