RT Journal Article
SR Electronic
T1 181 Epidemiology of ambulance attended falls in adults in WA 2015–2020
JF Injury Prevention
JO Inj Prev
FD BMJ Publishing Group Ltd
SP A28
OP A28
DO 10.1136/injuryprev-2022-safety2022.83
VO 28
IS Suppl 2
A1 Watkins, Paige
A1 Finn, Judith
A1 Hill, Anne-Marie
A1 Brink, Deon
A1 Tohira, Hideo
A1 Buzzacott, Peter
YR 2022
UL http://injuryprevention.bmj.com/content/28/Suppl_2/A28.1.abstract
AB Background Western Australia’s (WA) ageing population is resulting in increased demand for emergency ambulance attendances to falls.Methods The electronic patient care records of adult patients (>18 yrs.) who fell and required St John WA ambulance attendance between 1st Jan 2015 – 31st Dec 2020 were analysed.Results 157,280 patients (female = 90,090, 57%) were attended by ambulances after falls, 116,801 (74%) within Perth metro region and 40,298 (26%) in rural WA (2015: 22,567; 2016: 24,116; 2017: 25,407; 2018: 26,833; 2019: 29,031; 2020: 29,326). Median age was 80 years [IQR 67–87]. 74,015 (47%) patients sustained a reported injury, most commonly: pain, laceration, swelling, abrasion, bleeding, and fracture. Ambulances were dispatched as priority one (lights and siren) in 30,196 (19%) cases; 84,642 (54%) priority two, and 42,156 (27%) as priority three. Following assessment and treatment, 123,754 (79%) patients were transported to hospital, 32,101 (20%) were not transported and <1% did not have transport data. Patients were transported at the following urgency: 2,006 (1%) were transported via urgency one (lights and siren); 23,365 (15%) via urgency two; 78,584 (50%) via urgency three; and 19,799 (13%) via urgency four to six.Conclusion An increasing number of ambulance attendances are required each year for adults who fall. Between 2015–2020, approximately one-fifth of ambulances were dispatched to falls patients as a priority one, while after treatment only 1% patients were transported to hospital via the highest urgency.Learning Outcomes Patient falls represent increasing demand for ambulance services.