老年病患使用119緊急救護運送之分析

119 Emergency Medical Transport of the Elderly

紀志賢(Chih-Hsien Chi) ； 蔡明哲(Ming-Che Tsai) ； 陳冠文(Kuan-Wen Chen) ； 吳明和(Ming-Ho Wu)

《The Kaohsiung Journal of Medical Sciences》 12卷12期 (1996/12) Pp. 699-706

https://doi.org/10.6452/KJMS.199612.0699

摘要

本研究目的是透過分析老年人對目前緊急醫療網使用的情形，進一步探討可能影響老年人緊急醫運送之相關因素。我們回溯性收集84年1月1日至84年4月31日期間有效案例共4,090例進入分析，其中65歲以上1,017人（佔24.9%）。大於或等於65歲以上的老人病患，出勤原因以非創傷為主（67.1%）、檢傷分級較嚴重、而且有較高比例被送往非責任醫院（136人，13.4%）。另外老年人平均救護出勤運送時間較長（23.0±0.5分鐘 vs. 18.9±0.2分鐘），而決定運送時間長短的因素為檢傷分級及創傷與否。65歲以上的老人病患中：女性老年病患平均年紀較男性大、檢傷分級明顯的較男性嚴重、非創傷的較男性多、119救護車使用的比率女性老年病患卻較男性老人病患低、平均總運送時間也較長。由本篇研究結果我們認為，為了老年人得到更好的醫療照顧，有效率的運送是必須的。因此在老年人與救護指揮中心之間建立社區老人的救援連繫系統是需要而且值得進一步評估。我們也建議，為了因應老年化社會的來臨，應及早建立更大規模的資料庫及從事相關計畫來了解老年人口對緊急醫療系統使用的數量及型態以利於規畫老年人口未來緊急醫療的需要。

並列摘要

A retrospective analysis of emergency ambulance transports in the EMS-Tainan was made to evaluate the utilization of emergency medical system by the elderly and to determine the factors that may influence these transports. The study group consisted of 4,090 emergency ambulance transports from 1/1/1195 to 30/4/ 1995. 1,017 patients (24%) were aged over 65. The main characteristics of these elderly patients were as follows: more non-trauma cases, higher severity of triage, and longer total transport time (23.0±0.5 vs. 18.9±0.2 minutes) were noted. In addition, 136 (13.4%) of the elderly patients were not received by the EMS network hospital. The most important factors that affect the total transport time in the elderly group were triage classification and trauma, which determined that speed of transport. In the elderly group, female patients tend to be older, of more severe triage classification, more nontrauma-related, have longer total transport time, and have less access to the EMS than male patient. Based on these results, we recommended make efficient transport in order to provide better emergency care for the elderly. A network linking the elder users with EMS dispatch center should improve the efficiency in fulfilling the EMS calls, and further investigation about the value of such a network is warranted. It is also important to establish a competent and countrywide database for EMS users and to pursue ongoing planning in order to evaluate and investigate the needs of EMS for elderly patients in the future.

並列關鍵字

ambulance ； elderly ； emergency medical service