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dc.contributor.authorAmador, Sarah
dc.contributor.authorGoodman, Claire
dc.contributor.authorKing, Derek
dc.contributor.authorMachen, Ina
dc.contributor.authorElmore, Natasha
dc.contributor.authorMathie, Elspeth
dc.contributor.authorIliffe, Steve
dc.date.accessioned2014-09-22T15:00:57Z
dc.date.available2014-09-22T15:00:57Z
dc.date.issued2014-08-28
dc.identifier.citationAmador , S , Goodman , C , King , D , Machen , I , Elmore , N , Mathie , E & Iliffe , S 2014 , ' Emergency ambulance service involvement with residential care homes in the support of older people with dementia : an observational study ' , BMC Geriatrics , vol. 14 , 95 . https://doi.org/10.1186/1471-2318-14-95
dc.identifier.issn1471-2318
dc.identifier.otherPURE: 7567220
dc.identifier.otherPURE UUID: b43bd772-289f-4266-b9d1-be97941c008d
dc.identifier.otherPubMed: 25164581
dc.identifier.otherScopus: 84906965164
dc.identifier.urihttp://hdl.handle.net/2299/14449
dc.description© 2014 Amador et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.description.abstractBACKGROUND: Older people resident in care homes have a limited life expectancy and approximately two-thirds have limited mental capacity. Despite initiatives to reduce unplanned hospital admissions for this population, little is known about the involvement of emergency services in supporting residents in these settings.METHODS: This paper reports on a longitudinal study that tracked the involvement of emergency ambulance personnel in the support of older people with dementia, resident in care homes with no on-site nursing providing personal care only. 133 residents with dementia across 6 care homes in the East of England were tracked for a year. The paper examines the frequency and reasons for emergency ambulance call-outs, outcomes and factors associated with emergency ambulance service use. RESULTS: 56% of residents used ambulance services. Less than half (43%) of all call-outs resulted in an unscheduled admission to hospital. In addition to trauma following a following a fall in the home, results suggest that at least a reasonable proportion of ambulance contacts are for ambulatory care sensitive conditions. An emergency ambulance is not likely to be called for older rather than younger residents or for women more than men. Length of residence does not influence use of emergency ambulance services among older people with dementia. Contact with primary care services and admission route into the care home were both significantly associated with emergency ambulance service use. The odds of using emergency ambulance services for residents admitted from a relative's home were 90% lower than the odds of using emergency ambulance services for residents admitted from their own home. CONCLUSIONS: Emergency service involvement with this vulnerable population merits further examination. Future research on emergency ambulance service use by older people with dementia in care homes, should account for important contextual factors, namely, presence or absence of on-site nursing, GP involvement, and access to residents' family, alongside resident health characteristics.en
dc.format.extent6
dc.language.isoeng
dc.relation.ispartofBMC Geriatrics
dc.titleEmergency ambulance service involvement with residential care homes in the support of older people with dementia : an observational studyen
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionOlder People's Health and Complex Conditions
dc.contributor.institutionNursing, Midwifery and Social Work
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionPatient Experience and Public Involvement
dc.description.statusPeer reviewed
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1186/1471-2318-14-95
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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