FRAILTY AND RISK FOR DEMENTIA: THE AUSTRALIAN LONGITUDINAL STUDY ON WOMEN'S HEALTH

P. Gardiner, M. Waller, G. Mishra, A.J. Dobson
2017 Innovation in aging  
Given population aging and the prevalence of multiple biopsychosocial issues amongst older adults, it is not surprising that there is a corresponding increase in the demand on health and social services. This retrospective cohort study analysed all emergency paramedic attendances to patients aged 65 or older between 1 July 2011 and 30 June 2014 in Victoria, Australia. A total of 596,579 cases of emergency paramedic attendance to patients 65 years or older in a three year period for 2011 -2014.
more » ... od for 2011 -2014. The mean (SD) age of patients was 79.8(8.2), with a range of 65 -112 years old. There were 235,483 (39%) patients aged between 75 -84, and 327,070 (55%) were female. Of the 89,952 (15%) patients located at nursing homes or supported accommodation facilities 53,175 (59%) were in the 84+ years category. Of the 'case nature' variables, medical accounted for 348,482 (59%) cases. There were 32,900 (6%) cardiovascular problems, 20,822 (3%) respiratory problems, and 4,327 (1%) mental health/behavioural problems. Of the patients included in the study 493,788 (83%) were transported. A search of all 'case descriptions' for phrases indicating a patient lives alone or lives by themselves, resulted in 59,760 incidence. This research show us that emergency paramedics in Victoria attend approximately 200,000 older patients per year with a wide variety of conditions. The detailed case descriptions however give us a deeper understanding of the complexity of underlying and often secondary psychosocial aliments.
doi:10.1093/geroni/igx004.3823 fatcat:hlqxpl7ocjaphgkuqhtghbc2mq