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Table 2 Main reasons and outcomes of emergency ambulance call outs to care homes

From: Emergency ambulance service involvement with residential care homes in the support of older people with dementia: an observational study

Reason for emergency ambulance call out as recorded in care notes Outcomes as recorded in care notes
  Non-conveyance* Same-day discharge** Unscheduled admittance*** Total N Total%
Trauma 13 23 24 60 41.7
Respiratory 1 4 8 13 9.0
Cardiovascular Complaint 0 3 7 10 6.9
Gastrointestinal Complaint 0 1 7 8 5.6
Genitourinary Complaint 0 8 0 8 5.6
Altered Mental Status 0 3 4 7 4.9
Non-specific Complaint 2 2 2 6 4.2
Cerebrovascular Complaint 0 1 4 5 3.5
Muscoskeletal No Trauma 0 2 2 4 2.8
Seizure 0 0 3 3 2.1
Circulatory Complaint 0 0 1 1 0.7
Ear, Nose & Throat Problem 1 0 0 1 0.7
Unknown (Missing) 18 0 0 18 12.5
Total N 35 47 62 144 (100%)
Total% 24.3 32.6 43.1   
  1. *Resident attended to by emergency practitioner at the care home; not conveyed to hospital.
  2. **Resident conveyed to hospital A&E; discharged back to the care home on the same day with no overnight stay in hospital ward.
  3. ***Resident conveyed to hospital A&E; admitted to hospital ward for overnight stay.
  4. Only 3 out of 60 emergency ambulance call outs for trauma were unrelated to falls in the home.
  5. The CSRI captures reasons for admission to A & E and hospital, but not reasons for emergency ambulance call outs when there is no conveyance to either. As such, for 18 call outs resulting in non-conveyance, reasons were not extracted from care notes and remain unknown. However, the majority are likely to be due to trauma following a fall in the home.