Report on Older Adult Falls Alameda County EMS Alameda County Emergency Medical Services Senior Injury Prevention

Transcription

1 Report on Older Adult Falls Alameda County EMS Alameda County Emergency Medical Services Senior Injury Prevention

2 About This Report This report was created using EMS call records from Data query: calls attributed to falls in adults age 55 in Alameda County Data from 2016: EMS records used for calls from January 1-July 13 Projections to December 31 included when possible

3 Older Adult Population of Alameda County The older adult population has grown substantially even within the past few years 2010: Age 65+ are 11.1% of the Alameda County population 167,639 people 2015: Age 65+ are 12.7% of the Alameda County population 208,053 people By 2020: Alameda County will be home to more than 260,000 people age 65 and older By 2050: Those age 65 and older in Alameda County will make up 22% of the population Sources: US Census Bureau, Alameda County Area Agency on Aging

4 Alameda County EMS OVERALL STATISTICS: CALLS ATTRIBUTED TO FALLS

5 Total Number of Calls Attributed to Falls Total Number of Calls Attributed to Falls Projection for 2016: 7675 calls Year

6 Proportion of Total Older Adult Calls Attributed to Falls Calls attributed to falls comprised 10-12% of all calls made by adults age 55 or older There was a statistically significant increase in rate of falls from (p<0.01) No significant difference in rate between (p>0.05) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 10% 12% 12% Year All Other Calls (Not Fall-Related) Fall-Related Calls Note: 2016 data only include information from 1/1/16 to 7/13/16; not a year-long projection

7 Proportion of Older Adult Injury- Related Calls Attributed to Falls Calls for falls comprised 70-82% of all injuryrelated calls made by adults age 55 or older There was a statistically significant increase (p<0.01) in rate of falls from No significant difference in rate between (p>0.05) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 82% 82% 70% Year All Other Injury-Related Calls (Not Fall-Related) Fall-Related Calls Note: 2016 data only include information from 1/1/16 to 7/13/16; not a year-long projection

8 Number of Calls Attributed to Falls 3500 by Age Group Total Number of Calls Attributed to Falls Age Note: 2016 data only include information from 1/1/16 to 7/13/16; not a year-long projection

9 Number of Calls Attributed to Falls by Age Group - Projection for Total Number of Calls Attributed to Falls (projection to 12/31/16) Age

10 Proportion of Calls Attributed to Falls by Age Group Proportion of Calls, Any Cause, Attributed to Falls Proportion of Injury-Related Calls Attributed to Falls 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 7% 11% 18% Age 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 53% 81% 94% Age Note: Data aggregated for years

11 Alameda County EMS CALLS ATTRIBUTED TO REPEAT FALLERS

12 Calls Attributed to Repeat Fallers 2014: 15% of calls made by repeat fallers 2015: 18% of calls made by repeat fallers 2016: 15% of calls made by repeat fallers 397 repeat patients accounted for 908 of the year s 5958 total fall-related calls 539 repeat patients accounted for 1283 of the year s 6672 total fall-related calls 260 repeat patients accounted for 608 of 3850 total fall-related calls from January 1-July 13

13 Number of Calls Per Repeat Faller Per Year 21% of repeat callers in made more than two calls over the course of one year because of falls 16% 5% 79% >20

14 Alameda County EMS ANALYSIS BY DATE, TIME, AND SOCIODEMOGRAPHICS

15 Number of Calls Attributed to Falls Per Month 800 Projected 625 calls for July 2016 Total Number of Calls Attributed to Falls Month

16 Number of Calls Attributed to Falls 600 Analysis by Hour of Day Total Number of Calls Attributed to Falls :00 AM 1:00 AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM Hour of Day Note: 2016 data only include information from 1/1/16 to 7/13/16; not a year-long projection

17 Number of Calls Attributed to Falls 3000 Analysis by Time of Day Total Number of Calls for Falls Early Morning Morning Afternoon Night (12 AM-5:59 AM) (6 AM-11:59 AM) (12 PM-5:59 PM) (6 PM-11:59 PM) Time of Day Note: 2016 data only include information from 1/1/16 to 7/13/16; not a year-long projection

18 Proportion of Calls Attributed to Falls by Gender % of Total Calls Attributed to Falls 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 62% 61% 61% 38% 39% 39% Year F M

19 Proportion of Calls Attributed to Falls by Race Proportions of calls for falls by race have been consistent across the years Caucasian African-American Asian or Filipino Hispanic or Latino Pacific Islander Native American Other Race Not Listed Unknown/Not Recorded 4% <1% <1% 3% 8% 12% 31% 42% Note: Data aggregated for years % 10% 20% 30% 40% 50% % of Total Calls for Falls

20 Most Common Payers Most common payers for falls-related EMS calls have been consistent across the years Note that approximately 17% of payer data for each year not recorded Most common payers: 1. Medicare (35%) 2. Kaiser (29%) 3. Medi-Cal (6%) Note: Data aggregated for years

21 Alameda County EMS PICKUPS AND TRANSPORTS

22 Cities with the Highest Number of EMS Pickups for Falls Rank Oakland Oakland Oakland Hayward Fremont Fremont Fremont Hayward Hayward San Leandro Berkeley Berkeley Alameda San Leandro San Leandro Note: 2016 data only include information from 1/1/16 to 7/13/16; not a year-long projection

23 EMS Pickups for Falls by Company/Fire Department Rank Paramedics Plus 5195 Paramedics Plus 6095 Paramedics Plus Alameda City FD 378 Berkeley FD 599 Berkeley FD Berkeley FD 275 Alameda City FD 417 Alameda City FD Albany FD 96 Piedmont FD 13 Albany FD 95 Piedmont FD 4 Albany FD 48 Piedmont FD 2 Note: 2016 data only include information from 1/1/16 to 7/13/16; not a year-long projection

24 Trauma Activation An impression of Traumatic Injury Activation implies it was necessary to transport the patient to a trauma center For each year: 2014: 668 (10%) of calls resulted in activation 2015: 882 (11%) of calls resulted in activation 2016: 557 (12%) of calls resulted in activation from January 1-July 13 Projection for entirety of 2016: 1040 calls resulting in activation # of Calls Resulting in Trauma Activation Projection for 2016: 1040 calls Year

25 Most-Utilized Transport Destinations Rank (1/1-7/13) Eden Medical Center 1026 Alta Bates Medical Center - Summit Campus 620 ACMC Highland Hospital 597 Washington Hospital 548 Kaiser Permanente Oakland 537 Alta Bates Medical Center Berkeley 385 Eden Medical Center 1197 ACMC Highland Hospital 764 Alta Bates Medical Center - Summit Campus 708 Washington Hospital 681 Kaiser Permanente Oakland 605 Kaiser Permanente - San Leandro 593 Alta Bates Medical Center Valley Care Medical Center 7 Berkeley *Note: Red Text indicates that the transport destination is a trauma center Eden Medical Center 672 ACMC Highland Hospital 471 Washington Hospital 372 Alta Bates Medical Center - Summit Campus 370 Kaiser Permanente - San Leandro 325 Kaiser Permanente Oakland 320 Kaiser Permanente Fremont 290

26 Resources Alameda County Senior Injury Prevention Program (SIPP): Alameda County Area Agency on Aging: ers_and_disabled_adults/area_agency_on_aging.cfm If you are interested in learning more about fall prevention in Alameda County, please contact: Miriam Rabinovitz, SIPP Coordinator Phone:

27 References Alameda County Area Agency on Aging. (2016). Alameda County plan for older adults fiscal year Retrieved from U.S. Census Bureau. (2015). QuickFacts: Alameda County, C.A. Retrieved June 27, 2016, from