Report on Older Adult Falls Alameda County EMS 2014-2016 Alameda County Emergency Medical Services Senior Injury Prevention
About This Report This report was created using EMS call records from 2014-2016 Data query: 9-1-1 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
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
Alameda County EMS OVERALL STATISTICS: 9-1-1 CALLS ATTRIBUTED TO FALLS
Total Number of 9-1-1 Calls Attributed to Falls 9000 8000 7000 6000 5000 4000 3000 2000 1000 Total Number of 9-1-1 Calls Attributed to Falls 5958 7211 4110 Projection for 2016: 7675 calls 0 2014 2015 2016 Year
Proportion of Total Older Adult 9-1-1 Calls Attributed to Falls Calls attributed to falls comprised 10-12% of all 9-1-1 calls made by adults age 55 or older There was a statistically significant increase in rate of falls from 2014-2015 (p<0.01) No significant difference in rate between 2015-2016 (p>0.05) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 10% 12% 12% 2014 2015 2016 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
Proportion of Older Adult Injury- Related 9-1-1 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 2014-2015 No significant difference in rate between 2015-2016 (p>0.05) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 82% 82% 70% 2014 2015 2016 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
Number of Calls Attributed to Falls 3500 by Age Group Total Number of 9-1-1 Calls Attributed to Falls 3000 2500 2000 1500 1000 500 2014 2015 2016 0 55-64 65-84 85+ Age Note: 2016 data only include information from 1/1/16 to 7/13/16; not a year-long projection
Number of Calls Attributed to Falls by Age Group - Projection for 2016 4000 Total Number of 9-1-1 Calls Attributed to Falls 3500 3000 2500 2000 1500 1000 500 2014 2015 2016 (projection to 12/31/16) 0 55-64 65-84 85+ Age
Proportion of 9-1-1 Calls Attributed to Falls by Age Group Proportion of 9-1-1 Calls, Any Cause, Attributed to Falls Proportion of Injury-Related 9-1-1 Calls Attributed to Falls 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 7% 11% 18% 55-64 65-84 85+ Age 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 53% 81% 94% 55-64 65-84 85+ Age Note: Data aggregated for years 2014-2015
Alameda County EMS CALLS ATTRIBUTED TO REPEAT FALLERS
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
Number of Calls Per Repeat Faller Per Year 21% of repeat callers in 2014-2015 made more than two 9-1-1 calls over the course of one year because of falls 16% 5% 79% 2 3 4 5 5-10 10-20 >20
Alameda County EMS ANALYSIS BY DATE, TIME, AND SOCIODEMOGRAPHICS
Number of Calls Attributed to Falls Per Month 800 Projected 625 calls for July 2016 Total Number of 9-1-1 Calls Attributed to Falls 700 600 500 400 300 200 100 0 2014 2015 2016 Month
Number of Calls Attributed to Falls 600 Analysis by Hour of Day Total Number of 9-1-1 Calls Attributed to Falls 500 400 300 200 100 0 12:00 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 2014 2015 2016 Note: 2016 data only include information from 1/1/16 to 7/13/16; not a year-long projection
Number of Calls Attributed to Falls 3000 Analysis by Time of Day Total Number of Calls for Falls 2500 2000 1500 1000 500 2014 2015 2016 0 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
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% 2014 2015 2016 Year F M
Proportion of Calls Attributed to Falls by Race Proportions of calls for falls by race have been consistent across the years 2014-2016 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 2014-2016 0% 10% 20% 30% 40% 50% % of Total Calls for Falls
Most Common Payers Most common payers for falls-related EMS calls have been consistent across the years 2014-2016 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 2014-2016
Alameda County EMS PICKUPS AND TRANSPORTS
Cities with the Highest Number of EMS Pickups for Falls Rank 2014 2015 2016 1 Oakland Oakland Oakland 1817 2145 1225 2 Hayward Fremont Fremont 672 789 459 3 Fremont Hayward Hayward 592 721 416 4 San Leandro Berkeley Berkeley 505 608 305 5 Alameda San Leandro San Leandro 377 594 299 Note: 2016 data only include information from 1/1/16 to 7/13/16; not a year-long projection
EMS Pickups for Falls by Company/Fire Department Rank 2014 2015 2016 1 Paramedics Plus 5195 Paramedics Plus 6095 Paramedics Plus 3492 2 Alameda City FD 378 Berkeley FD 599 Berkeley FD 297 3 Berkeley FD 275 Alameda City FD 417 Alameda City FD 270 4 5 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
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 1200 1000 800 600 400 200 0 668 Projection for 2016: 1040 calls 882 557 2014 2015 2016 Year
Most-Utilized Transport Destinations Rank 2014 2015 2016 (1/1-7/13) 1 2 3 4 5 6 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 368 503 *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
Resources Alameda County Senior Injury Prevention Program (SIPP): http://www.acphd.org/ipp/sipp.aspx Alameda County Area Agency on Aging: http://www.alamedasocialservices.org/public/services/eld 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: 510-618-2050 Email: miriam.rabinovitz@acgov.org
References Alameda County Area Agency on Aging. (2016). Alameda County plan for older adults fiscal year 2016-2017. Retrieved from http://www.alamedasocialservices.org/ U.S. Census Bureau. (2015). QuickFacts: Alameda County, C.A. Retrieved June 27, 2016, from http://www.census.gov/quickfacts/