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• W972865257 abstract "Proposition of assistance and alarm for elderly and dependent people are increasing. Calls from these companies have become numerous in emergencydispatching center (SAMU). The purpose of this study was to characterize these calls. The study was conducted in a French medical call center (SAMU 93) over a two years period (2010-2012). Calls from assistance and alarm companies have been systematically reviewed. Age and gender of the patient, medical decision, second level requirement, transfer to the hospital and death before arriving at the hospital were investigated. The opportunity to have a direct contact with the patient and the reason for call were assessed by further analysis. Proportion of patients treated and transported by a mobile intensive care unit was used as primary endpoint. Two thousand two hundred ninety-one calls from assistance and alarm have been analyzed. The average was 3.0 calls per day. These calls come from 1,677 (73 %) women. The median age was 83 (75-88) years. First aid rescue vehicle was sent in 1,507 (68 %) cases. Other decisions were sending a light ambulance (251 cases, 11 %), a doctor (227 cases, 10 %), a mobile intensive care unit (108 cases, 5 %), giving medical advice (106 cases, 5 %) and other decisions (92 cases, 4 %). In 81 (4 %) cases, a higher-level intervention was required. Finally, 1,900 (83 %) patients were transported to the hospital. In 48 (2 %) cases, medical transfer was required. Five patients (0.2 %) died before arrival at the hospital. Of 116 calls specifically analyzed, a direct contact with the patient was not possible in 67 (58 %) cases. Calls from assistance and alarm companies were frequent. They were related to very elderly patients. Direct contact with the patient was rare. Intensive medical care was exceptionally required. A direct call of the patient to the emergency-dispatching center (SAMU) would be preferable. It would contribute to optimize the management and orientation of the patient." @default.
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• W972865257 date "2015-07-28" @default.
• W972865257 modified "2023-10-10" @default.
• W972865257 title "Prise en charge des appels émanant des sociétés de téléalarme par un SAMU-centre 15 : étude TELE-AL-ARM" @default.
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• W972865257 doi "https://doi.org/10.1007/s13341-015-0557-4" @default.
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