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Table 3 Initial clinical assessments for adults and older adults at home in a region of Sweden

From: Characteristic patterns of emergency ambulance assignments for older adults compared with adults requiring emergency care at home in Sweden: a total population study

Adults (18–69) n = 11,436

Older adults (70–104) n = 17,097

Unadjusted

 

Adjusted

Initial clinical assessmenta

Age group

n (%)

p

OR (95% CI)

p

OR (95% CI)

Circulatory

(e.g. chest pain, cardiac arrest/dysrhythmia, hypertension)

Adults

1997 (17.5)

.240

Ref

 

Ref

Older adults

2894 (16.9)

 

0.96 (0.91–1.03)

.023

1.09 (1.01–1.17)

Eye, ear, nose, throat (e.g. bleeding, pain, foreign body)

Adults

64 (0.6)

    

Older adults

190 (1.1)

< .001

2.00 (1.50–2.65)

< .001

2.60 (1.86–3.65)

Genital

(gynecology, urology)

Adults

194 (1.7)

    

Older adults

292 (1.7)

.941

1.01 (0.84–1.21)

302

1.11 (0.91–1.36)

Infection

Adults

581 (5.1)

    

Older adults

1732 (10.1)

< .001

2.11 (1.91–2.32)

< .001

2.05 (1.84–2.27)

Medical

(e.g. anemia, diabetic symptoms, Addison’s disease, immune deficiency)

Adults

1109 (9.7)

    

Older adults

1189 (7.0)

< .001

0.70 (0.64–0.76)

< .001

0.63 (0.57–0.70)

Neurology

(e.g. stroke, headache, seizure, loss of consciousness, dizziness)

Adults

1952 (17.1)

    

Older adults

2727 (16.0)

.012

0.92 (0.87–0.98)

.120

0.95 (0.88–1.01)

Nonspecific

Adults

216 (1.9)

    

Older adults

673 (3.9)

< .001

2.13 (1.83–2.49)

< .001

2.08 (1.73–2.50)

Orthopedic

(e.g. musculoskeletal pain)

Adults

585 (5.1)

    

Older adults

824 (4.8)

.255

0.94 (0.84–1.05)

< .001

0.71 (0.63–0.81)

Psychiatric

(e.g. psychiatric disorders, suicidality, anxiety, drug abuse)

Adults

520 (4.5)

    

Older adults

194 (1.1)

< .001

0.24 (0.20–0.29)

< .001

0.21 (0.17–0.26)

Respiratory

(e.g. respiratory distress, dyspnea, hyperventilation)

Adults

731 (6.4)

    

Older adults

2232 (13.1)

< .001

2.20 (2.02–2.40)

< .001

2.41 (2.19–2.66)

Surgical

(e.g. gastrointestinal hemorrhage, abdominal pain, nausea/vomiting)

Adults

1740 (15.2)

    

Older adults

1654 (9.7)

< .001

0.60 (0.55–0.64)

< .001

0.58 (0.54–0.68)

Trauma

(physical injury)

Adults

1075 (9.4)

    

Older adults

1998 (11.7)

< .001

1.28 (1.18–1.38)

.023

1.10 (1.01–1.20)

  1. aPatients not receiving initial clinical assessment; adults 672, older adults 498
  2. Binary logistic regression models for each assessment presented as unadjusted, and adjusted odds ratios (OR) with 95% confidence interval (CI). Independent variables adjusted for in the models are gender, on-scene time, priority level, result of response and time of day. Adjusted odds ratios characterizing initial clinical assessments for older adults are highlighted in bold text. The proportion of adults and older adults receiving the assessment within the age group is displayed as n (%)