Paramedic-led intervention cuts ambulance calls

August 22, 2018

(HealthDay)—For low-income older adults who live in subsidized housing, the Community Paramedicine at Clinic (CP@clinic), a paramedic-led, community-based health promotion program to prevent diabetes, cardiovascular disease, and falls for residents 55 years of age and older, lowers the number of ambulance calls and improves quality-adjusted life-years (QALYs), according to a study recently published in CMAJ, the journal of the Canadian Medical Association.

Gina Agarwal, Ph.D., from McMaster University in Hamilton, Canada, and colleagues conducted an open-label pragmatic cluster-randomized controlled trial in subsidized apartment buildings for . Six buildings were randomized to either intervention (CP@clinic; three buildings) for one year or control (usual health care; three buildings). The intervention and control buildings had 455 and 637 residents, respectively.

The researchers found that, compared with the control buildings, the three intervention buildings had significantly lower mean monthly ambulance calls (3.11 versus 3.99 calls per 100 units/month; mean difference, −0.88) when adjusted for baseline calls and pairs. Significant improvement was seen in QALYs (mean difference, 0.09) and ability to perform usual activities (odds ratio, 2.6) for residents living in the intervention buildings versus the control buildings. A significant decrease was seen in for those who received the (mean change, 4.8 mm Hg).

"In the coming decades, the growing population of older adults will affect the Canadian health system inevitably, and the CP@clinic program has great potential to reduce the impending burden created by this evolving demographic," the authors write.

Explore further: Paramedic-run health sessions in low-income apartments reduced number of 911 calls, improved health

More information: Abstract/Full Text
Editorial (subscription or payment may be required)

Related Stories

Paramedic-run health sessions in low-income apartments reduced number of 911 calls, improved health

May 28, 2018
A community-based health promotion program developed by McMaster University that was offered by paramedics in low-income apartment buildings significantly reduced the number of 911 calls and improved quality of life for seniors, ...

Advance care planning doesn't aid quality of life

August 6, 2018
(HealthDay)—Advance care planning in frail older adults does not increase patient activation or quality of life, according to a study published in the June issue of the Journal of the American Geriatrics Society.

Responsive parent intervention in infancy can reduce BMI z score

August 8, 2018
(HealthDay)—A responsive parenting intervention initiated in early infancy can reduce body mass index (BMI) z score; however, a 36-month multicomponent behavioral intervention does not change BMI trajectory, according to ...

Program aids quality of life for older adults with T2DM

December 6, 2017
(HealthDay)—A community-based program improves quality of life and self-management in older adults with type 2 diabetes mellitus (T2DM) and comorbidities, according to a study published online Nov. 27 in the Journal of ...

Community health worker-led intervention beneficial in T2DM

May 7, 2018
(HealthDay)—A community health worker (CHW)-led diabetes self-management education (DSME) program is associated with sustained improvement in hemoglobin A1c (HbA1c), according to a study published online April 27 in Diabetes ...

Barrier assessment improves care for elderly with diabetes

March 19, 2013
(HealthDay)—For older adults with diabetes, an active intervention involving assessment of barriers to self-care and development of strategies to cope with these barriers is superior to usual care, according to research ...

Recommended for you

Research confronts 'yucky' attitudes about genetically engineered foods

September 18, 2018
Is a non-browning apple less "natural" than non-fat milk? In one case, people have injected something into apple DNA to prevent it from turning brown after it's cut. In the other, people used technology to remove something ...

Thinking beyond yourself can make you more open to healthy lifestyle choices

September 17, 2018
Public health messages often tell people things they don't want to hear: Smokers should stop smoking. Sedentary people need to get moving. Trade your pizza and hot dogs for a salad with lean protein.

Shifting focus from life extension to 'healthspan' extension

September 17, 2018
Clinicians, scientists and public health professionals should proudly "declare victory" in their efforts to extend the human lifespan to its very limits, according to University of Illinois at Chicago epidemiologist S. Jay ...

Survey finds 2M US teens are vaping marijuana

September 17, 2018
A school-based survey shows nearly 1 in 11 U.S. students have used marijuana in electronic cigarettes, heightening health concerns about the new popularity of vaping among teens.

Air pollution affects thyroid development in fetuses, research finds

September 17, 2018
Soot and dust alters thyroid development in fetuses before they are born in smoggy cities, raising concern about health impacts later in life, new USC research shows.

Witnessing violence in high school as bad as being bullied

September 17, 2018
Students who witness violence in school at age 13 are at later risk of psycho-social and academic impairment at age 15, according to a new longitudinal study by researchers at Université de Montréal with colleagues in Belgium ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.