id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-13499	S S, Vijay Kumar; Rao H T, Ananth Prasad; Shekhli, Shabbir; Jose, Anila	Dynamics of geriatric emergency care: comprehensive assessment of emergency medical services utilization and its impact on healthcare resources in coastal India	2025	7	.pdf	application/pdf	4999	252	51	Similarly, the EDEN cohort (Emergency Department and Elder Needs) study conducted in Spain in 2022 reported that 6.9% of geriatric patients utilized EMS services, which aligns closely with our findings.13 This can be due to similar cultural factors, such as a strong emphasis on family care giving, thus contributing to lower EMS utilization rates among the older, alongside infrastructural limitations in rural areas affecting accessibility.14 In a study conducted in Tokyo in 2010, it was found that 64% of geriatric women were transported via ambulance to the ED, highlighting a significant gender difference in EMS usage.15 In contrast, our study observed only a slight male predominance among EMS patients. Additionally, EMS patients exhibited a greater incidence of adverse outcomes, including ED mortality, emphasizing the criti- cal importance of timely triage and effective resource allocation to enhance the care and outcomes of older patients in emergency set- tings.21 In comparison, a study conducted in Switzerland reported sim- ilar rates of hospitalization at 58%, with 32% of patients requiring ICU admission.22	cache/ecj-13499.pdf	txt/ecj-13499.txt