调查2024年北京市80岁及以上患者院前急救现状并分析其流行病学特征。

收集2024年北京急救中心医疗急救办公管理系统中老老人患者急救调度全部数据，进行描述流行病学分析。

本研究共收集147 247例院前急救老老人患者资料，其中女性患者占比多于男性患者（1.3∶1）；患者所在区域城区数量大于郊区数量，城郊区比为1.7∶1，朝阳区为数量最多的区域，占19.83%；院前急救老老人患者中以循环系统疾病数量较多，占28.10%，其次为损伤性疾病，占16.97%；院前急救老老人患者分布月份最高的为12月，占9.45%；最低为6月，占7.61%；呼叫高峰为08：00~10：00，占16.35%，其次为12：00~14：00，占11.39%，以02：00~04：00呼叫量最少，占3.19%。

随着北京市进入老龄化社会，应重视人口老龄化问题，实时进行健康管理，根据区域分布、季节分布、月份分布及日高峰时间段分布情况进行调度指挥，合理安排院前急救工作，优化急救资源的配置，将日常业务培训重点放在循环系统疾病、损伤性疾病等急症的现场救治，提高院前急救能力及水平。

To investigate the current status of pre-hospital emergency care and analyze the epidemiological characteristics of patients aged 80 years and older in Beijing in 2024.

All data on emergency dispatches for the oldest-old patients were collected from the medical emergency office management system of the Beijing Emergency Medical Center in 2024 and analyzed using descriptive epidemiological methods.

A total of 147,247 prehospital emergency cases involving the oldest-old patients were included in this study. Female patients outnumbered male patients (1.3∶1). The number of cases in urban areas was higher than in suburban areas, with an urban-to-suburban ratio of 1.7∶1. Chaoyang District had the highest number of cases, accounting for 19.83% of the total. Circulatory system diseases were the most common reason for prehospital emergency calls, representing 28.10% of cases, followed by injury-related diseases, accounting for 16.97%. The month with the highest number of prehospital emergency cases was December, accounting for 9.45%, while June had the lowest, at 7.61%. The peak time for emergency calls was between 08:00 and 10:00, accounting for 16.35% of cases, followed by 12:00-14:00, at 11.39%. The period with the fewest calls was between 02:00 and 04:00, accounting for 3.19%.

Beijing has entered a stage of moderate population aging. It is essential to address the challenges of an aging population, implement real-time health management, and optimize the allocation of prehospital emergency resources based on regional, seasonal, monthly, and daily peak-time distributions. Daily professional training should focus on the on-site management of emergencies such as circulatory system diseases and injury-related conditions to enhance the capacity and quality of prehospital emergency care.