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.