{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T12:06:13Z","timestamp":1790078773044,"version":"4.0.1"},"reference-count":28,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background\/Objectives: Many ambulance-attended falls among older adults are not represented in hospital-based datasets. We used emergency medical service (EMS) records to describe residential and non-residential falls and identify factors associated with non-residential fall location and hospital transfer. Methods: We retrospectively analyzed records from T\u00fcrkiye\u2019s 112 EMS system from January 2023 through October 2025. The analytic sample comprised 685,666 records; no age-eligible records were excluded for missing study variables. Fall-location associations were examined using chi-square tests, Cram\u00e9r\u2019s V, and multivariable logistic regression; a multivariable model examined hospital transfer. Results: Residential falls accounted for 406,183 records (59.2%), increasing from 49.6% at ages 65\u201374 to 61.9% at 75\u201384 and 71.1% at \u226585 years, and occurring more often among women than men (65.4% vs. 50.8%). Adjusted odds ratios (ORs) for non-residential location were higher for daytime occurrence (08:00\u201316:59: OR = 2.871) and male sex (OR = 1.761) and lower with advancing age (\u226585 years: OR = 0.424). Hospital transfer occurred in 527,881 records (77.0%). Adjusted odds were higher for yellow-coded (OR = 11.063) and red-coded (OR = 8.053) cases, lower for non-residential location (OR = 0.268) and age \u2265 85 years (OR = 0.739), and higher outside Istanbul (OR = 1.999). Conclusions: This is the first nationwide prehospital analysis of falls among older adults in T\u00fcrkiye. Residential falls predominated, while fall location and hospital transfer showed demographic, temporal, triage, and geographic associations. These findings may inform research on fall prevention, prehospital assessment, and referral pathways.<\/jats:p>","DOI":"10.3390\/jcm15187239","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:09:35Z","timestamp":1790075375000},"page":"7239","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Falls Among Older Adults in T\u00fcrkiye: A Nationwide Analysis of Emergency Medical Service Data"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0784-8410","authenticated-orcid":false,"given":"Mehmet Alptekin","family":"Acar","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Marmara University Pendik Training and Research Hospital, Istanbul 34899, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Muhammed Saltuk","family":"Deniz","sequence":"additional","affiliation":[{"name":"General Directorate of Emergency Health Services, Republic of T\u00fcrkiye Ministry of Health, Ankara 06800, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"data-curation","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7170-8044","authenticated-orcid":false,"given":"B\u00fc\u015fra","family":"Can","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Marmara University, Istanbul 34854, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Ay\u015fenur","family":"Yetik Aras","sequence":"additional","affiliation":[{"name":"General Directorate of Emergency Health Services, Republic of T\u00fcrkiye Ministry of Health, Ankara 06800, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Fatma","family":"Yorulmaz","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Ministry of Health Ankara Etlik City Hospital, Ankara 06170, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7522-8275","authenticated-orcid":false,"given":"Asl\u0131","family":"Tufan","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Marmara University, Istanbul 34854, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"supervision","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"conceptualization","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2008). 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Public Health"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/18\/7239\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:24:53Z","timestamp":1790076293000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/18\/7239"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,17]]},"references-count":28,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["jcm15187239"],"URL":"https:\/\/doi.org\/10.3390\/jcm15187239","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,17]]}}}