A 12-year retrospective analysis of differences between elderly and oldest old patients referred to the emergency department of a large tertiary hospital

被引:30
作者
Covino, Marcello [1 ]
Petruzziello, Carmine [1 ]
Onder, Graziano [2 ]
Migneco, Alessio [1 ]
Simeoni, Benedetta [1 ]
Franceschi, Francesco [1 ]
Ojetti, Veronica [1 ]
机构
[1] Fdn Policlin Univ A Gemelli, IRCCS, Emergency Dept, Rome, Italy
[2] Fdn Policlin Univ A Gemelli, IRCCS, Geriatr Dept, Rome, Italy
关键词
Elderly; Oldest old; Emergency department; Characteristics; MULTIMORBIDITY; DEMENTIA; OUTCOMES; ADULTS; MODEL; CARE;
D O I
10.1016/j.maturitas.2018.11.011
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives: Globally, the average age of the population is increasing. Patients aged > 65 years attending hospital emergency departments (EDs) differ from younger patients; in particular, they often present with multiple comorbidities. Our retrospective study evaluates the number of attendances at our ED by elderly patients in the 12 years from January 2005 to December 2017. Our first aim was to evaluate differences presented by elderly patients regarding symptoms, clinical features, color code (i.e. priority assigned to the case, where red is highest and yellow is medium), waiting time and outcome. Patients and methods: We analyzed data from 201,580 patients aged > 65, divided into two groups: 65-84 years and > 85 years. Clinical and demographic data were collected from the computerized clinical record (GIPSE (R)). Results: 201,580 patients fulfilled the inclusion criteria, of whom 93,262 (46.3%) were male. There were 162,373 patients aged 65-84, and 39,207 aged > 85. Patients aged > 85 presented more complex cases, and were admitted more frequently with a red color code and were more frequently hospitalized. Larger proportions of this group had dementia, and attended the ED for trauma or gastrointestinal bleeding. The group aged 65-84 were admitted more frequently with a yellow color code and then discharged. They typically attended the ED for chest and abdominal pain. Conclusion: There is an increase in the request for health care especially in an emergency setting. The hospitalization of elderly patients is associated with a deterioration in motor skills and quality of life. Being able to reduce hospitalization in the elderly means avoiding disruption to the home care of people with dementia, and reducing both the risk of falls and hospital infections. In Italy, a program (as already experimented with in the USA) dedicated to the elderly who attend hospital EDs is desirable.
引用
收藏
页码:7 / 11
页数:5
相关论文
共 50 条
[21]   Transsphenoidal Surgery for Pituitary Neuroendocrine Tumours (PiTNETs) in a Tertiary Hospital: Are There Differences Between Young and Elderly Patients? [J].
Borrego-Soriano, Ines ;
Parra-Ramirez, Paola ;
Martin-Rojas-Marcos, Patricia ;
Perez-Lopez, Carlos ;
Garcia-Feijoo, Pablo ;
alvarez-Escola, Cristina .
CLINICAL ENDOCRINOLOGY, 2025,
[22]   Hand Trauma in Emergency Department Management in Older Adults ≥ 80 Years Old: A Twenty-Year Retrospective Analysis [J].
Fulchignoni, Camillo ;
Covino, Marcello ;
Pietramala, Silvia ;
Lopez, Ivo ;
Merendi, Gianfranco ;
De Matthaeis, Andrea ;
Franceschi, Francesco ;
Maccauro, Giulio ;
Rocchi, Lorenzo .
GERIATRICS, 2023, 8 (06)
[23]   Pediatric non-traumatic dental presentations to the emergency department: a ten year retrospective study in an Australian tertiary hospital [J].
Musa, A. A. R. ;
Sethi, S. ;
Poirier, B. F. ;
Oliver, K. J. ;
Jensen, E. D. .
EUROPEAN ARCHIVES OF PAEDIATRIC DENTISTRY, 2025, 26 (02) :349-360
[24]   Pathways to and Results of Psychiatric Consultation for Patients Referred from the Emergency Department. Are there Differences between Migrant and Native Patients? [J].
Gramaglia, Carla ;
Gambaro, Eleonora ;
Delicato, Claudia ;
Di Marco, Sarah ;
Di Tullio, Elisa ;
Vecchi, Camilla ;
Bert, Fabrizio ;
Castello, Luigi Mario ;
Siliquini, Roberta ;
Avanzi, Giancarlo ;
Zeppegno, Patrizia .
TRANSCULTURAL PSYCHIATRY, 2019, 56 (01) :167-186
[25]   A 10-year retrospective analysis of intimate partner violence patients in the emergency department [J].
Kavak, Nezih ;
Kavak, Rasime Pelin ;
Ozdemir, Meltem ;
Sever, Mustafa ;
Ertan, Nurcan ;
Suner, Asli .
ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY, 2022, 28 (06) :796-804
[26]   Adverse Drug Reactions in Elderly Hospitalized Patients: A 12-Year Population-Based Retrospective Cohort Study [J].
Sikdar, Khokan C. ;
Dowden, Jeffrey ;
Alaghehbandan, Reza ;
MacDonald, Don ;
Wang, Peizhong Peter ;
Gadag, Veeresh .
ANNALS OF PHARMACOTHERAPY, 2012, 46 (7-8) :960-971
[27]   TLM Outcomes in Elderly Patients with Glottic Pre-Malignancy and Early Malignancy; A 12-Year Retrospective Study [J].
Jones, Heidi ;
Ross, Elizabeth ;
Jose, Jemy .
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 2021, 130 (12) :1392-1399
[28]   Nursing home residents at the Emergency Department: a 6-year retrospective analysis in a Swiss academic hospital [J].
Pierre-Nicolas Carron ;
Cédric Mabire ;
Bertrand Yersin ;
Christophe Büla .
Internal and Emergency Medicine, 2017, 12 :229-237
[29]   Short- and long-term prognosis of critically-ill patients referred to the ICU from the Emergency Department of a tertiary hospital [J].
Garcia-Gigorro, Renata ;
Dominguez Aguado, Helena ;
Barea Mendoza, Jesus Abelardo ;
Viejo Moreno, Ruben ;
Sanchez Izquierdo, Jose Angel ;
Carlos Montejo-Gonzalez, Juan .
MEDICINA CLINICA, 2017, 148 (05) :197-203
[30]   Demographic analysis of patients requiring ophthalmology consultation in the emergency department: A retrospective study at a tertiary care center [J].
Ozkaya, Yasemin ;
Kaya-Guner, Emine ;
Inci-Bozbiyik, Duygu ;
Ozturk, Yasemin Kilic .
MEDICINE, 2025, 104 (10) :e41696