Epidemiological profile of geriatric patients admitted to the emergency department of a university hospital localized in a rural area

Vanpee, Dominique; Swine, Christian; Vandenbossche, Pierre; Gillet, Jean Bernard

doi:10.1097/00063110-200112000-00010

Cited by 87 publications

(80 citation statements)

References 10 publications

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“…In the elderly, physical examination and history-taking are time-consuming and laboratory values may be unreliable [2][3][4][8][9][10][11][12][13][14]. Moreover, many emergency medicine physicians are uncomfortable with physical examinations of the elderly [24], and the ED literature promotes early, liberal use of imaging.…”

Section: Discussionmentioning

confidence: 99%

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Impact of CT in elderly patients presenting to the emergency department with acute abdominal pain

2015

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Section: Discussionmentioning

confidence: 99%

“…The ability to accurately and effectively determine the cause of abdominal pain decreases with advancing patient age [2][3][4]. Because elderly patients require more time and resources, they often have prolonged ED visits, longer wait times before seeing a physician and undergo additional laboratory testing [5][6][7].…”

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confidence: 99%

Impact of CT in elderly patients presenting to the emergency department with acute abdominal pain

2015

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“…Up to 20% of patients over the age of 75 present with NSCs such as fatigue, general weakness, dizziness, and recent falls. 8 Of concern, some reports suggest that elderly patients with NSCs might be more acutely ill and suffer worse outcomes than elderly patients with specific complaints. More than 50% of elderly patients with a vague presenting complaint at triage have been found to require acute medical attention after initial medical evaluation, and a presenting complaint of "general disability" has been found to be highly associated with in-hospital death.…”

Section: Introductionmentioning

confidence: 99%

Common Diagnoses and Outcomes in Elderly Patients Who Present to the Emergency Department with Non-Specific Complaints

Quinn

Herman

Lin

et al. 2015

CJEM

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Objective: Elderly patients often present to the emergency department (ED) with non-specific complaints. Previous studies indicate that such patients are at greater risk for lifethreatening illnesses than similarly aged patients with specific complaints. We evaluated the diagnoses and outcomes of elderly patients presenting with non-specific complaints. Methods: Two trained data abstractors independently reviewed all records of patients over 70 years old presenting (to two academic EDs) with non-specific complaints, as defined by the Canadian Emergency Department Information System (CEDIS). Outcomes of interest were ED discharge diagnosis, hospital admission, length of stay, and ED revisit within 30 days. Results: Of the 743 patients screened for the study, 265 were excluded because they had dizziness, vertigo, or a specific complaint recorded in the triage notes. 419 patients (87.7%) presented with weakness and 59 patients (12.3%) presented with general fatigue or unwellness. The most common diagnoses were urinary tract infection (UTI) (11.3%), transient ischemic attack (TIA) (10.0%), and dehydration (5.6%). There were 11 hospital admissions with median length of stay of five days. Eighty-one (16.9%) patients revisited the ED within 30 days of discharge. Regression analysis indicated that arrival to the ED by ambulance was independently associated with hospital admission. Conclusions: Our results suggest that elderly patients presenting to the ED with non-specific complaints are not at high risk for life-threatening illnesses. The most common diagnoses are UTI, TIA, and dehydration. Most patients can be discharged safely, although a relatively high proportion revisit the ED within 30 days. RÉSUMÉObjectif: Il est fréquent que des personnes âgées consultent au service des urgences (SU) pour des symptômes généraux. D'après des études antérieures, ces patients connaissent un risque plus grand de maladies potentiellement mortelles que les patients de même âge ayant des symptômes précis. Aussi les auteurs ont-ils évalué les diagnostics posés chez des personnes âgées examinées pour des symptômes généraux, de même que l'issue. Méthode: Deux personnes formées à l'abstraction de données ont examiné, chacune de leur côté, tous les dossiers de patients âgés de plus de 70 ans, qui ont consulté dans deux SU d'hôpitaux universitaires pour des symptômes généraux tels qu'ils sont définis dans le Canadian Emergency Department Information System (CEDIS). Les principaux critères d'évaluation comprenaient le diagnostic au moment du congé du SU, l'hospitalisation, la durée de séjour et les nouvelles consultations au SU dans les 30 jours suivants. Résultats: Sur 743 patients présélectionnés pour l'étude, 265 ont été écartés parce qu'on faisait déjà mention d'« étourdis-sements » ou de « vertiges » ou encore de symptômes précis dans les notes relatives au triage. Sur le nombre restant de patients, 419 (87,7 %) présentaient de la faiblesse, et 59 (12,3 %), de la fatigue générale ou un état de malaise. Les diagnostics les plus f...

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“…The median age was 21 (0-90), and similar studies had the same median ages in the trauma patients (8,9).…”

Section: Discussionmentioning

confidence: 67%

Evaluation of Trauma Patients Admitted to Emergency Department According to Triage Categories

Pozam¹,

Özdemir²,

Sert³

et al. 2015

JAEM

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Aim: In our study, we aimed to evaluate the trauma patients who were admitted to Department of Emergency Medicine, Uludag University Hospital for demographic characteristics, triage categories, and necessity of a third-level emergency service. Materials and Methods:Data of the trauma patients admitted between November 1, 2012 and November 1, 2013 were selected by a retrospective systematic sampling. The patient age, sex, admission date, trauma mechanism, body part affected by trauma, and triage categories have been recorded. Results:In all, 3251 patients were included. Most cases were men (66%); the age of trauma exposure was 18-64 years age. Most patients were admitted between April and June, and the most frequent mechanism of trauma was sprain and crush. The hospital admission rate is higher in triages 1 and 2, and discharge rates were higher in triages 4 and 5. Conclusion:To determine the severity of the trauma patients that comprised a special group in the emergency department, triage categories can be effectively used. Considering emergency admissions, 80.4% were not found to be emergent patients group, and these patients should be referred to outpatient clinics.

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Epidemiological profile of geriatric patients admitted to the emergency department of a university hospital localized in a rural area

Cited by 87 publications

References 10 publications

Impact of CT in elderly patients presenting to the emergency department with acute abdominal pain

Impact of CT in elderly patients presenting to the emergency department with acute abdominal pain

Common Diagnoses and Outcomes in Elderly Patients Who Present to the Emergency Department with Non-Specific Complaints

Evaluation of Trauma Patients Admitted to Emergency Department According to Triage Categories

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