The ED use and non-urgent visits of elderly patients

Gülaçtı, Umut; Lök, Uğur; Çelik, Murat; Aktaş, Nurettin; Polat, Hüseyin

doi:10.1016/j.tjem.2016.08.004

Cited by 25 publications

(29 citation statements)

References 16 publications

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“…Contrary to previous research which reported that a large proportion of all ED visits were presented during the day shift and the winter months 8,15,24 in our study similar to a study by Cigar from Turkey 25 , the highest proportion of ED visits was found during the working hours and the summer months. One explanation for this is that presentation in the ED during the working hours had a timely response to consultants and more easily available beds, but arrival to ED during the late hours may lead to delay in hospital admission because of excessive whole hospital occupancy for the said reasons.…”

Section: Resultscontrasting

confidence: 91%

“…In this present study, consistent with resents studies from Pakistan and Swiss 26,27 , the majority of older patients were male. But, studies from Turkey and other setting reported the majority of the older patients were female 15,23 . Such differences related to gender might be explained by reflects of social or regional variations in profiles of the older population where the research is carried out.…”

Section: Resultsmentioning

confidence: 96%

“…The characteristics of the ED visits, in terms of gender, are shown in 14,15 . A large proportion of ED visits by older patients are triaged as urgent or emergent.…”

Section: Resultsmentioning

confidence: 99%

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Characteristics and outcomes of older patients attending the emergency department at an academic university hospital

Tekin

Demirtaş

Nur

et al. 2019

Cumhuriyet Medical Journal

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Because older populations have been increased significantly over the last decades globally, emergency departments (ED) have become a vital place in the care of older patients. Characterizing the usage of the ED by older patients will facilitate the qualifying planning activities in emergency care delivery. Method: The retrospective data were extracted from a database and included all patients, aged 65 years or over, admitted to the ED between 1 January 2017-31 December 2017. Results: The rate of ED visits accounted for 16.1%. A large majority of the ED visits were during the day shift (49.6 %), and in summer months (June-August 28.7 %). The most common diagnoses (18.4%) were cardiovascular conditions. A large majority (67.8%) of ED visits involved diagnostic imaging, and nearly half (46.7%) of them received consultation services. Nearly one-third (31.3%) of older patients were admitted to hospital following their ED visit. Hospital admission, length of stay in ED, having consulting service, involving some kind of diagnostic imaging and being triaged as urgent/emergent are more likely to be increased with age group. Conclusions: ED visits increase with age and also the resource use intensity of the ED, including the length of stay, diagnostic imaging, consultation and admission to the hospital after an ED visit appears to increase with aging. Patterns of the ED usage were described in this study may be helpful in resource planning, or may provide an approach for the future the investigation involving improved or alternative care options for the older patient.

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Section: Resultscontrasting

confidence: 91%

Section: Resultsmentioning

confidence: 96%

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Characteristics and outcomes of older patients attending the emergency department at an academic university hospital

Tekin

Demirtaş

Nur

et al. 2019

Cumhuriyet Medical Journal

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“…It is important to understand why family functioning has become a critical issue when older patients and their families present at emergency departments (EDs). Older patients with complex care needs are frequent ED users compared to younger patients . Often, older patients arrive at the ED with a family member .…”

Section: Introductionmentioning

confidence: 99%

Family functioning evaluated by family members of older patients and nurses in emergency departments

Demidenko

Routasalo

Helminen

et al. 2017

Scandinavian Caring Sciences

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The functioning of families in emergency departments (EDs) encompasses the level at which the families of older patients perform as a whole during the ED stay. Currently, little is known about how the families of older patients function in EDs. In this study, family functioning included the subareas of family strengths, structural factors and relationships both inside and outside the family. The study aimed to describe family functioning in EDs as evaluated by both the family members (n = 111) of older patients and nurses (n = 93). The data were collected from four Estonian hospitals, and the scale used was the Family Functioning, Health and Social Support scale. The results showed that both the family members and nurses evaluated family functioning and all its subareas as being moderate. Family structural factors were found to be associated with the family members' social status. The scores in the subareas were higher when older patients had received help from family members before the ED visit. The family members and nurses differed significantly in the scores they gave for family functioning in general and for all the subareas. No association was found between family functioning as rated by nurses and the families' demographic characteristics. These results suggest that nurses should pay more attention to family functioning in general and to the structural factors within the family, including internal relationships, while older patients are in the ED. Comprehensive knowledge about how families function during an ED stay may help nurses to better meet the needs of older patients and their families and help them to prepare families to provide aftercare at home. Our findings support the idea that healthcare organisation and delivery should be more family centred.

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“…These changes increase the risk of trauma. Of those admitted to the emergency department because of trauma average 12% are >65 years (1)(2)(3). At the same time, 25%-28% of deaths in individuals aged ≥65 years are associated with trauma (4).…”

Section: Introductionmentioning

confidence: 99%

Forensic Traumatic Cases in the Geriatric Population

Şener¹,

Kılınç²

2020

tjgeri

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Physiological and metabolic changes arising in elderliness may increase the risk of trauma. The causes of trauma and trauma severity may vary with age. We aimed to determine the causes of trauma, traumatic lesions, and permanent damage status in the geriatric population by analyzing forensic trauma cases. Materials and Method: Subjects were randomly selected from patients aged ≥65 years whose forensic evaluation was performed at the department of forensic medicine. The sample size was determined with Epi-Info version 7 software. SPSS Windows 20.0 software was used to analyze the data. Results: Of the patients, 68.9% were male and 31.1% were female, with a mean age of 72.8 ± 6.11 years. Among them, 53.8% and 46.2% were exposed to trauma due to non-accidental causes and an accident, respectively. Such accidental injuries most commonly occurred due to traffic accidents (78%) and falls (16.7%), whereas non-accidental injuries most commonly occurred due to intentional injuries (96.1%). Accidental and non-accidental injuries were most commonly seen in females and males, respectively. The injury severity score was higher for accidental injuries. Minor and major injuries were observed in 95.1% and 4.9% patients, respectively, according to the injury severity score. Of the major injuries, 42.9% were in the head and neck region. Conclusion: According to our results, non-accidental traumas in the geriatric population are similar to those in other age groups, whereas injuries due to falls increase in the former with a decrease in physiological reserves. Trauma severity appears to be more severe in accidental injuries.

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The ED use and non-urgent visits of elderly patients

Cited by 25 publications

References 16 publications

Characteristics and outcomes of older patients attending the emergency department at an academic university hospital

Characteristics and outcomes of older patients attending the emergency department at an academic university hospital

Family functioning evaluated by family members of older patients and nurses in emergency departments

Forensic Traumatic Cases in the Geriatric Population

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