Atypical presentations of older adults at the emergency department and associated factors

Archives of Gerontology and Geriatrics
Panita LimpawattanaNatthida Tansangworn

Abstract

The objectives were to determine the prevalence of atypical presentations among older adults at the Emergency Department (ED) of a tertiary care hospital and to identify factors associated with these presentations. A retrospective medical record audit was randomly reviewed in 633 patients who were aged ≥ 65 years who attended the ED of Srinagarind Medical School Hospital in 2013. Demographic data were collected and were analyzed using descriptive statistics. Regression analysis was used to analyze the variables associated with the outcomes. The prevalence of an atypical presentation was 28.6% (181/633 cases). The failure to develop fever with a disease known to cause fever was the most common atypical presentation of illness (34.42%). Independent factors associated with atypical presentations were complicated urinary tract infection (UTI) (odds ratios (OR) 4.66, 95% confidence interval (CI) 2.0, 10.84, p=0.00) and a background of dementia (OR 3.48, 95% CI 1.38, 8.77, p=0.008). The prevalence of atypical presentations of older adults at the ED was about a third. The absence of fever with a disease known to cause fever was the most common atypical presentation. Complicated UTI and demented patients were the independent risk facto...Continue Reading

References

Jun 24, 2000·JAMA : the Journal of the American Medical Association·J G CantoC I Kiefe
Feb 28, 2002·Annals of Emergency Medicine·Fredric M Hustey, Stephen W Meldon
Mar 20, 2004·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Linda P FriedGerard Anderson
Oct 20, 2004·The American Journal of Nursing·Elaine J Amella
Apr 28, 2007·Clinics in Geriatric Medicine·Bryan D HayesFermin Barrueto
Nov 29, 2007·Internal and Emergency Medicine·F SalviP Dessì-Fulgheri
Mar 5, 2008·Critical Care Nursing Quarterly·Noel H Ballentine
Oct 31, 2008·The European Journal of General Practice·Annemarie A Uijen, Eloy H van de Lisdonk
Jul 14, 2010·Annals of Emergency Medicine·Nikolaos SamarasGabriel Gold
Aug 16, 2011·The American Journal of Geriatric Pharmacotherapy·S James Matthews, Jason W Lancaster
Jul 26, 2013·BMC Infectious Diseases·Astrid L WesterTorgeir Bruun Wyller
Jan 7, 2014·Aging Health·Theresa A Rowe, Manisha Juthani-Mehta
Feb 4, 2014·Infectious Disease Clinics of North America·Theresa Anne Rowe, Manisha Juthani-Mehta
Feb 7, 2015·Aging and Disease·Shinichi Iwasaki, Tatsuya Yamasoba

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Citations

Aug 9, 2016·Age and Ageing·Simon P Conroy, Sarah Turpin
Feb 23, 2018·Aging Clinical and Experimental Research·Ilaria LiguoriPasquale Abete
Aug 3, 2018·Journal of Primary Health Care·Lloyd David Hughes, Gavin Love
Nov 24, 2018·Journal of the American Geriatrics Society·Jeffrey M CaterinoKurt B Stevenson
Jul 25, 2019·Journal of the American Geriatrics Society·Gijs HesselinkYvonne Schoon
Apr 4, 2020·Health Education Research·Gijs HesselinkYvonne Schoon
Jul 16, 2020·Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society·Pinar Soysal, Osman Kara
Oct 12, 2017·British Journal of Hospital Medicine·Thomas Gilbert, Simon Conroy
Oct 27, 2016·Female Pelvic Medicine & Reconstructive Surgery·Cecile A UngerBeri Ridgeway
Oct 2, 2019·International Journal of Environmental Research and Public Health·Rónán O'CaoimhJohn O'Donnell
Jun 2, 2020·Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics
Jul 22, 2020·European Geriatric Medicine·Ahmet GürdalKadriye Orta Kılıçkesmez
Dec 3, 2020·Geriatrics & Gerontology International·Ana B Gómez-BeldaArturo Artero
Nov 6, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Paula Cristina Eiras PocoThiago Junqueira Avelino-Silva
Jan 19, 2021·Journal of the American Geriatrics Society·Jeffrey M CaterinoAndrew Schwaderer
Aug 23, 2021·The American Journal of Emergency Medicine·Joo Yeon MyoungYoon Hee Choi

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