Emergency department visits in older patients: a population-based survey

BMC Emergency Medicine
Mika UkkonenSatu-Liisa Pauniaho

Abstract

Given the higher incidence of emergency conditions in older inhabitants, the global increase in aged population will pose a challenge for emergency services. In this study we examined the burden caused to emergency health care by the aged population. Consecutive patients aged 80 years or over visiting a high-volume, collaborative emergency department (ED) between 2015 and 2016 were included. The key factors under analysis were the incidence of emergency conditions and costs associated with emergency care. A total of 6944 patients (median age 85 years, range 80-104 years; 67% female) aged ≥80 years representing 1.5% of the local population, made 17,769 ED visits during the two-year observation period accounting for 15% of all ED visits. Forty-two percent (n = 2884) of patients had a single ED visit, whereas 8.2% (n = 570) made ≥5 ED visits/year for a total of 1400 visits (7.9%). Thirty-two percent of those aged ≥80 years required ED services each year. The number of ED visits increased with age (p < 0.001); and was 768/1000 person-years among octogenarians and 1007/1000 among nonagenarians, in comparison to 233/1000 among those aged < 80 years. One in five of the study population were discharged with non-specific diagnoses. Typi...Continue Reading

References

Apr 8, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Marek NemecRoland Bingisser
Sep 14, 2012·The Cochrane Database of Systematic Reviews·Lesley D GillespieSarah E Lamb

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Citations

Apr 20, 2020·Updates in Surgery·Rame BashirJeffry Nahmias
Oct 25, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Nathan BalzerKeerat Grewal
Oct 29, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Inés Eguaras CórdobaMagnolia Cardona
Dec 22, 2020·Iranian Journal of Nursing and Midwifery Research·Hosein Babatabar-DarziAbbas Ebadi
Mar 20, 2021·World Journal of Emergency Surgery : WJES·Davide ZattoniGiampaolo Ugolini
Oct 19, 2020·The American Journal of Emergency Medicine·Zerrin Defne DundarMustafa Kursat Ayranci
May 15, 2021·Journal of Pain and Symptom Management·David PeranMartin Loucka

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Software Mentioned

SPSS Statistics

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