Initial pattern of elderly patients and effect on their orientation after their visit in the emergency departments. Results from a national study

La Revue de médecine interne
C LazaroviciP Espinoza

Abstract

We have little information on the geriatric characteristics of elderly patients visiting the emergency departments (ED) in France. In order to develop an adapted prevention of the arrival of some elderly patients, the determinants of their arrival to the ED deserves to be better known. A one-day cross-sectional study was conducted in French ED. A standardized questionnaire was used for each patient over 80 years (Pts), specifying the sociodemographic characteristics, the circumstances of visit to and care received in the ED, and the orientation of the patients after consulting the ED. On a sample of 1298 Pts, health event leading to ED started at home in 63.8% of cases. When the patients initiated themselves the recourse to health care (RHC), they called less often a general practitioner (61.9% of cases) than when the RHC was triggered by their family (69.6%, p=0.01). When a health care professional initiated the RHC, it was a GP in more than 80% of cases. Return to residence was more frequent when the patient triggered the RHC (34.5% versus 22.9% for the family and 16.0% for the professional health care, p<0,001). The actor of the decision of arrival to the ED has an impact in the RHC, in resources utilisation, and on the pati...Continue Reading

References

Nov 1, 1987·Journal of Gerontology·W H EttingerK Piazza-Appel
May 1, 1997·Journal of Accident & Emergency Medicine·S A KhanF G Miskelly
Jan 12, 2000·American Journal of Public Health·R A RosenblattL G Hart
May 12, 2001·Journal of the American Geriatrics Society·C BoultC F Urdangarin
Apr 9, 2005·Journal of the American Geriatrics Society·Mikkel VassCarsten Hendriksen

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Citations

Nov 26, 2009·Journal of Gerontological Nursing·Margaret R Nolan
Oct 12, 2010·Aging Clinical and Experimental Research·Christophe E GrafThierry Chevalley

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