Emergency Department Use by oldest-old Patients Between 2005 And 2010 in a Swiss University Hospital
Détails
ID Serval
serval:BIB_B18A512699E7
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Abstract (résumé de présentation): article court qui reprend les éléments essentiels présentés à l'occasion d'une conférence scientifique dans un poster ou lors d'une intervention orale.
Collection
Publications
Institution
Titre
Emergency Department Use by oldest-old Patients Between 2005 And 2010 in a Swiss University Hospital
Titre de la conférence
65th Annual Scientific Meeting of the Gerontological Society of America, Charting New Frontiers in Aging
Adresse
San Diego, Californa, United-States, November 14-18, 2012
ISBN
0016-9013
ISSN-L
1758-5341
Statut éditorial
Publié
Date de publication
2012
Volume
52
Série
Gerontologist
Pages
780
Langue
anglais
Résumé
Introduction: Population ageing challenges Emergency Departments (ED) with a population shift toward
higher age groups. Patients aged 85+, represent the fastest growing segment, leading to more prevalent
complex situations within ED.
Method: Retrospective analysis of 56'162 ED visits of patients at the University of Lausanne Medical
Center (CHUV), from 2005 to 2010.
Results: ED visits of 65+ patients increased from 8'228 to 10'390/year, representing 6 patients/day more
(+26%). 85+ Patients increased by +46% vs +20% for the 65-84 (+20% ED visits of people 18-64y).
Median age of the 65+ ED patients increased from 78.7 to 79.3 years. 85+ patients were more likely than
65-84y patients to come from a NH setting (13% vs 4%) and to be hospitalised (70% vs 59%). Median
length of stay difference between both age groups extended from 2 hours 08 min in 2005 to 2 hours 45
min in 2010. First reason to visit ED was fall/injury for 85+ patients (27%; 65-84: 18%) and a cardiovascular disorder
for patients aged 65-84y (18%; 85+: 16%). Part of high degree of emergency cases (42%) and
readmission to ED within 30 days (8%) were similar for both age classes (similar proportions in 2005 and
2010 for these 3 issues).
Conclusion: Patients aged 85+ are the fastest growing group admitted to ED. Compared to younger
counterparts, they use more ED ressources and the differences are increaseing overtime. ED addressing
specific needs of geriatric patients would improve their care and lead to a better use of available
resources.
higher age groups. Patients aged 85+, represent the fastest growing segment, leading to more prevalent
complex situations within ED.
Method: Retrospective analysis of 56'162 ED visits of patients at the University of Lausanne Medical
Center (CHUV), from 2005 to 2010.
Results: ED visits of 65+ patients increased from 8'228 to 10'390/year, representing 6 patients/day more
(+26%). 85+ Patients increased by +46% vs +20% for the 65-84 (+20% ED visits of people 18-64y).
Median age of the 65+ ED patients increased from 78.7 to 79.3 years. 85+ patients were more likely than
65-84y patients to come from a NH setting (13% vs 4%) and to be hospitalised (70% vs 59%). Median
length of stay difference between both age groups extended from 2 hours 08 min in 2005 to 2 hours 45
min in 2010. First reason to visit ED was fall/injury for 85+ patients (27%; 65-84: 18%) and a cardiovascular disorder
for patients aged 65-84y (18%; 85+: 16%). Part of high degree of emergency cases (42%) and
readmission to ED within 30 days (8%) were similar for both age classes (similar proportions in 2005 and
2010 for these 3 issues).
Conclusion: Patients aged 85+ are the fastest growing group admitted to ED. Compared to younger
counterparts, they use more ED ressources and the differences are increaseing overtime. ED addressing
specific needs of geriatric patients would improve their care and lead to a better use of available
resources.
Création de la notice
14/03/2013 16:29
Dernière modification de la notice
20/08/2019 16:20
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