Emergency Department Use by oldest-old Patients Between 2005 And 2010 in a Swiss University Hospital
Details
Serval ID
serval:BIB_B18A512699E7
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Collection
Publications
Institution
Title
Emergency Department Use by oldest-old Patients Between 2005 And 2010 in a Swiss University Hospital
Title of the conference
65th Annual Scientific Meeting of the Gerontological Society of America, Charting New Frontiers in Aging
Address
San Diego, Californa, United-States, November 14-18, 2012
ISBN
0016-9013
ISSN-L
1758-5341
Publication state
Published
Issued date
2012
Volume
52
Series
Gerontologist
Pages
780
Language
english
Abstract
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.
Create date
14/03/2013 16:29
Last modification date
20/08/2019 16:20
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