Trends and characteristics of attendance at the emergency department of a Swiss university hospital: 2002-2012.

Détails

Ressource 1Télécharger: 25996594.pdf (835.33 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_ED4F0FFBD772
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Trends and characteristics of attendance at the emergency department of a Swiss university hospital: 2002-2012.
Périodique
Swiss Medical Weekly
Auteur(s)
Shaha M., Gmuer S., Schoenenberger A.W., Gerber F.S., Exadaktylos A.
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
145
Pages
w14141
Langue
anglais
Résumé
BACKGROUND: The numbers of people attending emergency departments (EDs) at hospitals are increasing. We aimed to analyse trends in ED attendance at a Swiss university hospital between 2002 and 2012, focussing on age-related differences and hospital admission criteria.
METHODS: We used hospital administrative data for all patients aged ≥16 years who attended the ED (n = 298,306) at this university hospital between 1 January 2002, and 31 December 2012. We descriptively analysed the numbers of ED visits according to the admission year and stratified by age (≥65 vs <65 years).
RESULTS: People attending the ED were on average 46.6 years old (standard deviation 20 years, maximum range 16‒99 years). The annual number of ED attendances grew by n = 6,639 (27.6%) from 24,080 in 2002 to 30,719 in 2012. In the subgroup of patients aged ≥65 the relative increase was 42.3%, which is significantly higher (Pearson's χ2 = 350.046, df = 10; p = 0.000) than the relative increase of 23.4% among patients <65 years. The subgroup of patients ≥65 years attended the ED more often because of diseases (n = 56,307; 85%) than accidents (n = 9,844; 14.9%). This subgroup (patients ≥65 years) was also more often admitted to hospital (Pearson's χ2 = 23,377.190; df = 1; p = 0.000) than patients <65 years.
CONCLUSIONS: ED attendance of patients ≥65 years increased in absolute and relative terms. The study findings suggest that staff of this ED may want to assess the needs of patients ≥65 years and, if necessary, adjust the services (e.g., adapted triage scales, adapted geriatric screenings, and adapted hospital admission criteria).
Pubmed
Web of science
Open Access
Oui
Création de la notice
26/05/2015 12:28
Dernière modification de la notice
20/08/2019 16:15
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