التفاصيل البيبلوغرافية
| العنوان: |
Older Adult Patients in the Emergency Department: Which Patients should be Selected for a Different Approach? |
| المؤلفون: |
Aguirre, Nere Larrea, Gutiérrez, Susana García, Miro, Oscar, Aguiló, Sira, Jacob, Javier, Alquézar-arbé, Aitor, Burillo, Guillermo, Fernandez, Cesáreo, Llorens, Pere, Alonso, Cesar Roza, Lopez, Ivana Tavasci, Cañete, Mónica, Asensio, Pedro Ruiz, Díaz, Beatriz Paderne, Pizarro, Teresa Pablos, Navarro, Rigoberto Jesús Del Rio, Viola, Núria Perelló, Hernández-castells, Lourdes, Soler, Alejandro Cortés, Sánchez Fernández-linares, Elena, Serrano, Jesús Ángel Sánchez, Ezponda, Patxi, Lorenzo, Andrea Martínez, Liarte, Juan Vicente Ortega, Ramón, Susana Sánchez, Aranda, Asumpta Ruiz, Martín-sánchez, Francisco Javier, Del Castillo, Juan González, On Behalf Of The Members Of The Siesta Network |
| المصدر: |
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
| بيانات النشر: |
The Korean Geriatrics Society |
| سنة النشر: |
2024 |
| المجموعة: |
Dipòsit Digital de la Universitat de Barcelona |
| الوصف: |
Background: While multidimensional and interdisciplinary assessment of older adult patients improves their short-term outcomes after evaluation in the emergency department (ED), this assessment is time-consuming and ill-suited for the busy environment. Thus, identifying patients who will benefit from this strategy is challenging. Therefore, this study aimed to identify older adult patients suitable for a different ED approach as well as independent variables associated with poor short-term clinical outcomes. Methods: We included all patients >= 65 years attending 52 EDs in Spain over 7 days. Sociodemographic, comorbidity, and baseline functional status data were collected. The outcomes were 30 -day mortality, re -presentation, hospital readmission, and the composite of all outcomes. Results: During the study among 96,014 patients evaluated in the ED, we included 23,338 patients >= 65 years-mean age, 78.4 +/- 8.1 years; 12,626 (54.1%) women. During follow-up, 5,776 patients (24.75%) had poor outcomes after evaluation in the ED: 1,140 (4.88%) died, 4,640 (20.51) returned to the ED, and 1,739 (7.69%) were readmitted 30 days after discharge following the index visit. A model including male sex, age >= 75 years, arrival by ambulance, Charlson Comorbidity Index >= 3, and functional impairment had a C -index of 0.81 (95% confidence interval, 0.80-0.82) for 30 -day mortality. Conclusion: Male sex, age >= 75 years, arrival by ambulance, functional impairment, or severe comorbidity are features of patients who could benefit from approaches in the ED different from the common triage to improve the poor short-term outcomes of this population. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| Relation: |
Reproducció del document publicat a: https://doi.org/10.4235/agmr.23.0121; Annals of Geriatric Medicine and Research, 2024, vol. 28, issue. 1, p. 9-19; https://doi.org/10.4235/agmr.23.0121; http://hdl.handle.net/2445/214053 |
| الاتاحة: |
http://hdl.handle.net/2445/214053 |
| Rights: |
info:eu-repo/semantics/embargoedAccess |
| رقم الانضمام: |
edsbas.2EBBBD71 |
| قاعدة البيانات: |
BASE |