AI Summary & Key Takeaways
AI InsightFor elderly patients that were discharged, the average length of stay in the ED was 162.7 min- utes, whereas patients that were admitted into the hospital stayed in the ED over an average of 220.6 minutes (p
📌 3 Key Takeaways
Abstract
Objectives We aimed to investigate the demographic and clinical outcomes of elderly patients that presented to the emergency department (ED). Methods Patients that were 65 years and older that presented to the Mersin Univer- sity Medicine Faculty ED between December 1, 2011 and November 30, 2012 made up the study sample. From this pool of potential study subjects, trauma patients were excluded and then 10% of the remaining patients were randomly selected to form the final study sample. A retrospective chart review was performed. Results A total of 949 elderly ED patients were studied of which 53.7% were be- tween the ages of 65 to 74 years, 37.6% were 75 to 84 years, and 8.6% were 85 years and older. Compared to elderly patients that were 85 years and older, patients in the 65-74 years and 75-84 years age groups both had sig- nificantly greater usage of antiplatelet drugs (p=0.029) and medications that treat neurological disorders (p=0.014). From the ED, cardiology was the most commonly consulted at 15.2% followed by internal medicine at 13.7% and pulmonary medicine at 7.4%. Moreover, the number of consul- tations significantly increased with older age (p=0.003). For elderly patients that were discharged, the average length of stay in the ED was 162.7 min- utes, whereas patients that were admitted into the hospital stayed in the ED over an average of 220.6 minutes (p
Özet
AmaçBu çalışmada, acil servise başvuran yaşlı hastaların demografik, kliniközellikleri ile sonuçlar değerlendirildi.Gereç ve Yöntem Çalışmamıza, Mersin Üniversitesi Tıp Fakültesi Hastanesi Acil Servisi’ne 1 Aralık 2011-30 Kasım 2012 tarihleri arasında 12 aylık dönemde baş-vuran tüm 65 yaş ve üstü hastalar alındı. Travma hastaları dışlandıktan sonra %10 rastgele örneklemesi uygulandı. Çalışma geriye yönelik ola-rak yapıldı.BulgularGenç yaşlıların (65-74 yaş) (n=510, %53.7), başvuru oranı diğer yaşgruplarına (75-84 yaşta [n=357, %37.6] ve >85 yaşta [n=82, %8.6]) göreyüksekti. 65-74 ile 75-84 yaş grupları arasında antiagregan (p=0.029) venörolojik ilaçların kullanımı açısından istatistiksel anlamlı farklılık vardı(p=0.014). En sık konsültasyon istenen üç bölüm kardiyoloji (%15.2), içhastalıkları (%13.7) ve göğüs hastalıkları (%7.4) olarak bulundu ve yaşarttıkça konsültasyon istenme oranlarının arttığı tespit edildi (p=0.003).Acil servisten taburcu edilen hastaların ortalama 162.7 dakika, yatanhastaların ortalama 220.6 dakika acil serviste kaldıkları tespit edildi(p