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- Title
Evaluation of Geriatric Patients Presenting to the Emergency Department and Experiencing in-Hospital Adverse Events.
- Authors
ARABUL, Beyza; TAŞLIDERE, Bahadır
- Abstract
Introduction: Over the past 25 years, geriatric emergency medicine has evolved into a distinct sub-branch. In our country, geriatric patients are evaluated alongside other patients, leading to insufficient consideration of their specific needs and potentially lower quality of emergency care. Our aim is to identify the most appropriate approaches in geriatric patient care by analyzing the adverse events experienced by these patients within the hospital. Method: The retrospective study was conducted between 01.09.2022 and 30.11.2022, focusing on patients over 65 years of age who visited the emergency department. Data were obtained from the hospital automation system. In-hospital adverse events were defined as mortality, surgical interventions, intensive care needs, angiography, and endoscopy. Demographic information, vital signs, comorbidities, laboratory values, and outcomes were recorded. Patients were divided into two groups: 75 years and over and 65-74 years. Results: A total of 167 patients were retrospectively examined, revealing an average age of 78.11±3.55. Adverse events occurred in 32% of the patients, with 2.3% mortality. Notably, 55.6% of the patients were discharged from the emergency department. Four patients (2.3%) succumbed in the emergency department. Among the patients, 28.1% were admitted to regular wards, 12.5% to intensive care units, and 3.8% declined treatment. Surgical intervention was required in 18.5% of cases, and interventional procedures such as angiography and endoscopy were performed in 13.7% of cases. The average duration of stay in the emergency department was 177.8±122 minutes for those aged 65-74 and 286±127 minutes for those aged 75 years and older (p=0.003). Conclusion: Geriatric patients often seek emergency care because of age-related physiological changes and comorbidities. A comprehensive and multidisciplinary approach is essential when facing in-hospital medical events to ensure optimal outcomes for these vulnerable individuals.
- Subjects
HOSPITAL emergency services; GERIATRIC rehabilitation; INTENSIVE care units; GERIATRIC care units; EMERGENCY physicians; PATIENTS' attitudes; GERIATRICS; HOSPITALS
- Publication
Bezmialem Science, 2024, Vol 13, pS39
- ISSN
2148-2373
- Publication type
Article