Alcohol Abuse in Elderly Emergency Department Patients

Adams, Wendy L.; Magruder-Habib, Kathryn; Trued, Sally; Broome, Harry L.

doi:10.1111/j.1532-5415.1992.tb03649.x

Cited by 105 publications

(50 citation statements)

References 33 publications

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“…30 This is similar to the prevalence found in other studies. 54,55 Despite the high prevalence, alcohol problems are identified by emergency physicians (EPs) in only about 20% of cases. 54 Alcohol use is associated with traumatic injuries, and 13% of older adults seen in the ED for trauma have blood alcohol levels over 100 mg/ dL.…”

Section: Discussionmentioning

confidence: 99%

“…54,55 Despite the high prevalence, alcohol problems are identified by emergency physicians (EPs) in only about 20% of cases. 54 Alcohol use is associated with traumatic injuries, and 13% of older adults seen in the ED for trauma have blood alcohol levels over 100 mg/ dL. 56 Studies of interventions to reduce hazardous alcohol use among older adults in the primary care setting and among younger patients in the ED have been effective.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Stevens

Richmond

Pereira

et al. 2014

Academic Emergency Medicine

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Objectives: Health outcomes among older emergency department (ED) patients may be influenced by physical, economic, and psychological problems not routinely identified during the ED visit. The objective of this study was to characterize such problems among older adults presenting to the ED.Methods: This was a prevalence study with enrollment during 4-hour periods randomly selected between 9 a.m. and 9 p.m. on random days of the week over a period of 8 weeks at an academic ED in the southeast United States. Participants were noninstitutionalized, cognitively intact adults aged 65 years or older without life-threatening illness or injury. Consenting patients were asked about the frequency of 10 prespecified problems during the past year.Results: Patients (N = 138) were non-Hispanic white (69%) and female (57%) and almost all had primary providers (95%) and health insurance (98%). Forty percent reported their overall health as fair (21%) or poor (19%). Hazardous drinking habits were reported by 10% of patients. The prevalence of problems occurring either "sometimes" or "often" in the past year were pain (60%), difficulty walking (47%), lack of money (32%), isolation and loneliness (14%), lack of transportation (12%), difficulty scheduling a doctor's appointment (4%), difficulty getting prescriptions filled (4%), and lack of dental care (6%). Nine patients (7%) reported experiencing physical or psychological abuse at some point in the past year. Females, minorities, and individuals living in urban areas reported higher rates of most problems.Conclusions: Nonmedical problems are common among cognitively intact, independent living, noncritically ill older patients presenting to an ED in the southeast United States.ACADEMIC EMERGENCY MEDICINE 2014;21:651-658

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Stevens

Richmond

Pereira

et al. 2014

Academic Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…12 On the other hand, a high proportion of individuals older than 65 years fulfill criteria for alcohol abuse and dependence. 13 Gender and Alcohol-Related Liver Injury…”

Section: Age and Alcohol Consumptionmentioning

confidence: 99%

Prevalence and Natural History of Alcoholic Liver Disease

Schwartz

Reinus

2012

Clinics in Liver Disease

121

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“…Yaşlı hastalarda semptomların başlangıcında veya tablonun netleşmesinde gecikmeler sıklıkla görülmektedir (12). Acil serviste cerrahi müdahale gerektiren bir sorunu tanıyamamanın, hasta yatırılsa ya da taburcu edilse de mortaliteyi arttırdığı gösterilmiştir (13). Acil serviste tanı konulamayan ve eve taburcu edilen bu hastaların yaklaşık üçte biri devam eden yakınmalar ile acil servise geri dönmektedirler (14).…”

Section: Tanı Koymada Güçlüklerunclassified

Geriatrik hastada akut karın ağrısına yaklaşım

Ersel¹

2014

Ege Tıp Dergisi

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Dünya nüfusunun hızla yaşlanması sonucu acil servislere karın ağrısı ile başvuran geriatrik yaş grubu hasta sayısı da hızla artmaktadır. Değişen fizyoloji, komorbid hastalıklar, iletişim güçlükleri, çoklu ilaç kullanımı, yaşlı hastalarda akut karın tablosunda tanı koymayı güçleştirmektedir. Bu güçlüklere karşın bir çok hastanın organ spesifik tanısı acil serviste konmaktadır. Geriatrik yaş grubundaki hastalarda karın ağrısı tablosunda altta yatan bir cerrahi patoloji olma olasılığı yüksektir. Bu nedenle geriatrik hastaların karın ağrılarında tetkik ve konsültasyon istemleri diğer hasta gruplarına oranla daha hızlandırılmış ve öncelikli olarak yapılmalı, tanı güçlüğü çekilen hastalarda yatış ile gözlem ön plana alınmalıdır.Anahtar Sözcükler: Acil servis, acil yaklaşım, akut batın, geriatrik hasta. Summary As a result of rapidly aging of the world's population, the number of patients admits with complaint of acute abdominal pain to the emergency deparments in the geriatric age group is increasing. Changing physiology, comorbid disorders, barriers to communication and polypharmacy makes it difficult to make diagnosis in elderly patients

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Alcohol Abuse in Elderly Emergency Department Patients

Cited by 105 publications

References 33 publications

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Prevalence and Natural History of Alcoholic Liver Disease

Geriatrik hastada akut karın ağrısına yaklaşım

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