Evaluation of Admission Causes and Mortality Rates of 65 Years of Age and Older Patients Admitted From the Emergency Department to the Intensive Care Unit

Karaveli, Arzu

doi:10.31086/tjgeri.2018.56

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…This findings were found to contradict other research. 32 Little improvement in the conditions that gave older patients with chest pain, shortness of breath or breathlessness and abdominal and body pain were the four most frequent problems reported to be associated with [34][35][36][37][38][39] In our research, several older patients were admitted to ED with circulatory system disorders. Especially ACS (STEMI / NSTEMI / unstable angina), CAD and HTN accompanied by patients with respiratory system disorders like COPD, metabolic disorders like DM and stroke-like cerebrovascular issues.…”

Section: Discussionmentioning

confidence: 99%

Assessment of General Characteristics of Geriatric Patients Admitted in a Tertiary Care Teaching Hospital

Palani¹,

Trichur²,

Kurian³

et al. 2021

IJOPP

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Aim/Background: The study aims to identify the risk profile of patients aged above 65 years and to study the pattern of drug use and resource planning for interventions. Methods and Materials: A prospective observational study was conducted in the Department of Emergency and Critical Care, Sri Ramachandra Institute of Higher education and Research that offers health care services in Porur, Chennai. Eighty-four patients were watched during the study period of 6 months. After providing written and oral information, written informed consent or proxy content was obtained from every participant before inclusion. Results: We characterized adults older than 65 years attending the ED in urban tertiary health care teaching hospital and observed several parameters like demographic variables, admission and discharge details, Prolonged Length of Stay (LOS), reasons for admission to Emergency Department, diagnosis, comorbidities, polypharmacy and final disposition. Conclusion: The rate of hospitalization and the rate of admissions were higher for the geriatric population when compared to younger adults in the Emergency Department. These rates increased with increasing age, presence of comorbidities and acute illness severity. In our study, disorders of the circulatory system were the leading cause that led to admission, hospitalization and mortality of the elderly.

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Section: Discussionmentioning

confidence: 99%

Assessment of General Characteristics of Geriatric Patients Admitted in a Tertiary Care Teaching Hospital

Palani¹,

Trichur²,

Kurian³

et al. 2021

IJOPP

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“…Os dados sociodemográficos encontrados foram semelhantes em estudos nacionais [8][9] , e em estudo internacional 10 .…”

Section: Discussionunclassified

Perfil epidemiológico e clínico de idosos hospitalizados no setor de emergência

Sampaio

Moreira

Oliveira

et al. 2020

revenf

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Objetivo: traçar o perfil epidemiológico e clínico de idosos atendidos em um serviço de emergência de um hospital de referência da zona norte do Estado do Ceará. Metodologia: Estudo transversal, realizado no período de julho a agosto de 2018, no setor de emergência de um hospital cearense. Participaram 80 idosos hospitalizados que responderam um formulário estruturado com dados epidemiológicos, clínicos e sobre os cuidados de enfermagem. Os resultados foram compilados com auxílio do Software R. Resultados: Prevaleceram idosos homens (51,25%), diagnosticados por acidente vascular encefálico (38,75%) e que tinham doenças crônicas associadas (65,00%). O serviço de enfermagem foi avaliado como bom (62,5%), mas os participantes sugeriram melhor agilidade (23,75%) e garantia da privacidade (18,75%). Conclusões: Idosos hospitalizados no setor da emergência possuem vulnerabilidades clínicas múltiplas, avaliam o serviço de enfermagem como bom, mas necessitam de melhor resolutividade em seu atendimento, bem como respeito ético.Descritores: Enfermagem; Saúde do idoso; Hospitalização. EPIDEMIOLOGICAL AND CLINICAL PROFILE OF HOSPITALIZED ELDERLY PEOPLE IN THE EMERGENCY SECTORObjective: To outline the epidemiological and clinical profile of elderly people attended in an emergency service of a reference hospital in the northern zone of the State of Ceará. Methodology: Transversal study, accomplished from July to August of 2018 in the emergency sector of a hospital from Ceará. 80 hospitalized elderly people took part in the study and answered a structured form with data epidemiological, clinical and nursing care data. The results were compiled with the support of the Software R. Results: Men prevailed (51,25%), diagnosed with cerebrovascular accident (38,75%) and the associated chronic diseases (65,00%). The nursing service was evaluated as good (62,5%), but the participants proposed a better agility (23,75%) and the assurance of privacy (18,75%). Conclusion: Hospitalized elderly people in the emergency sector possess multiple clinical vulnerabilities, evaluated the nursing service as good, but required a better standard of problem-solving in the care, as well as ethical respect.Descriptors: Nursing; Elderly health; Hospitalization. PERFIL EPIDEMIOLÓGICO Y CLÍNICO DE ANCIANOS INGRESADOS EN EL SECTOR DE URGENCIASObjetivo: trazar el perfil epidemiológico y clínico de los ancianos atendidos en un servicio de urgencias de un hospital de referencia en la zona norte del Estado de Ceará. Metodología: Estudio transversal, realizado en el periodo de julio a agosto de 2018 en el sector de urgencias de un hospital cearense. Han participado 80 ancianos ingresados en el sector de urgencias que han respondido a un impreso estructurado con datos epidemiológicos, clínicos y bajo los cuidados de enfermería. Los resultados han sido allegados con el software R. Resultados: Han prevalecido ancianos hombres (51,25%), diagnosticados con accidente vascular encefálico (el 38,75%) y que poseían enfermedades crónicas asociadas (el 65%). El servicio de enfermería ha sido evaluado como bueno (el 62,5%), pero los participantes han sugerido mejor agilidad en el atendimiento (el 23,75%) y garantía de la privacidad (el 18,75%). Conclusiones: Ancianos ingresados en el sector de urgencias poseen vulnerabilidades clínicas múltiples, evalúan el servicio de enfermería como bueno, sin embargo necesitan mejor viveza en su atendimiento, tal como respeto ético.Descriptores: Enfermería; Salud del anciano; Ingreso hospitalario.

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“…Although nonagenarians, namely individuals aged ≥90 years represent a small subgroup, they are at high risk of death. In the literature, many studies frequently evaluating patients aged 65 years or ≥80 years can be found (3,4). However; only a few studies on elderly patients in ICU have included nonagenarians (5-7).…”

Section: Introductionmentioning

confidence: 99%

Do Surgical Patients Older Than 90 Years More Benefit From Intensive Care Unit

Arıkan¹

2020

tjgeri

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The number of elderly patients followed in intensive care units is increasing day by day. In the literature, there are a limited number of studies covering patients aged 90 and over. We aimed to investigate the epidemiologic characteristics and clinical outcomes of elderly patients aged ≥90 years admitted to intensive care unit. Materials and Methods: In this study, medical records of patients aged ≥90 years admitted to intensive care unit, between January 2015 and January 2018, were retrospectively reviewed. Demographic data, reason for admission (medical or surgical), Acute Physical and Chronic Health Evaluation II (APACHE II) score, need for and duration of mechanical ventilation, need for inotropic agents, duration of intensive care unit stay, and mortality rate were recorded. Results: A total of 107 nonagenarians were evaluated. The mean age of the patients was 92.65 ± 2.36 years, and 72 of them were women. The mean score of APHACHE II was 23.6 ± 7.2. Most patients were admitted due to medical reasons (n = 82, 76.63%). Sixty-four of the medical patients, and four of the surgical patients had died in the intensive care unit (n = 68, 63.55%). APACHE II score, need for and the duration of mechanical ventilation, need for inotropic agents, the duration of intensive care unit stay, and the mortality rate were higher in medical patients than in surgical patients. Conclusions: The mortality rates of the medical patients were high; nevertheless, we believe that surgical patients more benefit from intensive care unit follow-up.

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Evaluation of Admission Causes and Mortality Rates of 65 Years of Age and Older Patients Admitted From the Emergency Department to the Intensive Care Unit

Cited by 4 publications

References 11 publications

Assessment of General Characteristics of Geriatric Patients Admitted in a Tertiary Care Teaching Hospital

Assessment of General Characteristics of Geriatric Patients Admitted in a Tertiary Care Teaching Hospital

Perfil epidemiológico e clínico de idosos hospitalizados no setor de emergência

Do Surgical Patients Older Than 90 Years More Benefit From Intensive Care Unit

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