The Determination of the Status of Emergency Department use by Elderly Patients and of the Indicators for Ambulance Use

Yenal, Sinan

doi:10.31086/tjgeri.2018240412

Cited by 4 publications

(4 citation statements)

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“…We suspect that this rate would further increase if the age limit is increased, because our region is located at the border, thus providing more opportunities for truck drivers. Yenal et al (18) reported that 34.2% of the elderly patients were admitted to the emergency department through an ambulance; this rate was22.2% in our study. We think this low rate is related to the low injury severity in these cases.…”

Section: Discussionsupporting

confidence: 44%

Occupational Injuries Among The Elderly Admitted To The Emergency Department

Salt¹

2019

tjgeri

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Occupational injuries are among the leading causes of morbidity and mortality worldwide. The rate of occupational injuries in the elderly is increasing daily and is directly proportional to the increase in the elderly population. This study aimed to examine occupational injuries in elderly patients (age, >65 years) admitted to the emergency department. Materials and Method: This cross-sectional study included 122 patients aged >65 yearold who were admitted to the third level emergency department with an occupational injury between January 2016 and January 2018. The demographic characteristics of the patients, type of work accident, type of injury, injured body parts, and comorbid conditions were recorded and statistically evaluated. Results: The mean patient age was 67.8±2.3 years (mean±SD); 85.5% (n:108) of the patients were men, and 85.2% (n:104) were retired. Hypertension was the most commonly observed comorbidity (35.2%, n:43). Falls from the same or a high level were the most commonly observed injury mechanisms (56.7%, n:74). The extremities were the most commonly injured body part (54.9%, n:67); sprains/strains were the most commonly observed injury type (47.5%, n:58). None of the injuries resulted in death. Conclusion: The proportion of elderly workers is increasing owing to the rising elderly population worldwide. Because of increased cognitive and motor disabilities, there is an increased risk of occupational injuries in this age group. Thus, occupational injuries in the elderly should be more carefully evaluated in the emergency department.

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Section: Discussionsupporting

confidence: 44%

Occupational Injuries Among The Elderly Admitted To The Emergency Department

Salt¹

2019

tjgeri

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“…Compared to other studies evaluating emergency department admissions and ambulance calls of elderly patients in our country, the population is older, but the gender distribution is similar [9,10,11]. In Turkey, in 2019 women constitutes 55.8% of the elderly population and gender life expectancy is longer than men 3 . The reason for this difference among gender may be that we only evaluated the elderly population in this study.…”

Section: Discussionmentioning

confidence: 64%

“…In the USA, elderly patients account for more than 15% of all emergency department (ED) patients 1 . However, in Turkey, 20% of patients attending the ED are patients aged 65 years and older [1,2], and 34.2% of elderly patients arrive at the ED by ambulance [3]. In particular, the number of patients aged 80 years and older who are transferred by ambulance is higher than that of all other age groups [4].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of ambulance calls for patients over 65 years of age in İzmir, Turkey: a two- year retrospective analysis

Pakdemirli¹,

Bayram²,

Güvenç³

et al. 2021

Turk J Med Sci

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Background/aim: Analysis of interventions for special patient groups is important for the planning of health services, especially emergency medical services. In this study, we aimed to evaluate emergency medical service (EMS) interventions for the elderly and determine the decisive factors affecting transfer to the hospital of EMS team, over two years (2017)(2018) in İzmir. Materials and methods:Records of 112 emergency calls that were made between 2017 and 2018 followed up with interventions for patients aged 65 years and older were obtained from the 112 system. The reasons for the calls, outcomes, possible diagnoses of the patients, differences in time intervals and seasons, characteristics of the patients transferred to the hospital, and factors affecting the need for transfer to the hospital were investigated.Results: A total of 176,104 elderly patients with a mean age of 78.02 ± 8.0 years required ambulance services, and out of them, 66% were transferred to the hospital. Transfer to the hospital was significantly associated with the event location, gender, time interval, international classification of diseases (ICD) codes, and physical examination findings. Conclusion:Ambulance interventions are more frequently required in urban areas than in the countryside, and calls are mostly made in the daytime hours and during winter months.The decision to transfer a patient to the hospital is based on the patient's respiratory status, skin examination, state of consciousness, pulse, systolic blood pressure, call time, and the preliminary diagnosis of the crew.

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“…The growth in the absolute numbers of persons 65 years of age and older will potentially lead to an increase in the emergency department (ED) visits rates [5][6][7][8] . This tendency represents a significant challenge for the ED in the context of resource scarcity and restricted specific critical skills of emergency healthcare workers in caring for this population [5][6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Characteristics and outcomes of older patients attending the emergency department at an academic university hospital

Tekin

Demirtaş

Nur

et al. 2019

Cumhuriyet Medical Journal

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Because older populations have been increased significantly over the last decades globally, emergency departments (ED) have become a vital place in the care of older patients. Characterizing the usage of the ED by older patients will facilitate the qualifying planning activities in emergency care delivery. Method: The retrospective data were extracted from a database and included all patients, aged 65 years or over, admitted to the ED between 1 January 2017-31 December 2017. Results: The rate of ED visits accounted for 16.1%. A large majority of the ED visits were during the day shift (49.6 %), and in summer months (June-August 28.7 %). The most common diagnoses (18.4%) were cardiovascular conditions. A large majority (67.8%) of ED visits involved diagnostic imaging, and nearly half (46.7%) of them received consultation services. Nearly one-third (31.3%) of older patients were admitted to hospital following their ED visit. Hospital admission, length of stay in ED, having consulting service, involving some kind of diagnostic imaging and being triaged as urgent/emergent are more likely to be increased with age group. Conclusions: ED visits increase with age and also the resource use intensity of the ED, including the length of stay, diagnostic imaging, consultation and admission to the hospital after an ED visit appears to increase with aging. Patterns of the ED usage were described in this study may be helpful in resource planning, or may provide an approach for the future the investigation involving improved or alternative care options for the older patient.

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The Determination of the Status of Emergency Department use by Elderly Patients and of the Indicators for Ambulance Use

Abstract: Turkish Journal of Geriatrics (TJG) is welcoming you with its new face in the first issue of 2018. Our scientific journey has started in 1998 and since then, our efforts specifically targeted to improve health and wellbeing of aging societies globally.

Cited by 4 publications

References 0 publications

Occupational Injuries Among The Elderly Admitted To The Emergency Department

Occupational Injuries Among The Elderly Admitted To The Emergency Department

Evaluation of ambulance calls for patients over 65 years of age in İzmir, Turkey: a two- year retrospective analysis

Characteristics and outcomes of older patients attending the emergency department at an academic university hospital

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