Öz
Kaynakça
- 1. Turkish Statistical Institute. https://data.tuik.gov.tr/Bulten/ Index?p=Elderly -Statistics-2021-45636#:~:text
- 2. Goebeler S, Jylhä M, Hervonen A. Use of hospitals at age 90. A population-based study. Arch Gerontol Geriatr 2004; 39: 93-102.
- 3. Mert E. Use of emergency department by elderly patients. Turkish Journal of Geriatrics 2006; 9: 70-4.
- 4. Ackroyd-Stolarz S, Read Guernsey J, Mackinnon NJ, Kovacs G. The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. BMJ Qual Saf 2011; 20: 564-9.
- 5. Arnold J, Dai J, Nahapetyan L, Arte A, Johnson MA, Hausman D, et al. Predicting successful aging in a population-based sample of georgia centenarians. Curr Gerontol Geriatr Res 2010; 2010: 989315.
- 6. Beauchet O, Galery K, Vilcocq C, Maubert É, Afilalo M, Launay CP. PRISMA-7 and Risk for Short-Term Adverse Events in Older Patients Visiting the Emergency Department: Results of a Large Observational and Prospective Cohort Study. J Nutr Health Aging 2021; 25: 94-9.
- 7. Kemp K, Alakare J, Kätkä M, Lääperi M, Lehtonen L, Castrén M. Accuracy of Emergency Severity Index in older adults. Eur J Emerg Med 2022; 29: 204-9.
- 8. Mane G, Alkhouri H, Dinh M, McCarthy S. One hundred and counting: Centenarian use of emergency departments in New South Wales. Emerg Med Australas 2019; 31: 626-31.
- 9. Brandão D, Ribeiro O, Freitas A, Paúl C. Hospital admissions by the oldest old: Past trends in one of the most ageing countries in the world. Geriatr Gerontol Int 2017; 17: 2255-65.
- 10. Thomas CP, Ryan M, Chapman JD, Stason WB, Tompkins CP, Suaya JA, et al. Incidence and cost of pneumonia in medicare beneficiaries. Chest 2012; 142: 973-81.
- 11. Carey MR, Howell EM, McHugh MC. Emergency department use by centenarians: the 2008 Nationwide Emergency Department Sample. Prev Chronic Dis 2013; 10: E198.
- 12. Morice A, Reina N, Gracia G, Bonnevialle P, Laffosse JM, Wytrykowski K, et al. Proximal femoral fractures in centenarians. A retrospective analysis of 39 patients. Orthop Traumatol Surg Res 2017; 103: 9-13.
- 13. Ailshire JA, Beltrán-Sánchez H, Crimmins EM. Becoming centenarians: disease and functioning trajectories of older US Adults as they survive to 100. J Gerontol A Biol Sci Med Sci 2015; 70: 193-201.
- 14. Martins SC, Sanches AR, Carvalho MS. Centenarians in an Internal Medicine Ward: An 11 Years Analysis. Medicina Interna 2018; 25: 95-9.
- 15. Yu R, Tam W, Woo J. Trend of centenarian deaths in Hong Kong between 2001 and 2010. Geriatr Gerontol Int 2017;17:931-6.
- 16. Ministry Of Health. Communiqué on Implementation Procedures and Principles of Emergency Services in Inpatient Health Facilities. Official Newspaper. 2022; 31952.
Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease
Öz
Objective: With the aging of society, the number of centenarians, i.e., individuals aged 100 years and over, is increasing. This study aimed to develop strategies to prevent mortality and morbidity by determining the clinical profiles of patients aged 100 and over who applied to the emergency department (ED).
Materials and Methods: The study was a retrospective analysis of patients aged 100 years and older that presented to the ED of tertiary hospital with an acute disease between 2012 and 2021. An analysis was performed using the patient files and computer database containing information on demographic characteristics, presentation complaints, clinical findings, emergency severity index (ESI) triage categories, final diagnoses and outcomes in the ED, length of hospital stay, and discharge characteristics.
Results: Of the 222 patients that presented to the ED, 98.6% were women, 78.8% lived in their own homes, and 71.6% were transferred to the hospital by ambulance. At the time of presentation, 72.1% of the patients were in the ESI 3 triage category. Overall, 35.1% of the patients were hospitalized, and the median length of stay in the ED was 240 minutes. Mortality was the in-hospital outcome in 10.4% of the patients. The ESI triage categories, number of consultations, and length of hospital stay were found to be directly related to mortality (p<0.001).
Conclusion: Defining patient profile and reasons for mortality and morbidity in centenarian patients, can be used to both prevent possible adverse events and effectively plan healthcare services in this population.
Anahtar Kelimeler
Centenarian patients emergency severity index comorbidity mortality hospitalization
Kaynakça
- 1. Turkish Statistical Institute. https://data.tuik.gov.tr/Bulten/ Index?p=Elderly -Statistics-2021-45636#:~:text
- 2. Goebeler S, Jylhä M, Hervonen A. Use of hospitals at age 90. A population-based study. Arch Gerontol Geriatr 2004; 39: 93-102.
- 3. Mert E. Use of emergency department by elderly patients. Turkish Journal of Geriatrics 2006; 9: 70-4.
- 4. Ackroyd-Stolarz S, Read Guernsey J, Mackinnon NJ, Kovacs G. The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. BMJ Qual Saf 2011; 20: 564-9.
- 5. Arnold J, Dai J, Nahapetyan L, Arte A, Johnson MA, Hausman D, et al. Predicting successful aging in a population-based sample of georgia centenarians. Curr Gerontol Geriatr Res 2010; 2010: 989315.
- 6. Beauchet O, Galery K, Vilcocq C, Maubert É, Afilalo M, Launay CP. PRISMA-7 and Risk for Short-Term Adverse Events in Older Patients Visiting the Emergency Department: Results of a Large Observational and Prospective Cohort Study. J Nutr Health Aging 2021; 25: 94-9.
- 7. Kemp K, Alakare J, Kätkä M, Lääperi M, Lehtonen L, Castrén M. Accuracy of Emergency Severity Index in older adults. Eur J Emerg Med 2022; 29: 204-9.
- 8. Mane G, Alkhouri H, Dinh M, McCarthy S. One hundred and counting: Centenarian use of emergency departments in New South Wales. Emerg Med Australas 2019; 31: 626-31.
- 9. Brandão D, Ribeiro O, Freitas A, Paúl C. Hospital admissions by the oldest old: Past trends in one of the most ageing countries in the world. Geriatr Gerontol Int 2017; 17: 2255-65.
- 10. Thomas CP, Ryan M, Chapman JD, Stason WB, Tompkins CP, Suaya JA, et al. Incidence and cost of pneumonia in medicare beneficiaries. Chest 2012; 142: 973-81.
- 11. Carey MR, Howell EM, McHugh MC. Emergency department use by centenarians: the 2008 Nationwide Emergency Department Sample. Prev Chronic Dis 2013; 10: E198.
- 12. Morice A, Reina N, Gracia G, Bonnevialle P, Laffosse JM, Wytrykowski K, et al. Proximal femoral fractures in centenarians. A retrospective analysis of 39 patients. Orthop Traumatol Surg Res 2017; 103: 9-13.
- 13. Ailshire JA, Beltrán-Sánchez H, Crimmins EM. Becoming centenarians: disease and functioning trajectories of older US Adults as they survive to 100. J Gerontol A Biol Sci Med Sci 2015; 70: 193-201.
- 14. Martins SC, Sanches AR, Carvalho MS. Centenarians in an Internal Medicine Ward: An 11 Years Analysis. Medicina Interna 2018; 25: 95-9.
- 15. Yu R, Tam W, Woo J. Trend of centenarian deaths in Hong Kong between 2001 and 2010. Geriatr Gerontol Int 2017;17:931-6.
- 16. Ministry Of Health. Communiqué on Implementation Procedures and Principles of Emergency Services in Inpatient Health Facilities. Official Newspaper. 2022; 31952.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Acil Tıp |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Haziran 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 24 Sayı: 2 |