Emergency department admission and outcomes in geriatric patients: a single-center prospective cohort study

Autores

  • Julio César Garcia Alencar Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo https://orcid.org/0000-0001-5859-6060
  • Flávia Barreto Garcez Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo https://orcid.org/0000-0001-6111-9521
  • Julio Flávio Meirelles Marchini Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Thiago Junqueira Avelino-Silva Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Rodrigo Antonio Brandão Neto Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo https://orcid.org/0000-0001-7623-7643
  • Sabrina Corrêa da Costa Ribeiro Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Heraldo Possolo Souza Faculdade de Medicina da Universidade de São Paulo

DOI:

https://doi.org/10.54143/jbmede.v1i1.2

Palavras-chave:

Emergency Medical Services, Aged, Mortality, Fragility

Resumo

Geriatric patients often present with nonspecific complaints (NSC). In other words, it is a lack of a specific complaint in a patient presenting with generalized decline and weakness, and an acute serious condition is present in 51-59% of such patients and the list of differential diagnoses is extensive, making epidemiologic studies that address this population of paramount importance. This study aims to identify diagnoses and analyze outcomes in a geriatric population in a Brazilian ED. This is a single-center, prospective cohort study from March to December 2019. This study examined epidemiology, care and outcomes for all older people (> 65 years) who were sufficiently medically ill to require hospital admission after their index ED presentation. We enrolled 237 patients during the study period. The mean age was 74.9 with a standard deviation of 7.7. The majority with 58.3% was male. Their main comorbidities include stroke – 15.2%, previous myocardial infarction – 14.8% and cancer – 5.9%. The cohort has a mean score of 2.5 on the activities of daily living (ADL) scale and 45% are classified as fragile, 44% as pre-fragile and only the remaining 11% are not fragile. Patients went on to surgery in 22.3% of cases, were admitted to the ICU in 28.1%, were intubated in 22.2% and died in 14.1% of the cases. All elderly patients who present to the emergency department have comorbidities and most are frail or pre-frail. Frail patients and those with impairment of activities of daily living have higher mortality rates.

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Publicado

2022-05-11

Como Citar

Alencar, J. C. G., Garcez, F. B., Marchini, J. F. M., Avelino-Silva, T. J., Brandão Neto, R. A. ., Ribeiro, S. C. da C., & Souza, H. P. (2022). Emergency department admission and outcomes in geriatric patients: a single-center prospective cohort study. JBMEDE - Jornal Brasileiro De Medicina De Emergência, 1(1), e21002. https://doi.org/10.54143/jbmede.v1i1.2

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