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http://hdl.handle.net/2445/214053
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DC Field | Value | Language |
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dc.contributor.author | Aguirre, Nere Larrea | - |
dc.contributor.author | Gutiérrez, Susana García | - |
dc.contributor.author | Miro, Oscar | - |
dc.contributor.author | Aguiló, Sira | - |
dc.contributor.author | Jacob, Javier | - |
dc.contributor.author | Alquézar-arbé, Aitor | - |
dc.contributor.author | Burillo, Guillermo | - |
dc.contributor.author | Fernandez, Cesáreo | - |
dc.contributor.author | Llorens, Pere | - |
dc.contributor.author | Alonso, Cesar Roza | - |
dc.contributor.author | Lopez, Ivana Tavasci | - |
dc.contributor.author | Cañete, Mónica | - |
dc.contributor.author | Asensio, Pedro Ruiz | - |
dc.contributor.author | Díaz, Beatriz Paderne | - |
dc.contributor.author | Pizarro, Teresa Pablos | - |
dc.contributor.author | Navarro, Rigoberto Jesús Del Rio | - |
dc.contributor.author | Viola, Núria Perelló | - |
dc.contributor.author | Hernández-castells, Lourdes | - |
dc.contributor.author | Soler, Alejandro Cortés | - |
dc.contributor.author | Sánchez Fernández-linares, Elena | - |
dc.contributor.author | Serrano, Jesús Ángel Sánchez | - |
dc.contributor.author | Ezponda, Patxi | - |
dc.contributor.author | Lorenzo, Andrea Martínez | - |
dc.contributor.author | Liarte, Juan Vicente Ortega | - |
dc.contributor.author | Ramón, Susana Sánchez | - |
dc.contributor.author | Aranda, Asumpta Ruiz | - |
dc.contributor.author | Martín-sánchez, Francisco Javier | - |
dc.contributor.author | Del Castillo, Juan González | - |
dc.contributor.author | On Behalf Of The Members Of The Siesta Network | - |
dc.date.accessioned | 2024-07-01T14:57:57Z | - |
dc.date.available | 2024-07-01T14:57:57Z | - |
dc.date.issued | 2024-03-31 | - |
dc.identifier.uri | http://hdl.handle.net/2445/214053 | - |
dc.description.abstract | Background: While multidimensional and interdisciplinary assessment of older adult patients improves their short-term outcomes after evaluation in the emergency department (ED), this assessment is time-consuming and ill-suited for the busy environment. Thus, identifying patients who will benefit from this strategy is challenging. Therefore, this study aimed to identify older adult patients suitable for a different ED approach as well as independent variables associated with poor short-term clinical outcomes. Methods: We included all patients >= 65 years attending 52 EDs in Spain over 7 days. Sociodemographic, comorbidity, and baseline functional status data were collected. The outcomes were 30 -day mortality, re -presentation, hospital readmission, and the composite of all outcomes. Results: During the study among 96,014 patients evaluated in the ED, we included 23,338 patients >= 65 years-mean age, 78.4 +/- 8.1 years; 12,626 (54.1%) women. During follow-up, 5,776 patients (24.75%) had poor outcomes after evaluation in the ED: 1,140 (4.88%) died, 4,640 (20.51) returned to the ED, and 1,739 (7.69%) were readmitted 30 days after discharge following the index visit. A model including male sex, age >= 75 years, arrival by ambulance, Charlson Comorbidity Index >= 3, and functional impairment had a C -index of 0.81 (95% confidence interval, 0.80-0.82) for 30 -day mortality. Conclusion: Male sex, age >= 75 years, arrival by ambulance, functional impairment, or severe comorbidity are features of patients who could benefit from approaches in the ED different from the common triage to improve the poor short-term outcomes of this population. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | The Korean Geriatrics Society | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.4235/agmr.23.0121 | - |
dc.relation.ispartof | Annals of Geriatric Medicine and Research, 2024, vol. 28, issue. 1, p. 9-19 | - |
dc.relation.uri | https://doi.org/10.4235/agmr.23.0121 | - |
dc.source | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) | - |
dc.title | Older Adult Patients in the Emergency Department: Which Patients should be Selected for a Different Approach? | - |
dc.type | info:eu-repo/semantics/article | - |
dc.date.updated | 2024-06-14T09:33:19Z | - |
dc.rights.accessRights | info:eu-repo/semantics/embargoedAccess | - |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
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e003824.full (1).pdf | 633.88 kB | Adobe PDF | View/Open |
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