E-viri
Recenzirano
-
del Castillo, Juan González; Montero-Pérez, Francisco Javier; García-Lamberechts, Eric Jorge; Piñera, Pascual; Vázquez-Rey, Verónica; Juárez, Ricardo; de las Nieves Rodríguez, Eva; Rodríguez, Eva de las Nieves; Diego-Robledo, Francisco Javier; García-Rupérez, Inmaculada; Gil-Rodrigo, Adriana; Llorens, Pere; Miró, Òscar; Fernández Alonso, Cesáreo; Chacón García, Ana; Queizán García, Paula; Bravo Periago, Andrea B.; Gallardo Sánchez, Blanca Andrea; Melcon Villalibre, Alejandro; Carbajal Tinoco, Sara; Troiano Ungerer, Osvaldo Jorge; Molina Morazo, María del Carmen; Pérez Díaz-Guerra, María Luisa; Cenjor Martín, Raquel; Boufares, Noha El-Haddad; Mir, Òscar; Amarilla Molinas, Claudia Lorena; Osorio Quispe, Ivet Gina; Cuerpo Cardeñosa, Sandra; González Tejera, Matilde; Puche Alcaraz, Ana; Serrano Lázaro, Leticia; Mansilla Collado, Jésica; Espinosa Fernández, Begoña; Guzmán Martínez, Sergio; Jacob Rodríguez, Javier; Llopis, Ferran; Guillen, Lara; Suero Méndez, Coral; Salido Mota, Manuel; del Valle Toro Gallardo, María; Real López, Antonio; Lozano Sánchez, Mario; Pedraza García, Jorge; Pedraza Ramírez, Paula; Cobos Requena, Ángela; Muñoz Triano, Esperanza; Calderón Caro, María; Tembleque-Sánchez, Jorge Sánchez; Macías Bou, Belén; Díez Romero, Paloma; Andrés Berián, Leonor; Castuera Gil, Ana Isabel; Leon, Gabriel Yepez; López López, Karla; Hernández Cardona, Ricardo; Chávez Flores, Rudiger Carlos; González Revuelta, Enrique; Moreno Martín, Miguel; Fernandez Fernandez, Maria Isabel; Iglesias Vela, Marta; Pérez-Costa, Rafael Antonio; Barnes Parra, Ana; González González, Rebeca; Iglesias Frax, Cristina; Valle Borrego, Beatriz; Carrión Fernández, Marina; Morales Franco, Belén; Poch Ferrer, Eduard Anton; González Guillén, Violeta; Diamanti, María; Gayoso Martín, Sara; Pazos González, Jésica; Gómez Gómez, Bárbara; Gallardo Vizcaíno, Patricia; Puiggali Ballard, Margarita; Rizzi, Miguel; Vázquez Rey, Verónica; Garrido Acosta, Lucía; Calle Fernández, Sara; Sousa, Mar; Ruescas, Esther; Martínez Juan, María; Blanco Hoffman, María José; Redondo Lora, Laura; Berenguer Diez, María Amparo; Truyol Más, Marina; Noceda Bermejo, José J.; Benavent Campos, Raquel; Delgado Sardina, Violeta; García García, Ángel; Palomero Martín, Manuel Ángel; Sánchez Ramón, Susana; Oliva Ramos, José Ramón; Lobo Cortizo, Isabel; Martínez Alonso, Alba; Pérez Fernández, Belén; Pérez Fonseca, Carmen; Ruiz Aranda, Asumpta; Marchena, Maria José
Internal and emergency medicine, 06/2024Journal Article
The elderly population frequently consults the emergency department (ED). This population could have greater use of EDs and hospital health resources. The EDEN cohort of patients aged 65 years or older visiting the ED allowed this association to be investigated. To analyse the association between healthcare resource use and the characteristics of patients over 65 years of age who consult hospital EDs. We performed an analysis of the EDEN cohort, a retrospective, analytical, and multipurpose registry that includes patients over 65 years of age who consulted in 52 Spanish EDs. The impact of age, sex, and characteristics of ageing on the following outcomes was studied: need for hospital admission (primary outcome) and need for observation, stay in the ED > 12 h, prolonged hospital stay > 7 days, need for intensive care unit (ICU) and return to the ED at 30 days related to the index visit (secondary outcomes). The association was analysed by calculating the adjusted odds ratios (aOR) and their 95% confidence intervals (CI), using a logistic regression model. A total of 25,557 patients with a mean age of 78.3 years were analysed, 45% were males. Of note was the presence of comorbidity, a Charlson index ≥ 3 (33%), and polypharmacy (66%). Observation in the ED was required by 26%, 25.4% were admitted to the hospital, and 0.9% were admitted to the ICU. The ED stay was > 12 h in 12.5% and hospital stay > 7 days in 13.5% of cases. There was a progressive increase in healthcare resource use based on age, with an aOR for the need for observation of 2.189 (95% CI 2.038-2.352), ED stay > 12 h 2.136 (95% CI 1.942-2.349) and hospital admission 2.579 (95% CI 2.399-2.772) in the group ≥ 85 years old. Most of the characteristics inherent to ageing (cognitive impairment, falls in the previous 6 months, polypharmacy, functional dependence, and comorbidity) were associated with significant increases in the use of healthcare resources, except for ICU admission, which was less in all the variables studied. Age and the characteristics inherent to ageing are associated with greater use of structural healthcare resources.The elderly population frequently consults the emergency department (ED). This population could have greater use of EDs and hospital health resources. The EDEN cohort of patients aged 65 years or older visiting the ED allowed this association to be investigated. To analyse the association between healthcare resource use and the characteristics of patients over 65 years of age who consult hospital EDs. We performed an analysis of the EDEN cohort, a retrospective, analytical, and multipurpose registry that includes patients over 65 years of age who consulted in 52 Spanish EDs. The impact of age, sex, and characteristics of ageing on the following outcomes was studied: need for hospital admission (primary outcome) and need for observation, stay in the ED > 12 h, prolonged hospital stay > 7 days, need for intensive care unit (ICU) and return to the ED at 30 days related to the index visit (secondary outcomes). The association was analysed by calculating the adjusted odds ratios (aOR) and their 95% confidence intervals (CI), using a logistic regression model. A total of 25,557 patients with a mean age of 78.3 years were analysed, 45% were males. Of note was the presence of comorbidity, a Charlson index ≥ 3 (33%), and polypharmacy (66%). Observation in the ED was required by 26%, 25.4% were admitted to the hospital, and 0.9% were admitted to the ICU. The ED stay was > 12 h in 12.5% and hospital stay > 7 days in 13.5% of cases. There was a progressive increase in healthcare resource use based on age, with an aOR for the need for observation of 2.189 (95% CI 2.038-2.352), ED stay > 12 h 2.136 (95% CI 1.942-2.349) and hospital admission 2.579 (95% CI 2.399-2.772) in the group ≥ 85 years old. Most of the characteristics inherent to ageing (cognitive impairment, falls in the previous 6 months, polypharmacy, functional dependence, and comorbidity) were associated with significant increases in the use of healthcare resources, except for ICU admission, which was less in all the variables studied. Age and the characteristics inherent to ageing are associated with greater use of structural healthcare resources.
