| Autor: |
Iozzo P; Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Via Montpellier, 1, 00133 Rome, Italy., Spina N; Anesthesia and Intensive Care Unit, Emergency Department, Azienda Ospedaliera Universitaria Policlinico 'Paolo Giaccone', Via del Vespro, 129, 90127 Palermo, Italy., Cannizzaro G; Anesthesia and Intensive Care Unit, Emergency Department, Azienda Ospedaliera Universitaria Policlinico 'Paolo Giaccone', Via del Vespro, 129, 90127 Palermo, Italy., Gambino V; Anesthesia and Intensive Care Unit, Emergency Department, Azienda Ospedaliera Universitaria Policlinico 'Paolo Giaccone', Via del Vespro, 129, 90127 Palermo, Italy., Patinella A; Anesthesia and Intensive Care Unit, Emergency Department, Azienda Ospedaliera Universitaria Policlinico 'Paolo Giaccone', Via del Vespro, 129, 90127 Palermo, Italy., Bambi S; Department of Health Sciences, University of Florence, Viale GB Morgagni, 48, 50134 Florence, Italy., Vellone E; Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Via Montpellier, 1, 00133 Rome, Italy.; Department of Nursing and Obstetrics, Wroclaw Medical University, 51-618 Wrocław, Poland., Alvaro R; Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Via Montpellier, 1, 00133 Rome, Italy., Latina R; Department of Health Promotion Science, Maternal and Infant Care, Internal Medicine, and Medical Specialities (PROMISE), University of Palermo, Piazza delle Cliniche, 2, 90127 Palermo, Italy. |
| Abstrakt: |
(1) Background: Older patients who attend emergency departments are frailer than younger patients and are at a high risk of adverse outcomes; (2) Methods: To conduct this systematic review, we adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. We systematically searched literature from PubMed, Embase, OVID Medline ® , Scopus, CINAHL via EBSCOHost, and the Cochrane Library up to May 2023, while for grey literature we used Google Scholar. No time restrictions were applied, and only articles published in English were included. Two independent reviewers assessed the eligibility of the studies and extracted relevant data from the articles that met our predefined inclusion criteria. The Critical Appraisal Skills Program (CASP) was used to assess the quality of the studies; (3) Results: Evidence indicates that prolonged boarding of frail individuals in crowded emergency departments (Eds) is associated with adverse outcomes, exacerbation of pre-existing conditions, and increased mortality risk; (4) Conclusions: Our results suggest that frail individuals are at risk of longer ED stays and higher mortality rates. However, the association between the mortality of frail patients and the amount of time a patient spends in exposure to the ED environment has not been fully explored. Further studies are needed to confirm this hypothesis. |
