Prevalence of Geriatric Syndromes and the Need for Hospice Care in Older Patients of the Emergency Department: A Study in an Asian Medical Center

Autor:	Kang-Ting Tsai, Chien-Chin Hsu, Yi-Min Shu, Hung-Jung Lin, Chien-Cheng Huang, Min-Hsien Chung, Tzu-Chieh Weng, An-Chi Peng, Ping-Jen Chen, Ya-Ting Ke
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	Advance care planning Polypharmacy Sleep disorder medicine.medical_specialty Activities of daily living Article Subject business.industry RC86-88.9 Medical emergencies. Critical care. Intensive care. First aid Emergency department medicine.disease 03 medical and health sciences 0302 clinical medicine Emergency medicine Clinical Study Emergency Medicine Medicine Dementia Delirium 030212 general & internal medicine medicine.symptom business 030217 neurology & neurosurgery Depression (differential diagnoses)
Zdroj:	Emergency Medicine International, Vol 2020 (2020) Emergency Medicine International
ISSN:	2090-2859 2090-2840
Popis:	Background. The prevalence of geriatric syndromes and the need for hospice care in the emergency department (ED) in Asian populations remain unclear. This study was conducted to fill the data gap. Methods. Using a newly developed emergency geriatric assessment (EGA), we investigated the prevalence of geriatric syndromes and the need for hospice care in older ED patients of a tertiary medical center between September 1, 2016, and January 31, 2017. Results. We recruited a total of 693 patients with a mean age of 78.0 years (standard deviation 8.2 years), comprising 46.6% of females. According to age subgroups, 37.4% of patients were aged 65–74 years, 37.4% were aged 75–84 years, and 25.2% were aged ≥85 years. The prevalence rates of geriatric syndromes were as follows: delirium (11.4%), depression (23.4%), dementia (43.1%), deterioration of activities of daily living (ADL) for Conclusion. Geriatric syndromes and the need for hospice care were common in the older ED patients. Further studies about subsequent intervention for improving geriatric care are needed.
Databáze:	OpenAIRE
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