Concerns of older patients and their caregivers in the emergency department

Autor: Sarah E. Huisman, Jacqueline Buijs, Arisja N. Mauritz, Peter W. de Leeuw, Patricia M. Stassen, Noortje Zelis
Přispěvatelé: MUMC+: MA Med Staf Artsass Interne Geneeskunde (9), Interne Geneeskunde, RS: Carim - V01 Vascular complications of diabetes and metabolic syndrome, RS: Carim - V02 Hypertension and target organ damage, MUMC+: MA Alg Interne Geneeskunde (9), RS: CAPHRI - R5 - Optimising Patient Care
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Questionnaires
Male
Activities of daily living
Critical Care and Emergency Medicine
PERCEPTIONS
Medical Doctors
Health Care Providers
Disease
Cohort Studies
0302 clinical medicine
Surveys and Questionnaires
Activities of Daily Living
Medicine and Health Sciences
Odds Ratio
030212 general & internal medicine
Medical Personnel
Prospective Studies
Cognitive Impairment
Aged
80 and over
OUTCOMES
Multidisciplinary
Cognitive Neurology
Middle Aged
Hospitals
Patient Discharge
Professions
Neurology
Caregivers
Research Design
Anxiety
Medicine
Female
Independent Living
medicine.symptom
Emergency Service
Hospital
Cohort study
Research Article
medicine.medical_specialty
Patients
Cognitive Neuroscience
Science
MEDLINE
Research and Analysis Methods
Patient Readmission
03 medical and health sciences
Physicians
medicine
Humans
Aged
Survey Research
business.industry
Biology and Life Sciences
030208 emergency & critical care medicine
Emergency department
Odds ratio
ADULTS
Length of Stay
CARE
Health Care
Age Groups
Health Care Facilities
Cognitive Aging
Family medicine
People and Places
Quality of Life
Cognitive Science
Population Groupings
business
Delivery of Health Care
Independent living
Neuroscience
Zdroj: PLOS ONE, 15(7):0235708. Public Library of Science
PLoS ONE, Vol 15, Iss 7, p e0235708 (2020)
PLoS ONE
ISSN: 1932-6203
Popis: BackgroundOlder emergency department (ED) patients often have complex problems and severe illnesses with a high risk of adverse outcomes. It is likely that these older patients are troubled with concerns, which might reflect their preferences and needs concerning medical care. However, data regarding this topic are lacking.MethodsThis study is a sub study of a prospective, multicenter, observational cohort study among older medical ED patients (≥65 years). Patients or their caregivers were asked about their illness-related concerns during the first stage of the ED visit using a questionnaire. All concerns were categorized into 10 categories, and differences between patients and caregivers, and between age groups were analyzed. Odds Ratios were calculated to determine the association of the concerns for different adverse outcomes.ResultsMost of the 594 included patients (or their caregivers) were concerned (88%) about some aspects of their illness or their need for medical care. The most often reported concerns were about the severity of disease (43.6%), functional decline (9.4%) and dying (5.6%). Caregivers were more frequently concerned than patients (p7 days, loss of independent living and unplanned readmission within 30 days) (OR 2.32; 95%CI: 1.12-4.82). In addition, unspecified concerns were associated with mortality (OR 1.88; 95%CI: 1.09-3.22).ConclusionThe majority of older patients and especially their caregivers are concerned about their medical condition or need for medical care when they visit the ED. These concerns are associated with adverse outcomes and most likely reflect their needs regarding medical care. More attention should be paid to these concerns because they may offer opportunities to reduce anxiety and provide care that is adjusted to their needs.Trial registrationThis study was registered on clinicalTriagls.gov (NCT02946398).
Databáze: OpenAIRE
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