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 |
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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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