Emergency medicine in the extreme geriatric era: A retrospective analysis of patients aged in their mid 90s and older in the emergency department.

Müller, Martin; Ricklin, Meret; Weiler, Stefan; Exadaktylos, Aristomenis; Arampatzis, Spyridon (2018). Emergency medicine in the extreme geriatric era: A retrospective analysis of patients aged in their mid 90s and older in the emergency department. Geriatrics and gerontology international, 18(3), pp. 415-420. Japan Geriatrics Society 10.1111/ggi.13192

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AIM In the coming years, older individuals will comprise an increasing share of emergency department (ED) admissions, due to the unprecedented and continuing demographic changes. The primary aim of the present study was to identify causes and risk factors for ED admission and hospitalizations in the oldest old. METHODS We analyzed data of consecutive patients aged in their mid 90s and older (aged ≥94 years) admitted to the ED department of the University Hospital of Bern, Bern, Switzerland, between 2000 and 2010. Using multivariate logistic regression, we explored relevant demographic and clinical characteristics of patients visiting the ED, in association with hospitalization and fractures. RESULTS A total of 352 ED admissions occurred during the study period. The majority of patients (85%) were admitted from home, and most (63%) admissions resulted in hospitalization. Hospital admissions were frequently related to injuries from falls (42%). Risk factors for hospitalization were fractures, the number of comorbidities (measured by the Charlson Comorbidity Index) and hypertension. Major risk factors for fractures were female sex, benzodiazepine use and the diagnosis of dementia. CONCLUSIONS Most ED visits of older adults aged in their mid 90s and older were due to falls and fractures, and resulted in hospitalization. The present findings clearly emphasize the need for further investigations of drug prescription patterns and fracture prevention in such patients. Geriatr Gerontol Int 2017; ••: ••-••.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Nephrology and Hypertension
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center

UniBE Contributor:

Müller, Martin; Ricklin, Meret; Weiler, Stefan; Exadaktylos, Aristomenis and Arampatzis, Spyridon

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1447-0594

Publisher:

Japan Geriatrics Society

Language:

English

Submitter:

Romana Saredi

Date Deposited:

22 Mar 2018 11:43

Last Modified:

22 Mar 2018 16:15

Publisher DOI:

10.1111/ggi.13192

PubMed ID:

29094499

Uncontrolled Keywords:

emergency service geriatrics hospitalization nonagenarian polypharmacy

BORIS DOI:

10.7892/boris.111133

URI:

https://boris.unibe.ch/id/eprint/111133

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