Presenting symptoms of older emergency department patients: a single-center experience of 10,692 patients in Turkey

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dc.contributor.authorDundar, Zerrin Defne
dc.contributor.authorAyranci, Mustafa Kursat
dc.date.accessioned2024-02-23T14:20:43Z
dc.date.available2024-02-23T14:20:43Z
dc.date.issued2020
dc.departmentNEÜen_US
dc.description.abstractObjective: In this study, we aimed: (1) to evaluate the presenting symptoms of older emergency department (ED) patients within a 12-month period, (2) to compare the differences in presenting symptoms between three age groups, and (3) to evaluate the seasonal variations in the presenting symptoms. Methods: This retrospective single-centered observational study was conducted at the ED of a university hospital in older ED patients with yellow and red triage code. Consecutive patients aged 65 and older admitted to ED in the study period were included in the study. Results: In our study, 14.0% of all ED admissions were patients aged 65 and older. The mean age of 10,692 patients was 75.3 +/- 7.3 years, and 49.2% of them were male. The most common presenting symptoms to ED were dyspnea (18.5%), abdominal pain (12.4%), and chest pain (8.3%). Whereas 6,352 (59.4%) patients had been discharged from the ED (to home), 4,305 (40.3%) were hospitalized. Falls became the third rank presenting symptom in patients aged 85 and older. The hospital admission rate increased from 35% to 53% by age, and the in-hospital mortality rate of patients aged 85 and older was higher than that of the other age groups (p < 0.001). Conclusion: ED physicians should be aware of the common medical problems and life-threatening conditions of older patients. Morbidity and mortality rates increase by age and those patients may need different management strategies and an increased number of resources.en_US
dc.identifier.doi10.1080/17843286.2019.1655215
dc.identifier.endpage410en_US
dc.identifier.issn1784-3286
dc.identifier.issn2295-3337
dc.identifier.issue6en_US
dc.identifier.pmid31402765en_US
dc.identifier.scopus2-s2.0-85070806018en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage405en_US
dc.identifier.urihttps://doi.org/10.1080/17843286.2019.1655215
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13260
dc.identifier.volume75en_US
dc.identifier.wosWOS:000480590100001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofActa Clinica Belgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSymptomen_US
dc.subjectComplainten_US
dc.subjectOlder Patientsen_US
dc.subjectEmergency Departmenten_US
dc.subjectPresentationen_US
dc.titlePresenting symptoms of older emergency department patients: a single-center experience of 10,692 patients in Turkeyen_US
dc.typeArticleen_US

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