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• W2999723022 abstract "Introduction: Population ageing challenges Emergency Departments(ED) with a population shift toward higher age groups. People over 65years are heterogenous with respect to polymorbidity and functionalcapacity. Complex situations become more prevalent among patientsaged 85+, the fastest growing segment of the elderly population(+72% between 2010 and 2030).Objectives: To identify the trend of ED admission rates for patientsaged 85+ and to compare the characteristics of their ED visits with theone of patients aged 65-84.Method: Retrospective analysis of 56162 ED admissions of patientsaged 65+ at the University of Lausanne Medical Center (CHUV), from2005 to 2010. All visits of patients aged 65+ at the time of admissionwere considered. Analyses focus on demographic characteristics, livingarrangement, hospital admission, and median Length of Stay (LOS) inthe ED. Data from 2010 were examined for the degree of emergency(DE), the main reason for visiting the ED (Swiss triage scale) andreadmission at 30 days.Results: Between 2005 and 2010, ED visits of patients aged 65 yearsand over increased from 8228 to 10390/year (with a slight decreaseof women from 56% to 54%). This is an increment of +26% i.e. 5.9patients/day more. Patients aged 85+ increased by +46% vs +20%for the 65-84. ED visits of people aged 18-64 years raised by +20%.Among patients over 65 years, the proportion of patients aged 85 andmore increased from 23% in 2005 to 27% in 2010.In 2010, 85+ patients were more likely than 65-84 patients to comefrom a NH setting (13% vs 4%), to be hospitalised (70% vs 59%) andto stay longer in the ED (median LOS 9 hours vs 7 hours). Readmissionto ED within 30 days after discharge did not differ (85+: 14% vs 65-84:12%) (similar proportions in 2005). In 2010, the first reason for patients85+ to visit ED was fall/injury (27% vs 18% by 65-84), whereas themain cause for patients aged 65-84 years was a cardiovascular disorder(18% vs 16% by 85+). The part of high emergency cases was similarfor patients 85+ and 65-84 (42%).Conclusion: Among aged patients those aged 85 and over are thefastest growing group admitted to ED. Compared to their youngercounterparts, their reason to visit ED and their pattern of healthservices utilization differ due to specific epidemiological conditions. EDaddressing specific needs of geriatric patients would improve their careand lead to a better use of available resources." @default.
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• W2999723022 date "2012-01-01" @default.
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• W2999723022 title "Emergency Department use by patients aged 85 years and over, between 2005 and 2010 in a Swiss university hospital" @default.
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