内陆克罗地亚农村医院急诊科老年患者就诊情况的回顾性研究。
Elderly patients presenting to a rural hospital emergency department in inland Croatia - A retrospective study.
机构信息
Dr Tomislav Bardek General Hospital, Željka Selingera 1, HR-48000 Koprivnica, Croatia; Bjelovar University of Applied Sciences, Trg Eugena Kvaternika 4, HR-43000 Bjelovar, Croatia.
Dr Tomislav Bardek General Hospital, Željka Selingera 1, HR-48000 Koprivnica, Croatia.
出版信息
Int Emerg Nurs. 2021 Sep;58:101035. doi: 10.1016/j.ienj.2021.101035. Epub 2021 Jul 29.
BACKGROUND
Emergency departments are faced with a high influx of patients presenting for various complaints. The aim of the present study was to assess the basic characteristics of elderly patients presenting to a rural hospital emergency department in inland Croatia in 2017.
METHODS
Retrospective data collected from the Hospital Information System and by analysis of medical records on patients presenting to emergency department in 2017 were used in the study.
RESULTS
Study results indicated that a lower proportion of elderly individuals aged 65-74 were hospitalized following emergency department workup. A statistically significantly higher proportion of patients older than 74 years was presented to ED due to various discomforts and diseases (ICD-10 group I; χ2 = 324.85; p < 0.01) than due to cardiorespiratory diseases and acute abdomen (χ2 = 285.04; p < 0.01).
CONCLUSION
Our findings highlight the need for a complex approach in care for elderly people, given that they are a fragile population with multiple comorbidities, chronic diseases, atypical symptoms, and often with cognitive and functional impairments.
背景
急诊科面临着大量因各种疾病前来就诊的患者。本研究旨在评估 2017 年克罗地亚内陆农村医院急诊科老年患者的基本特征。
方法
本研究使用了 2017 年从医院信息系统中收集的回顾性数据和对急诊患者病历的分析。
结果
研究结果表明，在急诊科检查后住院的 65-74 岁老年患者比例较低。由于各种不适和疾病（ICD-10 组 I；χ2=324.85；p<0.01）而就诊于 ED 的 74 岁以上患者比例明显高于因心肺疾病和急性腹痛（χ2=285.04；p<0.01）就诊的患者。
结论
我们的研究结果强调，需要对老年人采取综合的护理方法，因为他们是一个脆弱的群体，有多种合并症、慢性疾病、非典型症状，而且常常伴有认知和功能障碍。
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