Department of Emergency Medicine, Faculty of Health Sciences, Pope John Paul II State School of Higher Education in Biała Podlaska, 21-500 Biała Podlaska, Poland.
Department of Integrated Medical Care, Faculty of Health Sciences, Medical University of Białystok, 15-096 Białystok, Poland.
Int J Environ Res Public Health. 2021 Dec 21;19(1):48. doi: 10.3390/ijerph19010048.
The aim of this study was to analyse medical management in geriatric patients in the Hospital Emergency Departments in the Biała Podlaska County and Chełm County (Poland) between 2016 and 2018 in a group of patients ≥65 years of age. We analysed medical records of 829 patients transported to Hospital Emergency Departments by Medical Emergency Teams. The research was conducted in the period from June 2019 to March 2020. We analysed emergency medical procedure forms and medical records of patients transported to the hospitals. Cardiovascular diseases were diagnosed in 40% of patients. Mortality cases accounted for 3.1% of the 1200 interventions analysed. Ambulance dispatch resulted in the patient being transported to the Hospital Emergency Departments in more than / of cases. The concordance between the diagnoses made by the Medical Emergency Teams and those made at the Hospital Emergency Departments was confirmed for 78% patients admitted to the department (n = 647), whereas the concordance of classification at the group level was estimated at 71.7% (n = 594). Further in-patient treatment was initiated in some of the patients admitted to the department (n = 385). The mean time of hospital stay was 10.1 days. In conclusion, differences between the initial diagnosis made by the heads of the Medical Emergency Teams and the diagnosis made by the doctor on duty in the Hospital Emergency Departments depended on the chapter of diseases in the ICD-10 classification, but they were acceptable. The majority of the patients were transported to Hospital Emergency Departments. The most common groups of diseases that require Hospital Emergency Departments admission include cardiovascular diseases, injuries due to external causes, and respiratory diseases. A moderate percentage of patients were qualified for further specialist treatment in hospital departments.
本研究旨在分析 2016 年至 2018 年期间白俄罗斯县和切尔姆县（波兰）老年患者在医院急诊部的医疗管理情况。我们分析了由医疗急救队送往医院急诊部的 829 名患者的病历。该研究于 2019 年 6 月至 2020 年 3 月期间进行。我们分析了送往医院的患者的紧急医疗程序表和病历。40%的患者被诊断患有心血管疾病。在分析的 1200 例干预措施中，有 3.1%的患者死亡。救护车派遣导致患者被送往医院急诊部的情况超过/。在被送往急诊部的 78%（n=647）患者中，医疗急救队做出的诊断与急诊部做出的诊断相符，而在组水平上的分类一致性估计为 71.7%（n=594）。一些被送往急诊部的患者进一步接受了住院治疗（n=385）。住院时间的平均值为 10.1 天。总之，医疗急救队负责人做出的初步诊断与急诊部值班医生做出的诊断之间的差异取决于 ICD-10 分类中的疾病章节，但这些差异是可以接受的。大多数患者被送往医院急诊部。需要住院治疗的最常见疾病组包括心血管疾病、外伤和呼吸系统疾病。相当一部分患者有资格在医院科室接受进一步的专科治疗。
