Langhoop Katharina, Habbinga Kirsten, Greiner Felix, Hoffmann Falk
Department für Versorgungsforschung, Fakultät VI - Medizin und Gesundheitswissenschaften, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstraße 114-118, 26129, Oldenburg, Deutschland.
Medizinischer Campus Universität Oldenburg, Pius-Hospital Oldenburg, Oldenburg, Deutschland.
Med Klin Intensivmed Notfmed. 2024 Feb;119(1):18-26. doi: 10.1007/s00063-022-00968-8. Epub 2022 Nov 4.
This nationwide study aims to analyze age-specific differences and characteristics of emergency patients with a special focus on older patients.
In 2019, data were obtained from 11 emergency departments (EDs), all part of the German Emergency Department Data (AKTIN) registry. All patients 18 years and older visiting the EDs were included. In addition to demographic data, variables such as referral, type of transport, primary assessment, diagnoses, length of stay and type of transfer were recorded and compared by age group and specifically by younger (18-64 years) and older patients (65+ years).
Data from 356,354 patients (39.1% were aged 65+ years) were included. Compared to younger patients, older ED patients were more likely to be accompanied by emergency medical services (15.4 vs. 34.3%) and almost twice as often by an emergency physician (6.4 vs. 12.2%). The need for treatment increased with age; 47.1% of younger and 66.1% of older people were classified as yellow, orange or red. The proportion of patients with internal diseases was higher for patients 65+ years (22.5 vs. 38.8%). Older patients were more often hospitalized (27.5 vs. 60.3%) and were more frequently transferred to an intensive care unit (4.5 vs. 11.9%).
About 40% of adult emergency patients are 65+ years. They require more urgent treatment and are more often hospitalized than younger patients. In older patients, internal diseases were more common.
这项全国性研究旨在分析急诊患者的年龄特异性差异和特征，特别关注老年患者。
2019年，从德国急诊部门数据（AKTIN）登记处的11个急诊科获取数据。纳入所有18岁及以上前往急诊科就诊的患者。除人口统计学数据外，还记录了诸如转诊、运输类型、初步评估、诊断、住院时间和转诊类型等变量，并按年龄组，特别是年轻患者（18 - 64岁）和老年患者（65岁及以上）进行比较。
纳入了356354例患者的数据（39.1%为65岁及以上）。与年轻患者相比，老年急诊科患者更有可能由紧急医疗服务人员陪同（15.4%对34.3%），由急诊医生陪同的频率几乎是年轻患者的两倍（6.4%对12.2%）。治疗需求随年龄增长而增加；47.1%的年轻患者和66.1%的老年患者被归类为黄色、橙色或红色。65岁及以上患者的内科疾病比例更高（22.5%对38.8%）。老年患者更常住院（27.5%对60.3%），更频繁地被转入重症监护病房（4.5%对11.9%）。
约40%的成年急诊患者为65岁及以上。他们比年轻患者需要更紧急的治疗，且更常住院。在内科疾病方面，老年患者更为常见。
