Bratisl Lek Listy. 2023;124(9):718-722. doi: 10.4149/BLL_2023_109.
The study aimed to determine the factors affecting the mortality of geriatric patients presenting to the emergency department with non-traumatic abdominal pain, as well as the associations of these factors with mortality.
With the increasing number of elderly patients, early recognition of patients with risk-bearing diagnoses is crucial.
This prospective cross-sectional study included 466 patients over 65 years of age who were admitted to THE emergency department of a tertiary hospital and consented to participate. Data was collected on patient demographics, vital signs, chronic diseases, laboratory investigations, diagnoses, disposition, and 30-day mortality.
The results showed that the mean patient age was 74.42 years, with 47.4 % being male and 52.6 % female. 15.6 % of the patients had nonspecific causes. The risk of mortality within one month was 5.797 times higher in patients with neurological diseases and 5.183 times higher in those with a history of surgery. A one-unit decrease in hemoglobin increased the mortality risk by 0.656 times.
This study highlights the importance of careful evaluation of elderly patients with neurological diseases, previous surgical history, and anemia in the emergency department with non-traumatic abdominal pain (Tab. 5, Ref. 18).
本研究旨在确定影响因非创伤性腹痛就诊于急诊科的老年患者死亡率的因素，以及这些因素与死亡率的关联。
随着老年患者人数的增加，早期识别具有高危诊断的患者至关重要。
本前瞻性横断面研究纳入了 466 名年龄在 65 岁以上、同意参与的患者。收集患者的人口统计学、生命体征、慢性疾病、实验室检查、诊断、处置和 30 天死亡率等数据。
结果显示，患者的平均年龄为 74.42 岁，男性占 47.4%，女性占 52.6%。15.6%的患者病因不明。有神经系统疾病的患者在一个月内死亡的风险是无神经系统疾病患者的 5.797 倍，有手术史的患者死亡风险是无手术史患者的 5.183 倍。血红蛋白每降低一个单位，死亡风险增加 0.656 倍。
本研究强调了在急诊科仔细评估有神经系统疾病、既往手术史和贫血的老年非创伤性腹痛患者的重要性（表 5，参考文献 18）。
