Geriatric mortality risk factors in emergency department for non-traumatic abdominal pain

被引:0
|
作者
Kanbakan, Altug [1 ,3 ]
Cakmak, Fatih [2 ]
Ipekci, Afsin [2 ]
Akdeniz, Yonca S. [2 ]
Ikizceli, Ibrahim [2 ]
机构
[1] Univ Hlth Sci Turkey, Bakirkoy Dr Sadi Konuk Training & Res Hosp, Clin Emergency Med, Istanbul, Turkiye
[2] Istanbul Univ Cerrahpasa, Cerrahpasa Fac Med, Dept Emergency Med, Istanbul, Turkiye
[3] Bakirkoy Dr Sadi Konuk Res & Training Hosp, Clin Emergency Med, Dr Tevfik Saglam Cad 11, TR-34147 Istanbul, Turkiye
关键词
hospital emergency service; aged; abdominal pain; risk factors;
D O I
10.4149/BLL_2023_109
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVES: 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. BACKGROUND: With the increasing number of elderly patients, early recognition of patients with risk-bearing diagnoses is crucial. METHODS: 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. RESULTS: 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 nonspecifi c 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. CONCLUSION: 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). Text in PDF www.elis.sk
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页码:718 / 722
页数:5
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