Emergency department utilization in elderly patients: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.

IF 1.9 Q2 EMERGENCY MEDICINE Clinical and Experimental Emergency Medicine Pub Date : 2023-11-01 Epub Date: 2023-11-08 DOI:10.15441/ceem.23.146
Sun Young Lim, You Hwan Jo, Seongjung Kim, Eunsil Ko, Young Sun Ro, Jungeon Kim, Sumin Baek
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Abstract

Objective: : With general aging of the population, emergency department (ED) utilization by elderly patients is increasing. In this study, we analyzed data on ED visits of patients aged 65 years and older in Korea.

Methods: : The study is a retrospective analysis of National Emergency Department Information System (NEDIS) data from 2018-2022, focusing on patients aged 65 years and older who visited EDs across Korea. ED utilization data were analyzed using Korean Triage and Acuity Scale (KTAS) scores. The patients were divided into three age groups, and common chief complaints and diagnoses were identified. Age- and sex-standardized ED visits per 100,000 population and outcomes were also analyzed.

Results: : During the study period, there was a total of 9,803,065 elderly patient ED visits. The mean patient age was 76.4±7.6 years, and 47.6% were men. The ED mortality rate and in-hospital mortality rate were 1.8% and 4.6%, respectively. The KTAS scores 1-2 group accounted for 11.0% of patients, KTAS score 3 group for 42.5%, KTAS scores 4-5 group for 37.2%, and KTAS score unknown group for 9.4%. When patients were categorized into three age groups, the oldest group exhibited the highest rates of KTAS score 1, severe illness diagnoses, and mortality. The most frequently reported chief complaint was abdominal pain, and the most common diagnosis was light headedness. When analyzing the data by year, the COVID-19 outbreak had a discernible impact on ED visits and clinical outcomes.

Conclusion: : Over the past 5 years, ED visits for elderly patients have averaged 26,050 per 100,000 population per year, with a temporary decline during the COVID-19 pandemic and a subsequent upward trend.

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老年患者急诊科使用率:韩国国家急诊科信息系统(NEDIS) 2018-2022年报告
目的:随着人口的普遍老龄化,老年患者对急诊科(ED)的使用率越来越高。在这项研究中,我们分析了韩国65岁及以上患者的急诊科就诊数据。方法:本研究回顾性分析了2018-2022年全国急诊科信息系统(NEDIS)的数据,重点分析了韩国各地65岁及以上的急诊科患者。使用韩国分诊和敏锐度量表(KTAS)对ED使用数据进行分析。将患者分为三个年龄组,确定常见的主诉和诊断。还分析了每10万人中年龄和性别标准化的急诊科就诊情况和结果。结果:在研究期间,共有9803065名老年患者就诊于急诊科。患者平均年龄76.4±7.6岁,男性占47.6%。急诊死亡率和住院死亡率分别为1.8%和4.6%。KTAS 1-2分组占11.0%,KTAS 3分组占42.5%,KTAS 4-5分组占37.2%,KTAS评分未知组占9.4%。将患者分为3个年龄组时,年龄最大的年龄组的KTAS得分为1分、重症诊断率和死亡率最高。最常见的主诉是腹痛,最常见的诊断是轻度头痛。按年分析数据时,COVID-19的爆发对急诊科就诊和临床结果有明显的影响。结论:在过去的5年里,老年患者的急诊科就诊平均为每年每10万人26,050次,在COVID-19大流行期间暂时下降,随后呈上升趋势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.80
自引率
10.50%
发文量
59
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