Abstract
Adequate care planning for a heterogeneously aging population is a challenge, because there is notable variation in the way older people react to illness and trauma. We also know that elderly patients have higher rates of visits to urgent/emergency departments (ED) worldwide, due to the complexity and severity of underlying diseases and comorbidities. In this article will be described the results regarding the socio-demographic variables of 1373 emergency episodes, by elderly people. The study reveals that most users are women, and the average age is around 82 years, 40.93% used the emergency department two or more times in the last year; and already reveals some worrying data with most of the elderly having low levels of education, living alone or with insufficient social support, polymedication, and with high levels of frailty. In addition, the prevalence of frailty is expected to increase along with the rapid growth of the elderly population. Understanding and managing frailty will likely form a major component of future care strategies around the world.
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References
United Nations. Department of Economic and Social Affairs Population Division (ST/ESA/SER.A/430). United Nations World Population Ageing 2019. Highlights. United Nations, NY (2019). https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Highlights.pdf
United Nations. Department of Economic and Social Affairs Population Division (ST/ESA/SER.A/423). United Nations World Population Prospects 2019: Highlights United Nations, NY (2019). https://population.un.org/wpp/Publications/Files/WPP2019_Highlights.pdf
United Nations. Department of Economic and Social Affairs, Population Division (ST/ESA/SER.A/390). United Nations World Population Ageing 2015. Highlights. United Nations, NY (2015). https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2015_Highlights.pdf
World Health Organization: Social isolation and loneliness among older people: advocacy brief. World Health Organization, Geneva: License: CC BY-NC-SA 3.0 IGO (2021)
Fried, L., Tangen, C., Walston, J., Newman, A., et al.: (Cardiovascular Health Study Collaborative Research Group): Frailty in older adults: evidence for a phenotype. J. Gerontol. A Biol. Sci. Med. Sci. 56(3), M146–M156 (2001). https://doi.org/10.1093/gerona/56.3.m146
McDermid, R., Stelfox, H., Bagshaw, S.: Frailty in the critically ill: a novel concept. Crit. Care. 15(1), 301 (2011). https://doi.org/10.1186/cc9297
Clegg, A., Young, J., Iliffe, S., Rikkert, M., et al.: Frailty in elderly people. Lancet 381, 752–762 (2013). https://doi.org/10.1016/S0140-6736(12)62167-9
Schoon, Y., Bongers, K.V., Kempen, J., Melis, R., et al.: Gait speed as a test for monitoring frailty in community-dwelling older people has the highest diagnostic value compared to step length and chair rise time. Eur. J. Phys. Rehabil. Med. 50(6), 693–701 (2014)
European Observatory on Health Systems and Policies: Portugal: Country Health Profile 2019, State of Health in the EU. OECD Publishing, Paris/European Observatory on Health Systems and Policies, Brussels (2019). https://www.oecdilibrary.org/docserver/85ed94fcen.pdf?expires=1644079606&id=id&accname=guest&checksum=3FDE93EE886D07DCCC06A3F0B81EDD0E
Eurostat: Eurostat database for life expectancy and healthy life years (2021). https://ec.europa.eu/eurostat/statisticsexplained/index.php?title=Healthy_life_years_statistics
European Observatory on Health Systems and Policies: Health at a Glance: Europe 2020 – State of Health in the EU Cycle. OECD Publishing, Paris (2020). https://doi.org/10.1787/82129230-en
Erazo, A.: The elderly in the emergency department. In: Gerontology Open Access Peer-Reviewed Chapter, pp. 85–99 (2018). https://doi.org/10.5772/intechopen.75647
Azeredo, Z.: The elderly in a hospital emergency service. J. Aging Inov. 2(4), 20–26 (2014)
Keskinoglu, P., Feyzullah, I.: Analysis of emergency department visits by elderly patients in na urban public hospital in Turkey. J. Clin. Gerontol. Geriatr. 5, 127–131 (2014). https://doi.org/10.1016/j.jcgg.2014.07.001
Moya, M.: Epidemiología de las urgencias del anciano. Monografías Emergencias 2, 6–8 (2008)
Carret, M., Fassa, A., Domingues, M.: Inappropriate use of emergency services: a systematic review of prevalence and associated factors. Cadernos Saúde Pública 25(1), 7–28 (2009). https://doi.org/10.1590/s0102-311x2009000100002
Cunha, M.: Hiperutilizadores das Urgências: Um estudo no Centro Hospitalar Cova da Beira. Covilhã. Tese para a obtenção do Grau de Mestre em Medicina: Universidade da Beira Interior (2011). https://ubibliorum.ubi.pt/handle/10400.6/933
Sousa, R.: Caraterização do acesso ao Centro Hospitalar de Lisboa Norte, EPE: Análise do acesso e da utilização da Consulta Externa e da Urgência do Centro Hospitalar Lisboa Norte, EPE. Tese para Obtenção do Grau de sMestre em Gestão em Saúde. Escola Superior de Saúde Pública. Universidade Nova de Lisboa (2014). https://run.unl.pt/bitstream/10362/14503/4/RUN%20-%20Disserta%C3%A7%C3%A3o%20de%20Mestrado%20-%20Rafaela%20Sousa.pdf
Andrew, M., Mitnitski, A., Rockwood, K.: Social vulnerability, frailty and mortality in elderly people. PLoS One 3(5), e2232 (2008). https://doi.org/10.1371/journal.pone.0002232
Gyasi, R., Prince, P., Abassc, K., Pokua, L., Yvonne, S., et al.: Loneliness and physical function impairment: perceived health status as an effect modifier in community-dwelling older adults in Ghana. Prev. Med. Rep. 26, 1017–1021 (2022). https://doi.org/10.1016/j.pmedr.2022.101721
Direção-Geral da Saúde: Plano de Ação para a literacia em saúde 2019–2021. Direção-Geral da Saúde, Lisboa, Portugal (2018)
Grupo Técnico para o Desenvolvimento dos Cuidados de Saúde Primários: Atendimento das situações de doença aguda em cuidados de saúde primários e interligação com a Rede Nacional de Emergência e Urgência. Ministério da Saúde (2012). http://www.acss.min-saude.pt/Portals/0/27-interfacesiii-abordagemsistmicadoatendimentodassituaesagudaseurgentes_gt-dcsp_2012.09.30.pdf
Grupo de Trabalho Serviços de Urgência. Sistema Nacional de Saúde. Relatório Grupo de Trabalho Serviços de Urgência (2019). https://www.sns.gov.pt/wp-content/uploads/2019/11/RELATORIO-GT-Urg%C3%AAncias.pdf
Laflamme, L. Monárrez-Espino, J. Johnell, K. Elling, B. Möller, J.: Type, number or both? A population-based matched case-control study on the risk of fall injuries among older people and number of medications beyond fall-inducing drugs. PLoS One 10(3), e0123390 (2015). https://doi.org/10.1371/journal.pone.0123390
Masnoon, N., Shakib, S., Kalisch-Ellett, L., Caughey, G.: What is polypharmacy? A systematic review of definitions. BMC Geriatr. 17, 230 (2017). https://doi.org/10.1186/s12877-017-0621-2
Franchi, C., et al.: Emergency department visits in older people: pattern of use, contributing factors, geographical differences and outcomes. Aging Clin. Exp. Res. 29(2), 319–326 (2016). https://doi.org/10.1007/s40520-016-0550-5
Aminzadeh, F., Dalziel, W.: Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann. Emerg. Med. 39(3), 238–247 (2002). https://doi.org/10.1067/mem.2002.121523
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The research work on this paper was supported by the Isabel Correia de Levy Investigation Grant - 2020 edition, from the Portuguese Association in Palliative Care.
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Simões, Â. (2023). Sociodemographic Characteristics of Elderly People Using the Emergency Department. Initial Data. In: Guardado Moreira, M.J., A. Carvalho, L.S., Sequeira Gonçalves, P.J., Barreiros Pinheira, V.M. (eds) Longevity and Development: New perspectives on Ageing Communities . Age.Comm 2021. Lecture Notes in Bioengineering. Springer, Cham. https://doi.org/10.1007/978-3-031-22273-3_6
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