Skip to main content

Sociodemographic Characteristics of Elderly People Using the Emergency Department. Initial Data

  • Conference paper
  • First Online:
Longevity and Development: New perspectives on Ageing Communities ( Age.Comm 2021)

Part of the book series: Lecture Notes in Bioengineering ((LNBE))

Included in the following conference series:

  • 115 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. 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

  2. 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

  3. 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

  4. 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)

    Google Scholar 

  5. 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

    Article  Google Scholar 

  6. 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

    Article  Google Scholar 

  7. 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

    Article  Google Scholar 

  8. 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)

    Google Scholar 

  9. 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

  10. Eurostat: Eurostat database for life expectancy and healthy life years (2021). https://ec.europa.eu/eurostat/statisticsexplained/index.php?title=Healthy_life_years_statistics

  11. 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

  12. 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

  13. Azeredo, Z.: The elderly in a hospital emergency service. J. Aging Inov. 2(4), 20–26 (2014)

    Google Scholar 

  14. 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

    Article  Google Scholar 

  15. Moya, M.: Epidemiología de las urgencias del anciano. Monografías Emergencias 2, 6–8 (2008)

    Google Scholar 

  16. 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

    Article  Google Scholar 

  17. 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

  18. 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

  19. 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

  20. 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

    Article  Google Scholar 

  21. Direção-Geral da Saúde: Plano de Ação para a literacia em saúde 2019–2021. Direção-Geral da Saúde, Lisboa, Portugal (2018)

    Google Scholar 

  22. 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

  23. 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

  24. 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

  25. 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

    Article  Google Scholar 

  26. 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

    Article  Google Scholar 

  27. 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

    Article  Google Scholar 

Download references

Acknowledgment

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.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ângela Simões .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-22273-3_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-22272-6

  • Online ISBN: 978-3-031-22273-3

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics