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Geriatrische Aspekte bei betagten Notfallpatienten

Geriatric aspects of elderly emergency patients

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Zusammenfassung

Hintergrund

Der Anteil der an Notfallambulanzen zu versorgenden geriatrischen Patienten nimmt stetig zu. Neben dem fortgeschrittenen Alter sind Multimorbidität oder Frailty führende Probleme in der Versorgung und Triage dieser Patienten.

Methode

Recherche der aktuellen Literatur.

Ergebnisse und Schlussfolgerung

Die Vulnerabilität gegenüber verschiedenen Stressfaktoren bedingt ein schlechteres Behandlungsergebnis, Gefahr des Autonomieverlusts und eine höhere Mortalität. Neurokognitive Störungen und Zuständen wie Delir wird in akuten Situationen oft zu wenig Augenmerk geschenkt. Daher ist es wichtig, alle diese zentralen Merkmale, die es auch in der akuten Behandlung zu berücksichtigen gilt, rasch zu erfassen und die Risikopatienten entsprechend zu identifizieren.

Abstract

Background

The number of geriatric patients presenting to emergency departments is increasing. Apart from advanced age, multimorbidity and frailty are the leading problems when treating these patients.

Method

Research of the current literature.

Results and conclusion

Their vulnerability to various stressors results in a poorer outcome and prognosis, loss of autonomy and independence and increased mortality. Neurocognitive impairment and acute neurological disturbances, e.g. delirium often go unrecognized; therefore, it is important that these core geriatric syndromes be considered in the acute medical management of elderly people to identify all geriatric patients at risk.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. M. Köller gibt an, dass kein Interessenkonflikt besteht. Der Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Lehrstuhl für Geriatrie, Universitätsklinik Innere Medizin III, Medizinische Universität Wien, c/o SMZ Sophienspital, Apollogasse 19, 1070, Wien, Österreich

    M. Köller

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  1. M. Köller
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Correspondence to M. Köller.

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Köller, M. Geriatrische Aspekte bei betagten Notfallpatienten. Notfall Rettungsmed 17, 484–487 (2014). https://doi.org/10.1007/s10049-013-1749-z

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  • DOI: https://doi.org/10.1007/s10049-013-1749-z

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