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Emergency department use by oldest-old patients from 2005 to 2010 in a Swiss university hospital.

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  • Author(s): Vilpert S;Vilpert S; Ruedin HJ; Trueb L; Monod-Zorzi S; Yersin B; Büla C
  • Source:
    BMC health services research [BMC Health Serv Res] 2013 Sep 08; Vol. 13, pp. 344. Date of Electronic Publication: 2013 Sep 08.
  • Publication Type:
    Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Aged, 80 and over/*statistics & numerical data ; Emergency Service, Hospital/*statistics & numerical data ; Hospitals, University/*statistics & numerical data; Age Factors ; Aged ; Female ; Humans ; Male ; Sex Factors ; Switzerland/epidemiology
    • Abstract:
      Background: Aging of the population in all western countries will challenge Emergency Departments (ED) as old patients visit these health services more frequently and present with special needs. The aim of this study is to describe the trend in ED visits by patients aged 85 years and over between 2005 and 2010, and to compare their service use to that of patients aged 65-84 years during this period and to investigate the evolution of these comparisons over time.
      Methods: Data considered were all ED visits to the University of Lausanne Medical Center (CHUV), a tertiary Swiss teaching hospital, between 2005 and 2010 by patients aged 65 years and over (65+ years). ED visit characteristics were described according to age group and year. Incidence rates of ED visits and length of ED stay were calculated.
      Results: Between 2005 and 2010, ED visits by patients aged 65 years and over increased by 26% overall, and by 46% among those aged 85 years and over (85+ years). Estimated ED visit incidence rate for persons aged 85+ years old was twice as high as for persons aged 65-84 years. Compared to patients aged 65-84 years, those aged 85+ years were more likely to be hospitalized and have a longer ED stay. This latter difference increased over time between 2005 and 2010.
      Conclusions: Oldest-old patients are increasingly using ED services. These services need to adapt their care delivery processes to meet the needs of a rising number of these complex, multimorbid and vulnerable patients.
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    • Publication Date:
      Date Created: 20130910 Date Completed: 20140728 Latest Revision: 20211021
    • Publication Date:
      20250114
    • Accession Number:
      PMC3846121
    • Accession Number:
      10.1186/1472-6963-13-344
    • Accession Number:
      24011089