Articles: emergency-department.
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Observational Study
Epidemiology of geriatric patients presenting to emergency departments in Europe: EGERS study.
Patients aged 65 and above constitute a large and growing part of emergency department (ED) visits in western countries. ⋯ The characteristics of ED elderly patients and their subsequent hospital stay are reported in this prospective study.
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With the aging population, improving technology, and expanding indications for diagnosing and treating arrhythmias and heart failure, many patients are receiving cardiac implantable electronic devices (CIEDs) such as pacemakers and implantable cardioverter defibrillators. Consequently, patients with CIEDs are frequently encountered in the emergency department and in the wards. It is imperative that emergency physicians and internists have a strong foundation on CIEDs and their potential complications. This review aims to help physicians develop a framework in approaching CIEDs and to recognize and manage clinical scenarios that may arise from CIED complications.
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This prospective study investigated whether integrating the Clinical Frailty Scale (CFS) with a triage system would improve triage for older adult emergency department (ED) patients. ⋯ The TFAS identified more older ED patients who had been triaged as less emergent but proceeded to need ICU admission or in-hospital death. Incorporating the CFS into triage may reduce the under-triage of older adults in the ED.
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Emerg Med Australas · Apr 2023
Potential to be more effective: reduction in lower urgency emergency department presentations during the COVID-19 period in New South Wales, Australia.
Diverting lower urgency ED presentations to more suitable healthcare is a key goal of several healthcare systems. During the early stages of the COVID-19 pandemic in 2020, there was a substantial drop in ED presentations in New South Wales (NSW), potentially because of lower risk of illness and injury through social restrictions, or ED avoidance for lower urgent care. The present study aimed to better understand the impact of social restrictions during the pandemic on ED presentations, to inform potential shifts to alternative modes of care in emergency medicine. ⋯ This finding suggests that reducing lower urgency ED presentation beyond the COVID-19 pandemic maybe feasible, by supporting alternative, more appropriate sources of care.
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Observational Study
Association of delirium with increased short-term mortality among older emergency department patients: A cohort study.
To evaluate the association between delirium and subsequent short-term mortality in geriatric patients presenting to the emergency department (ED). ⋯ Delirium is an important prognostic factor that ED clinicians and nurses must be aware of to optimize delirium prevention, management, disposition, and communication with patients and families.