Elderly patients presenting to a rural hospital emergency department in inland Croatia - A retrospective study

Int Emerg Nurs. 2021 Sep:58:101035. doi: 10.1016/j.ienj.2021.101035. Epub 2021 Jul 29.

Abstract

Background: Emergency departments are faced with a high influx of patients presenting for various complaints. The aim of the present study was to assess the basic characteristics of elderly patients presenting to a rural hospital emergency department in inland Croatia in 2017.

Methods: Retrospective data collected from the Hospital Information System and by analysis of medical records on patients presenting to emergency department in 2017 were used in the study.

Results: Study results indicated that a lower proportion of elderly individuals aged 65-74 were hospitalized following emergency department workup. A statistically significantly higher proportion of patients older than 74 years was presented to ED due to various discomforts and diseases (ICD-10 group I; χ2 = 324.85; p < 0.01) than due to cardiorespiratory diseases and acute abdomen (χ2 = 285.04; p < 0.01).

Conclusion: Our findings highlight the need for a complex approach in care for elderly people, given that they are a fragile population with multiple comorbidities, chronic diseases, atypical symptoms, and often with cognitive and functional impairments.

Keywords: Chronic disease; Emergency department; Nursing; Rural health; The elderly; Triage.

MeSH terms

  • Aged
  • Croatia / epidemiology
  • Emergency Service, Hospital*
  • Hospitals, Rural*
  • Humans
  • Retrospective Studies
  • Rural Population
  • Triage