Epidemiología del anciano en un servicio de urgencias hospitalarias de España. Estudio de 171 343 casos.
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| Title: | Epidemiología del anciano en un servicio de urgencias hospitalarias de España. Estudio de 171 343 casos. |
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| Alternate Title: | Epidemiology of the Elderly in a Hospital Emergency Department in Spain. A Study of 171,343 Cases. Epidemiologia de pacientes idosos em um serviço de emergência de um hospital espanhol: análise de 171.3423 casos. |
| Authors: | Merino-Galvez, Esteban1, Merino-Coy, Gabriela1, Gómez-Hervás, Javier2 javiergomezhervas@yahoo.es |
| Source: | Revista Ciencias de la Salud. may-ago2025, Vol. 23 Issue 2, p1-13. 13p. |
| Subjects: | WOUNDS & injuries, PATIENTS, HOSPITAL admission & discharge, HOSPITAL emergency services, RETROSPECTIVE studies, DISCHARGE planning, HOSPITAL mortality, HEART failure, DISEASES, BONE fractures, RESEARCH methodology, MEDICAL records, ACQUISITION of data, HOSPITAL care of older people, OLD age |
| Geographic Terms: | SPAIN |
| Abstract (English): | Objective: To describe the trends and distribution of the main ailments of elderly people in a Spanish hospital's emergency department. Method: A descriptive, observational and retrospective study was conducted for all patients older than 65 years, that were seen by the Emergency Service at a secondary hospital from 2011 to 2019. We used CIAP-2 code from WONCA. Results: 713.585 patients were analysed, of whom 171.341 (23.87%) were older than 65 years. Attendance and hospitalisation increased in the elderly during the period studied, especially in those over 85 years of age (p < 0.001). The frequentation is greater in women on Mondays, and in the months of December, January and August (p < 0.001). Nonspecific respiratory pathology-R83 (4.8%), trauma-A80 (4.2%) and fractures-L76 (4%) were the most frequent pathologies (p < 0.001). The most frequent causes of admission were respiratory infections-R83 (8.9%), fractures-L76 (6.5%) and heart failure-K77 (5.2%) (p < 0.001). Emergency doctors resolved 88.8% of pathologies without referring the patient to another specialist. Conclusion: Despite the fact that the demand for care in hospital emergencies for the elderly is booming, their attendance rate is at levels below the rest of the population, and also, when they attend, they do so for more serious pathologies. Respiratory pathology and trauma are the main causes of diagnosis and hospitalisation in the elderly. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: describir la frecuentación y la distribución de las principales patologías atendidas en un servicio de urgencias hospitalarias en ancianos. Método: estudio descriptivo, observacional y retrospectivo de todos los pacientes mayores de 65 años atendidos en el servicio de urgencias de un hospital de segundo nivel entre 2011 y 2019. Se utilizó la codificación CIAP-2 de la WONCA. Resultados: se analizaron 713 585 consultas, de las cuales 171 341 (23.87 %) eran en mayores de 65 años. La frecuentación y la hospitalización aumentaron en la tercera edad durante el periodo estudiado, especialmente en mayores de 85 años (p < 0.001). La frecuentación fue mayor en mujeres, los días lunes y los meses de diciembre, enero y agosto (p < 0.001). La patología respiratoria inespecífica-R83 (4.8 %), los traumatismos-A80 (4.2 %) y las fracturas-L76 (4 %) fueron las patologías más frecuentes (p < 0.001). Las causas de ingreso más relevantes correspondieron a las infecciones respiratorias-R83 (8.9 %), las fracturas-L76 (6.5 %) y la insuficiencia cardíaca-K77 (5.2 %) (p < 0.001). Los médicos de urgencias y emergencias resolvieron el 88.8 % de las patologías sin tener que derivar al paciente a otro especialista. Conclusión: a pesar de que la demanda asistencial de las urgencias hospitalarias en la tercera edad mantiene una tendencia ascendente, su tasa de frecuentación está a niveles por debajo del resto de la población; además, cuando acuden, lo hacen por patologías más graves. La patología respiratoria y los traumatismos son las principales causas de diagnósticos y hospitalizaciones en la tercera edad, por lo que se deberían de realizar planes específicos de trabajo en esas áreas. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Objetivo: descrever a frequência e a distribuição das principais patologias atendidas em idosos em um serviço de emergência hospitalar. Materiais e métodos: estudo descritivo, observacional e retrospectivo, realizado com todos os pacientes com mais de 65 anos de idade atendidos no pronto-socorro de um hospital de segundo nível na Espanha, entre 2011 e 2019. Foi utilizada a codificação CIAP-2 da WONCA. Resultados: Foram analisadas 713.585 consultas, das quais 171.341 (23.87 %) correspondiam a pacientes com mais de 65 anos de idade. A frequência de atendimento e a taxa de internação aumentaram nesse grupo etário ao longo do período estudado, especialmente entre aqueles com mais de 85 anos de idade (p < .001). A demanda foi maior entre mulheres, nas segundas-feiras e em dezembro, janeiro e agosto (p < .001). As patologias mais frequentes foram condições respiratórias não específica-R83 (4.8 %), traumatismos-A80 (4.2 %) e fraturas-L76 (4 %) (p < .001). As causas mais relevantes de admissão foram infecções respiratórias - R83 (8.9 %), fraturas-L76 (6.5 %) e insuficiência cardíaca-K77 (5.2 %) (p < .001). Os médicos de emergência resolveram 88.8 % das patologias sem necessidade de encaminhamento para outros especialistas. Conclusões: Embora a demanda por atendimento de emergência hospitalar entre idosos esteja em crescimento, a taxa de atendimento ainda é inferior à da população geral. No entanto, quando procuram o serviço, é por quadros clínicos mais graves. A patologia respiratória e o traumatismo representam as principais causas de diagnósticos e internações em idosos, indicando a necessidade de desenvolvimento de planos de trabalho específicos nessas áreas. São necessários mais estudos baseados em sistemas internacionais de codificação. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Objective: To describe the trends and distribution of the main ailments of elderly people in a Spanish hospital's emergency department. Method: A descriptive, observational and retrospective study was conducted for all patients older than 65 years, that were seen by the Emergency Service at a secondary hospital from 2011 to 2019. We used CIAP-2 code from WONCA. Results: 713.585 patients were analysed, of whom 171.341 (23.87%) were older than 65 years. Attendance and hospitalisation increased in the elderly during the period studied, especially in those over 85 years of age (p < 0.001). The frequentation is greater in women on Mondays, and in the months of December, January and August (p < 0.001). Nonspecific respiratory pathology-R83 (4.8%), trauma-A80 (4.2%) and fractures-L76 (4%) were the most frequent pathologies (p < 0.001). The most frequent causes of admission were respiratory infections-R83 (8.9%), fractures-L76 (6.5%) and heart failure-K77 (5.2%) (p < 0.001). Emergency doctors resolved 88.8% of pathologies without referring the patient to another specialist. Conclusion: Despite the fact that the demand for care in hospital emergencies for the elderly is booming, their attendance rate is at levels below the rest of the population, and also, when they attend, they do so for more serious pathologies. Respiratory pathology and trauma are the main causes of diagnosis and hospitalisation in the elderly. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 16927273 |
| DOI: | 10.12804/revistas.urosario.edu.co/revsalud/a.13823 |
