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Gerontology. 2013;59(1):17-22. doi: 10.1159/000342202. Epub 2012 Oct 30.

Correlation between age, emergency department length of stay and hospital admission rate in emergency department patients aged ≥70 years.

Author information

1
Department of Trauma and Orthopaedic Surgery, Klinikum Nürnberg, Nuremberg, Germany. biber@klinikum-nuernberg.de

Abstract

BACKGROUND:

Interdisciplinary emergency departments (EDs) are confronted with trauma and nontrauma patients of any age group. Length of stay (LOS) and admission rates reflect both disease complexity and severity.

OBJECTIVE:

To evaluate LOS and admission rates in different age groups according to traumatic and nontraumatic etiologies.

PATIENTS AND METHODS:

During May 2011 a total of 4,653 adult patients (defined as ≥18 years old) seen in the ED of our municipal hospital were evaluated for their primary problem, Emergency Severity Index, LOS and admission rate. 1,841 trauma patients (mean age: 51.9 years; SD 22.5 years) and 2,812 nontrauma patients (mean age: 60.0 years; SD 20.4 years) were included.

RESULTS:

Median LOS in the ED was 1:41 h (trauma) and 1:52 h (nontrauma). Trauma patients aged ≥70 years spent more time in the ED than nontrauma patients of this age group (patients aged ≥70 years median: 2:08 vs. 1:56 h; p < 0.0001). However, no significant difference was found in patients aged <70 years (1:33 vs. 1:48 h; p = 0.64). Comparing older with younger patients, median LOS within the ED was about 8 min longer in nontrauma patients aged ≥70 years (p = 0.22) and about 35 min longer in trauma patients aged ≥70 years (p < 0.00001).

CONCLUSIONS:

The correlation between age and LOS is stronger for trauma patients, which might indicate a special need for geriatric expertise in elderly trauma ED patients. Thus an interdisciplinary approach including surgical and geriatric expertise may be advantageous.

PMID:
23128892
DOI:
10.1159/000342202
[Indexed for MEDLINE]

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