Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia

Introduction: The objective of this study aimed to determine the prevalence of geriatric patients being treated in Red Zone of Emergency Department in Hospital Universiti Sains Malaysia (USM), and factors associated with special care unit admission and in-hospital mortality. Methodology: This s...

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Main Author:	Yen, Lim Khai
Format:	Thesis
Language:	English
Published:	2018
Subjects:	RC Internal medicine
Online Access:	http://eprints.usm.my/46132/1/Dr.%20Lim%20Khai%20Yen-24%20pages.pdf
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id	my-usm-ep.46132
record_format	uketd_dc
spelling	my-usm-ep.461322020-02-09T03:45:06Z Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia 2018 Yen, Lim Khai RC Internal medicine Introduction: The objective of this study aimed to determine the prevalence of geriatric patients being treated in Red Zone of Emergency Department in Hospital Universiti Sains Malaysia (USM), and factors associated with special care unit admission and in-hospital mortality. Methodology: This study was a single centre prospective cross-sectional study which was carried out from 1 January 2016 – 31 December 2016 at Red Zone of the Emergency Department Hospital USM. All patients aged 60 years and above were included. Systematic random sampling was used. Variables were analyzed using simple and multiple logistic regressions. Results: Total patients included in this study were 328 patients, 55.8% were male and 91.2% were Malay. The mean age was 70.6 years old. The cases geriatric patients commonly presented were cardiovascular (31.4%), infectious disease (29.6%), neurology (14.9%), and respiratory (12.5%). Out of 328 patients studied, 187 patients (57.0%) were admitted to general wards, 110 patients (33.5%) were admitted to SCU. 55 patients (16.8%) passed away within the period of in-hospital treatment. Factors associated with SCU admissionwere the usage of NIV, and the usage of inotropic support. On the other hand, factors associated with in-hospital mortality were blood urea level, serum albumin level and the application of mechanical ventilation. Conclusions: Geriatric patients who presented to Red Zone of ED requiring ventilator and inotropic support had shown to have worse outcome. The associated factors for SCU admission and in-hospital mortality had been identified, and this will enable better settings cater to the needs for critically ill geriatric patients. 2018 Thesis http://eprints.usm.my/46132/ http://eprints.usm.my/46132/1/Dr.%20Lim%20Khai%20Yen-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC Internal medicine
spellingShingle	RC Internal medicine Yen, Lim Khai Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia
description	Introduction: The objective of this study aimed to determine the prevalence of geriatric patients being treated in Red Zone of Emergency Department in Hospital Universiti Sains Malaysia (USM), and factors associated with special care unit admission and in-hospital mortality. Methodology: This study was a single centre prospective cross-sectional study which was carried out from 1 January 2016 – 31 December 2016 at Red Zone of the Emergency Department Hospital USM. All patients aged 60 years and above were included. Systematic random sampling was used. Variables were analyzed using simple and multiple logistic regressions. Results: Total patients included in this study were 328 patients, 55.8% were male and 91.2% were Malay. The mean age was 70.6 years old. The cases geriatric patients commonly presented were cardiovascular (31.4%), infectious disease (29.6%), neurology (14.9%), and respiratory (12.5%). Out of 328 patients studied, 187 patients (57.0%) were admitted to general wards, 110 patients (33.5%) were admitted to SCU. 55 patients (16.8%) passed away within the period of in-hospital treatment. Factors associated with SCU admissionwere the usage of NIV, and the usage of inotropic support. On the other hand, factors associated with in-hospital mortality were blood urea level, serum albumin level and the application of mechanical ventilation. Conclusions: Geriatric patients who presented to Red Zone of ED requiring ventilator and inotropic support had shown to have worse outcome. The associated factors for SCU admission and in-hospital mortality had been identified, and this will enable better settings cater to the needs for critically ill geriatric patients.
format	Thesis
qualification_level	Master's degree
author	Yen, Lim Khai
author_facet	Yen, Lim Khai
author_sort	Yen, Lim Khai
title	Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia
title_short	Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia
title_full	Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia
title_fullStr	Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia
title_full_unstemmed	Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia
title_sort	predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the emergency department of hospital universiti sains malaysia
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2018
url	http://eprints.usm.my/46132/1/Dr.%20Lim%20Khai%20Yen-24%20pages.pdf
_version_	1747821617019355136

Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia

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