A study on geriatric patients attending emergency department Hospital Universiti Sains Malaysia
This study aimed to determine the proportion of geriatric patients attending Emergency Department in Hospital Universiti Sains Malaysia (USM) within January 2015 to March 2015, the mean duration of hospital stay and the outcome of the illness in geriatric patients admitted to Hospital USM. This s...
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| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
2017
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| Subjects: | |
| Online Access: | http://eprints.usm.my/60688/1/DR%20AFIFAH%20SJAMUN%20SJAHID%20-%20e.pdf |
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| Summary: | This study aimed to determine the proportion of geriatric patients attending Emergency
Department in Hospital Universiti Sains Malaysia (USM) within January 2015 to March
2015, the mean duration of hospital stay and the outcome of the illness in geriatric patients
admitted to Hospital USM. This study also aimed to identify the associated factors of
mortality in geriatrics patients admitted to Hospital USM. This study was a retrospective cohort study from January 2015 till March 2015 at
Emergency Department Hospital USM. All patients aged 60 years and above attended Emergency Department of Hospital USM from January 2015 until March 2015 were included. Systematic random sampling was used. A total of 209 patients had been
included in this study. Descriptive statistics were expressed as cross-tables for categorical
variables and as mean ± standard deviation for numerical variables. Independent
categorical variables were compared using Chi-Square test or Fisher’s exact test. Paired
group comparisons were performed using Independent t-test or Mann Whitney test for
numerical variables. Total patients included in this study were 209 patients. The mean (standard deviation,
SD) age was 68.4 (6.95) years old, with age range from 60 till 106 years old. Fifty-eight
percent were male and 95.7% were Malay. Seventy-eight percent were triaged as an
emergency; with 19.6% were red zone cases, while 51.2% were yellow zone cases. Three
most common presenting symptoms were respiratory symptoms (24.9%), cardiovascular
symptoms (19.65%) and gastrointestinal symptoms (12.9%). Out of209 patients studied,
95 patients (45.5%) were admitted. Mean duration of hospital stay was 8 days (mean 7.57,
SD 12.97). Out of 95 patients admitted, only 15 patients (15.8%) died in the ward. Factors
associated with mortality in hospitalized geriatric patients were gender (p = 0.009),
patient’s method of arrival (p = 0.001), conscious level on arrival (p < 0.001), patient’s
condition when transferring to the ward; either ventilated (p = 0.014) and on inotropic
agent (p < 0.001) or not, patient’s first pulse rate taken at triage (p < 0.001) and first blood
investigations taken in emergency department; white blood cell (p = 0.007), hemoglobin
(p = 0.019), serum lactate (p < 0.001) and serum urea (p = 0.036). Majority of the geriatric patients triaged as emergency cases indicated that they mostly
came with ill-conditioned that need to be attended immediately. By knowing the common
presenting symptoms and associated factors of mortality in admitted geriatric patients
will alert medical personnel in the emergency department to treat this group of patients
more thoroughly and judiciously. |
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