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Geriatric mortality risk factors in emergency department for non-traumatic abdominal pain.

Authors :
Kanbakan A
Cakmak F
Ipekci A
Akdeniz YS
Ikizceli I
Source :
Bratislavske lekarske listy [Bratisl Lek Listy] 2023; Vol. 124 (9), pp. 718-722.
Publication Year :
2023

Abstract

Objectives: The study aimed to determine the factors affecting the mortality of geriatric patients presenting to the emergency department with non-traumatic abdominal pain, as well as the associations of these factors with mortality.<br />Background: With the increasing number of elderly patients, early recognition of patients with risk-bearing diagnoses is crucial.<br />Methods: This prospective cross-sectional study included 466 patients over 65 years of age who were admitted to THE emergency department of a tertiary hospital and consented to participate. Data was collected on patient demographics, vital signs, chronic diseases, laboratory investigations, diagnoses, disposition, and 30-day mortality.<br />Results: The results showed that the mean patient age was 74.42 years, with 47.4 % being male and 52.6 % female. 15.6 % of the patients had nonspecific causes. The risk of mortality within one month was 5.797 times higher in patients with neurological diseases and 5.183 times higher in those with a history of surgery. A one-unit decrease in hemoglobin increased the mortality risk by 0.656 times.<br />Conclusion: This study highlights the importance of careful evaluation of elderly patients with neurological diseases, previous surgical history, and anemia in the emergency department with non-traumatic abdominal pain (Tab. 5, Ref. 18).

Details

Language :
English
ISSN :
0006-9248
Volume :
124
Issue :
9
Database :
MEDLINE
Journal :
Bratislavske lekarske listy
Publication Type :
Academic Journal
Accession number :
37635670
Full Text :
https://doi.org/10.4149/BLL_2023_109