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Titolo:
EMERGENCY HOSPITAL ADMISSION IN MEDICAL W ARDS - CAUSES, JUSTIFICATION, SOCIAL-FACTORS AND DIFFERENCES WITH RESPECT TO AGE
Autore:
GONZALEZMONTALVO JI; BAZTAN JJ; RODRIGUEZMANAS L; SANCRISTOBAL E; GATO A; BALLESTEROS P; SALGADO A;
Indirizzi:
HOSP CENT CRUZ ROJA,SERV GERIATR,AVDA REINA VICTORIA 26 E-28003 MADRID SPAIN HOSP FUENFRIA CERCEDILLA MADRID SPAIN HOSP UNIV GETAFE,SERV GERIATR MADRID SPAIN HOSP UNIV GETAFE,MED INTERNA SERV MADRID SPAIN
Titolo Testata:
Medicina Clinica
fascicolo: 12, volume: 103, anno: 1994,
pagine: 441 - 444
SICI:
0025-7753(1994)103:12<441:EHAIMW>2.0.ZU;2-3
Fonte:
ISI
Lingua:
SPA
Soggetto:
APPROPRIATENESS EVALUATION PROTOCOL; ELDERLY PATIENTS; CARE; DEPARTMENTS; RELIABILITY; SERVICE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
35
Recensione:
Indirizzi per estratti:
Citazione:
J.I. Gonzalezmontalvo et al., "EMERGENCY HOSPITAL ADMISSION IN MEDICAL W ARDS - CAUSES, JUSTIFICATION, SOCIAL-FACTORS AND DIFFERENCES WITH RESPECT TO AGE", Medicina Clinica, 103(12), 1994, pp. 441-444

Abstract

BACKGROUND: Increasing attention has been given to the care to elderly patients in emergency departments (ED). Moreover, few data are available about final phase of the process, that is hospital admission fromED. This study was conducted to stablish appropriateness, reasons andsocial factors related to hospital admission in medical services fromED and their age-related differences. METHODS: The Appropriateness Evaluation Protocol scale (AEP) was applied prospectively to 515 patients 15 years and older admitted to medical services through an ED. Patients who did not meet any AEP criteria were evaluated for other medicalor social factors as conditions for their admission. RESULTS: The sample was composed by 303 elders (65 years and older, mean age = 77 +/- 6 years) and 212 adults (15-64 years old, mean age = 45 +/- 14). 271 elderly patients (89.4%) and 173 adults (81.6%) meet AEP criteria (p = 0.01). Hospitalary admission for diagnostic procedures is more frequent in younger than in older group (14.2% versus 6.9%, p = 0.01). No differences are detected in hospital admissions based upon strictily social factors: 7 (2.3%) in elderly group and 7 (3.3%) in younger one (p =0.5). CONCLUSIONS: Urgent hospital admissions in medical services arejustified more frequently in elderly patients. These patients are admitted for diagnostic procedures less frequently than younger group. Noage-dependent difference in strictly social admissions is detected.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 13/07/20 alle ore 10:37:40