THE OLDEST OLD IN THE EMERGENCY DEPARTMENT: IMPACT OF RENAL FUNCTION

Beitrag in einer Fachzeitschrift


Details zur Publikation

Autorinnen und Autoren: Bruennler T, Drey M, Dirrigl G, Weingart C, Rockmann F, Sieber C, Hoffmann U
Zeitschrift: The journal of nutrition, health & aging
Verlag: SPRINGER FRANCE
Jahr der Veröffentlichung: 2016
Band: 20
Heftnummer: 10
Seitenbereich: 1045-1050
ISSN: 1279-7707
eISSN: 1760-4788


Abstract

Objectives: The ageing population implicates an increasing numbers of older adults attending Emergency Departments (ED). We assessed the effect of estimated glomerular filtration rate as a predictor of clinical outcomes in oldest-old patients >= 85 years attending the ED in an university teaching hospital. Design: Within three years, 81831 patient contacts were made in our ED. 7799 (9.5%) were older than 85 years, in whom we analyzed the impact of renal function on various outcome parameters. Furthermore, this patient group was compared to the patients < 85 years. Results: Within the group of patients >= 85 years, not older age, but as denominator decreased glomerular filtration rate led to significant longer hospital stays. In addition, impaired kidney function was associated with lower heart rates, lower blood pressure, lower oxygenation, a higher rate of established ambulant care setting, as well as higher mortality. Compared to younger patients, the oldest-old significantly differed with regard to medical attribution (e.g. internal medicine, surgery), sex distribution, length of hospital stay, Manchester triage score, Glasgow Coma Scale, visual analogue pain scale, heart rate, blood pressure, oxygen saturation as well as fall prophylaxis, outpatient care, and presence of relatives. Conclusion: In conclusion, in this large collective of oldest-old patients, impaired kidney function seems to be a more important determinant in adverse outcome and thus increased health care costs than age per se. Adapted strategies in EDs to adjust diagnostic and treatment strategies for this population are thus warranted.


FAU-Autorinnen und Autoren / FAU-Herausgeberinnen und Herausgeber

Sieber, Cornel Prof. Dr.
Lehrstuhl für Innere Medizin (Geriatrie)


Einrichtungen weiterer Autorinnen und Autoren

Klinikum der Universität München (Großhadern und Innenstadt)
Krankenhaus Barmherzige Brüder, Academic Teaching Hospital of University Medical Center Regensburg


Zitierweisen

APA:
Bruennler, T., Drey, M., Dirrigl, G., Weingart, C., Rockmann, F., Sieber, C., & Hoffmann, U. (2016). THE OLDEST OLD IN THE EMERGENCY DEPARTMENT: IMPACT OF RENAL FUNCTION. The journal of nutrition, health & aging, 20(10), 1045-1050. https://dx.doi.org/10.1007/s12603-016-0731-0

MLA:
Bruennler, T., et al. "THE OLDEST OLD IN THE EMERGENCY DEPARTMENT: IMPACT OF RENAL FUNCTION." The journal of nutrition, health & aging 20.10 (2016): 1045-1050.

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Zuletzt aktualisiert 2018-08-10 um 13:08