Advertisement

 

 

Hospitalisation in an emergency department short-stay unit compared to an internal medicine department is associated with fewer complications in older patients – an observational study.

Hospitalisation in an emergency department short-stay unit compared to an internal medicine department is associated with fewer complications in older patients – an observational study.
Author Information (click to view)

Strøm C, Mollerup TK, Kromberg LS, Rasmussen LS, Schmidt TA,


Strøm C, Mollerup TK, Kromberg LS, Rasmussen LS, Schmidt TA, (click to view)

Strøm C, Mollerup TK, Kromberg LS, Rasmussen LS, Schmidt TA,

Advertisement

Scandinavian journal of trauma, resuscitation and emergency medicine 2017 08 1525(1) 80 doi 10.1186/s13049-017-0422-9
Abstract
BACKGROUND
Older patients are at particular risk of experiencing adverse events during hospitalisation.

OBJECTIVE
To compare the frequencies and types of adverse events during hospitalisation in older persons acutely admitted to either an Emergency Department Short-stay Unit (SSU) or an Internal Medicine Department (IMD).

METHODS
Observational study evaluating adverse events during hospitalisation in non-emergent, age-matched, internal medicine patients ≥75 years, acutely admitted to either the SSU or the IMD at Holbaek Hospital, Denmark, from January to August, 2014. Medical records were reviewed by independent assessors to detect adverse events according to predefined criteria. The primary outcome was the proportion of patients with an adverse event during and within 30 days after hospitalisation. Secondary outcomes included 90-day mortality, subtypes of adverse events, and timing of adverse events. Adjusted analyses were conducted to correct for potential confounders.

RESULTS
Four-hundred-fifty patients, 225 patients in each group, were included. Adverse events were found in 67 (30%) patients in the SSU-group and 90 (40%) patients in the IMD group (Odds Ratio (OR) 0.64 (95% Confidence Interval (95% CI) 0.43-0.94, p = 0.02). The result was unchanged in an analysis adjusted for age, Charlson Comorbidity score, and sex. We found no significant difference in 90-day mortality (OR 0.75, 95% CI 0.41-1.38, p = 0.36). The most common adverse events were transfer during hospitalisation, unplanned readmission, and nosocomial infection.

CONCLUSIONS
Adverse events of hospitalisation were significantly less common in older patients acutely admitted to an Emergency Department Short-stay Unit as compared to admission to an Internal Medicine Department.

Submit a Comment

Your email address will not be published. Required fields are marked *

twelve − 8 =

[ HIDE/SHOW ]