Patients with life-limiting illness presenting to the emergency department.
cancer
emergency medicine
frailty
life-limiting illness
organ failure
Journal
Emergency medicine Australasia : EMA
ISSN: 1742-6723
Titre abrégé: Emerg Med Australas
Pays: Australia
ID NLM: 101199824
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
06
05
2019
revised:
13
09
2019
accepted:
25
09
2019
pubmed:
2
11
2019
medline:
19
8
2021
entrez:
1
11
2019
Statut:
ppublish
Résumé
To examine characteristics, outcomes and flow for patients over the age of 45 years with a life-limiting illness (LLI) presenting to a regional ED. Retrospective, observational cohort study of patients with LLI in an Australian regional ED over a 15-day period. Eligible patients were 45 years of age or older who fulfilled criteria for having an LLI. Data included demographics, diagnosis for current presentation, presence of advance care documentation, LLI category, admission and discharge destination from ED, ED and hospital length of stay and outcome for patients admitted to the acute hospital. A total of 152 (12%) patients had an LLI. The LLI group were older, had a significantly longer median length of stay in the ED (5.9 [interquartile range 4.0-8.4] vs 3.9 h [interquartile range 2.5-6.3], P < 0.0001) and were less likely to leave the ED within 4 h (26% vs 51.5%, P < 0.0001). Forty-six percent of patients with an LLI had some form of advanced care documentation. Patients with an LLI were more likely to require hospital admission. In relation to illness trajectory, the frailty/dementia trajectory group had comparatively the longest ED length of stay with less than 10% leaving the ED within 4 h. This group were more likely to be discharged to a residential care facility. A significant proportion of patients 45 years or older had an LLI which had implications for their length of ED stay and discharge destination.
Identifiants
pubmed: 31668017
doi: 10.1111/1742-6723.13409
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
288-294Informations de copyright
© 2019 Australasian College for Emergency Medicine.
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