From: Emergency department use by oldest-old patients from 2005 to 2010 in a Swiss university hospital
2005 | 2010 | Z-Test 2005/2010 P value | |||||||
---|---|---|---|---|---|---|---|---|---|
65–84 years | 85+ years | Chi2 P value | 65-84 years | 85+ years | Chi2 P value | 65–84 years | 85+ years | ||
ED visits a | 6,327 (76.9%) | 1,901 (23.1%) | * | 7,618 (73.3%) | 2,772 (26.7%) | * | * | * | |
Sex | Male | 3,004 (47.5%) | 602 (31.7%) | * | 3,858 (50.6%) | 963 (34.7%) | * | * | |
Female | 3,323 (52.5%) | 1,299 (68.3%) | 3,760 (49.4%) | 1,809 (65.3%) | * | ||||
Marital status | Married | 2,965 (46.9%) | 432 (22.7%) | * | 3,858 (50.6%) | 796 (28.7%) | * | * | * |
Other b | 3,362 (53.1%) | 1,469 (77.3%) | 3,760 (49.4%) | 1,976 (71.3%) | * | * | |||
Residence | Home | 5,634 (89.2%) | 1,582 (83.3%) | * | 6,714 (88.2%) | 2,262 (81.6%) | * | ||
Nursing home | 237 (3.8%) | 228 (12.0%) | 328 (4.3%) | 370 (13.5%) | |||||
Transfer c | 445 (7.1%) | 90 (4.7%) | 572 (7.5%) | 139 (5.0%) | |||||
Triage level d | <= 15 min | 2,828 (44.7%) | 841 (44.2%) | 3,427 (45.4%) | 1,078 (44.1%) | ||||
> 15 min | 3,499 (55.3%) | 1,060 (55.8%) | 4,113 (54.6%) | 1,369 (55.9%) | |||||
Reason for ED | Cardiovasc. conditions | 1,245 (19.7%) | 344 (18.1%) | * | 1,431 (19.0%) | 389 (15.9%) | * | ||
visit d,e | Trauma | 1,052 (16.6%) | 497 (26.1%) | 1,173 (15.6%) | 583 (23.8%) | ||||
Respiratory conditions | 829 (13.1%) | / | / | / | / | / | |||
Disposition | Hospital admission c | 3,871 (62.4%) | 1,254 (68.4%) | * | 4,478 (58.8%) | 1,935 (69.8%) | * | * | |
Home discharge | 2,127 (34.3%) | 407 (22.2%) | 2,893 (38.0%) | 608 (21.9%) | * | ||||
Nursing home discharge | 153 (2.6%) | 145 (7.9%) | 192 (2.5%) | 198 (7.2%) | |||||
In-ED death | 56 (0.9%) | 29 (1.6%) | 53 (0.7%) | 30 (1.1%) | |||||
Length of ED stay | Mean ± SD | 12 h 58 m (±13.1) | 14 h 46 m (±13.1) | *f | 12 h 12 m (±12.8) | 15 h 56 m (±14.8) | *f | * | * |
(hours and minutes) | Median | 6 h 52 mh | 8 h 51 mh | 6 h 37 mh | 9 h 13 mh | *g | *g | ||
Return to ED within 30 days after ED | Discharge from ED to home/nursing home | 230 (3.6%) | 51 (2.7%) | 383 (5.0%) | 95 (3.4%) | * | |||
discharge | Discharge after hospital admission | 220 (3.5%) | 63 (3.3%) | 284 (3.7%) | 118 (4.3%) | ||||
No return | 5,877 (92.9%) | 1,787 (94.0%) | 6,951 (91.2%) | 2,559 (92.3%) | * | * |