• 作者：Pedro Paulo Marí ; n^a ; ^{ppmarin@med.puc.cl} ; Pamela Chá ; vez^a ; Marcela Carrasco^a ; Homero Gac^a ; Cristina Alonso Bouzó ; n^b ; Leocadio Rodrí ; guez Mañ ; as^b
• 关键词：Adultos mayores ; Ancianos ; Transició ; n demográ ; fica ; Servicio urgencia ; Chile
• 刊名：Revista Espa帽ola de Geriatr铆a y Gerontolog铆a
• 出版年：2011
• 期刊代码：pca313_0211139X
• 类别：med
• 出版时间：January-February 2011
• 卷：46
• 期：1
• 页码：27-29
• 文件大小：110 K

class="h4">Introduction

An increase in visits to Emergency Departments by older adults has been reported, but there are no data available on this in countries in the early phases of demographic and epidemiological transition. This paper describes the characteristics of people over 60 years-old (AM) who visited the Emergency Department of the Hospital Cl铆nico Universitario de la Pontificia Universidad Cat贸lica, Chile (SU-PUC), compared to those less than 60 years鈥搊ld (AJ).

class="h4">Material and methods

Demographic data and reasons for admission and re-admission were collected retrospectively from the SU-PUC monthly statistics report. Obstetrics, paediatrics and 芦scheduled admissions禄 were excluded. The frequencies were compared using Chi-squared (significance: P < .05).

class="h4">Results

A total of 37,660 visits to the SU-PUC were recorded (81%AJ; 19%AM; with 8%being older than 75 years). No statistical differences were found in the visit time (70%daytime), or by season between the groups.

A total of 7,414 (19.6%) of those who visited were hospitalised, with differences being detected between groups (AM: 48.9%vs 12.9%AJ; P < .001), particularly in those over 75 years (59%). The primary cause of admission was cardiopulmonary in AM (22%) and gastrointestinal in AJ (31%). Re-admissions were 10%in AM and 6%in AJ (P < .001).

class="h4">Conclusion

The use of SU by AM and some characteristics of their care process (hospitalisation) are similar to those found in countries in more advanced phases of demographic transition.