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  • Epidemiology and outcome of older patients presenting with dyspnoea to emergency departments

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    Keijzers445836Accepted.pdf (162.4Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Kelly, Anne-Maree
    Keijzers, Gerben
    Klim, Sharon
    Craig, Simon
    Kuan, Win Sen
    Holdgate, Anna
    Graham, Colin A
    Jones, Peter
    Laribi, Said
    Griffith University Author(s)
    Keijzers, Gerben
    Year published
    2020
    Metadata
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    Abstract
    Objectives: To describe the epidemiology and outcomes of non-traumatic dyspnoea in patients aged 75 years or older presenting to emergency departments (EDs) in the Asia-Pacific region. Methods: A substudy of a prospective interrupted time series cohort study conducted at three time points in EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia of patients presenting to the ED with dyspnoea as a main symptom. Data were collected over three 72-h periods and included demographics, co-morbidities, mode of arrival, usual medications, ED investigations and treatment, ED diagnosis and disposition, and outcome. The ...
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    Objectives: To describe the epidemiology and outcomes of non-traumatic dyspnoea in patients aged 75 years or older presenting to emergency departments (EDs) in the Asia-Pacific region. Methods: A substudy of a prospective interrupted time series cohort study conducted at three time points in EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia of patients presenting to the ED with dyspnoea as a main symptom. Data were collected over three 72-h periods and included demographics, co-morbidities, mode of arrival, usual medications, ED investigations and treatment, ED diagnosis and disposition, and outcome. The primary outcomes of interest are the epidemiology and outcome of patients aged 75 years or older presenting to the ED with dyspnoea. Results: 1097 patients were included. Older patients with dyspnoea made up 1.8% [95% confidence interval (CI) 1.7-1.9%] of ED presentations. The most common diagnoses were heart failure (25.3%), lower respiratory tract infection (25.2%) and chronic obstructive pulmonary disease (17.6%). Hospital ward admission was required for 82.6% (95% CI 80.2-84.7%), with 2.5% (95% CI 1.7-3.6%) requiring intensive care unit (ICU) admission. In-hospital mortality was 7.9% (95% CI 6.3-9.7%). Median length of stay was 5 days (interquartile range 2-8 days). Conclusion: Older patients with dyspnoea make up a significant proportion of ED case load, and have a high admission rate and significant mortality. Exacerbations or worsening of pre-existing chronic disease account for a large proportion of cases which may be amenable to improved chronic disease management.
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    Journal Title
    Age and Ageing
    DOI
    https://doi.org/10.1093/ageing/afaa121
    Copyright Statement
    © 2020 Australian Journal of Outdoor Education. This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Age and Ageing following peer review. The definitive publisher-authenticated version Epidemiology and outcome of older patients presenting with dyspnoea to emergency departments, Age and Ageing, afaa121, 2020 is available online at: 10.1093/ageing/afaa121.
    Note
    This publication has been entered into Griffith Research Online as an Advanced Online Version.
    Subject
    Clinical sciences
    Health services and systems
    Public health
    Psychology
    dyspnoea
    emergency department
    epidemiology
    older people
    Publication URI
    http://hdl.handle.net/10072/398290
    Collection
    • Journal articles

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