Læknablaðið - 01.01.2014, Blaðsíða 24

24 LÆKNAblaðið 2014/100
R A N N S Ó K N
ENGLISH SUMMARY
introduction: old people attend emergency departments (ED´s) in inc-
reasing numbers. old people have age related changes in all organ sys-
tems and tend to have multiple chronic diseases, be on multiple medica-
tions and often have physical and cognitive functional impairments.
Hence, they have complex health and social service needs. The purpose
of this study was to describe function and geriatric syndromes of old
people who present at Landspitali Emergency Department, Iceland, with
comparison to ED´s in six other countries.
Material and methods: A prospective descriptive study of people (>75
year´s) attending ED´s in seven countries, including Iceland. The InterRAI
assessment tool for ED´s was used by nurses to assess participants.
Results: At Landspitali ED, 202 individuals were assessed, of whom
55% were women. of the 202 individuals, 34% attended the ED within
90 days and of those 48% lived alone. on admission to the ED, 59%
had physical or cognitive functional impairment; 13% had only cognitive
impairment and 36% were unable to walk without assistance. Caregiver
distress was identified in 28% and 11% felt overwhelming burden.
From the ED, 46% were admitted to the hospital. Compared with for-
eign results greater number of Icelandic participants lived alone and
caregiver’s distress was slightly higher (28% vs. 18%). Fewer individuals
in Iceland were admitted to a hospital and Iceland had higher admission
rate to rehabilitation compared with the overall group.
Conclusion: Geriatric syndromes and functional impairment afflicted
majority of old people who attended the Landspitali ED. These observa-
tions should be taken into account in ED design and care planning for
old people to maximize efficiency, safety and quality.
Old people in the Emergency Department; icelandic results from the interRai multinational ED study
Hoskuldsdottir GTh, Geirsdottir oG, Kristjansdottir ID, Johannesdottir H, Benediktsdottir B, Guðjonsdottir B, Magnusdottir I, Runarsdottir S, Jonsson PV on
behalf of InterRAI ED Group
Correspondence: Pálmi V. Jónsson, palmivj@landspitali.is
key words: InterRAI ED, old, emergency department, screening tool, outcome.
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GLP-1 viðtakaörvi sem hefur áhrif á
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