The elderly in the emergency department: A critical review of problems and solutions

F. Salvi, V. Morichi, A. Grilli, R. Giorgi, G. De Tommaso, P. Dessì-Fulgheri

Research output: Contribution to journalArticlepeer-review

Abstract

The elderly are an ever increasing population in overcrowded emergency departments (EDs) in many countries. They have multiple health problems and consume more time and resources than younger patients. They are more frequently admitted and experience adverse outcomes after they are discharged from the ED. These frail patients could require specific skills, instruments and organisational models of emergency care in order to look after their complex needs. As such, several approaches have been tried and tested to improve emergency care for them. This article analyses the epidemiological load and problems faced when confronted with elder ED patients. We critically review organisational models, clinical approaches and methodologies in order to reduce ED physicians' difficulties and to improve quality of care and outcomes for elder patients. Triage, clinical assessment and discharge are identified as critical moments during an emergency care process, and interesting and useful instruments are proposed as possible solutions.

Original languageEnglish
Pages (from-to)292-301
Number of pages10
JournalInternal and Emergency Medicine
Volume2
Issue number4
DOIs
Publication statusPublished - Dec 2007

Keywords

  • Aged
  • Appropriateness
  • Emergency department
  • Geriatric assessment
  • Quality of care

ASJC Scopus subject areas

  • Emergency Medicine
  • Internal Medicine

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