Characteristics of older people with cognitive impairment attending emergency departments: a descriptive study

Schnitker, Linda M., Beattie, Elizabeth R. A., Martin-Khan, Melinda, Burkett, Ellen and Gray, Leonard C. (2016) Characteristics of older people with cognitive impairment attending emergency departments: a descriptive study. Australasian Emergency Nursing Journal, 19 2: 118-126. doi:10.1016/j.aenj.2016.04.002


Author Schnitker, Linda M.
Beattie, Elizabeth R. A.
Martin-Khan, Melinda
Burkett, Ellen
Gray, Leonard C.
Title Characteristics of older people with cognitive impairment attending emergency departments: a descriptive study
Journal name Australasian Emergency Nursing Journal   Check publisher's open access policy
ISSN 1574-6267
Publication date 2016-05
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.aenj.2016.04.002
Open Access Status Not Open Access
Volume 19
Issue 2
Start page 118
End page 126
Total pages 9
Place of publication London, United Kingdom
Publisher Elsevier
Collection year 2017
Language eng
Formatted abstract
Objective: The objective of this paper is to describe the profile of older people with cognitive impairment (CI) presenting to emergency departments (EDs).

Methods: This was a multi-centre (n = 8) observational study of a convenience sample of older (≥70 y) ED patients (n = 579). Participants were prospectively assessed for CI and surveyed for the duration of their ED stay (n = 191). A picture of patients' health status and ED responses to care needs was obtained through application of standardised assessment tools. Additionally, observations of care processes in ED were undertaken. Demographic data were collected through both ED's information system and survey. Outcome data were collected 28 days post-ED visit using follow-up telephone interviews.

Results: Of 579 older persons, 191 (33%) persons met criteria for CI. The majority of older ED patients with CI in ED lived in the community (157/177, 88.7%), arrived by ambulance (116/172, 67%), were accompanied by a support person (94/149, 63%), were triaged as urgent to semi-urgent (157/191, 82%), and were hospitalised (108/172, 57%). The median ED length of stay was 6 h. In ED, 53% of the sample experienced pain (92/173). Older ED patients with CI pose the following characteristics: prior hospital admissions (43/129, 33%), incontinence (61/178, 34%), dependence in activities in daily living (81/190, 43%), issues in nutrition (73/182, 40%), vision and hearing impairment (93% (160/172) and 26% (44/171) respectively).

Conclusion: Increased understanding of these presenting characteristics and their impacts on patient risk facilitates tailoring the quality of emergency care to better suit the needs and improve outcomes of this increasing ED population.
Keyword Aged
Cognitive impairment
Dementia
Emergency nursing
Emergency service
Hospital
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
Centre for Research in Geriatric Medicine Publications
Centre for Online Health Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in Thomson Reuters Web of Science Article
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Tue, 17 May 2016, 03:29:42 EST by System User on behalf of Learning and Research Services (UQ Library)