Trends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years

Abstract Background This study aimed to determine to what extent an aging population and shift to chronic illness has contributed to emergency admissions at a tertiary care hospital over ten years. Methods This was a retrospective observational study performed using a database of all emergency admis...

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Autores principales:	Zhongxun Hu, Fahad Javaid Siddiqui, Qiao Fan, Sherman W. Q. Lian, Nan Liu, Marcus E. H. Ong
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Aging population Chronic illness Emergency admission Health services Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/2983ce1347274e79ada6eced119aa29b
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spelling	oai:doaj.org-article:2983ce1347274e79ada6eced119aa29b2021-12-05T12:06:51ZTrends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years10.1186/s12913-021-07309-z1472-6963https://doaj.org/article/2983ce1347274e79ada6eced119aa29b2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07309-zhttps://doaj.org/toc/1472-6963Abstract Background This study aimed to determine to what extent an aging population and shift to chronic illness has contributed to emergency admissions at a tertiary care hospital over ten years. Methods This was a retrospective observational study performed using a database of all emergency admissions from the Emergency Department (ED) at a single tertiary hospital in Singapore during a ten-year period (January 1st, 2008 to December 31st, 2017). Emergency admissions were defined as ED visits with inpatient admission as the disposition. This study analyzed the trends of demographics, pre-existing comorbidities, chronic conditions or ambulatory care sensitive conditions (ACSC) of all patients who underwent emergency admissions in Singapore General Hospital. Results A total of 446,484 emergency records were included. For elderly patients, the proportions of them had pre-existing multimorbidity at the time of undergoing emergency admissions were found to be lower at the end the 10-year study period relative to the beginning of the study period. The proportions of emergency admissions whose ED primary diagnoses were categorized as chronic conditions and certain chronic ACSC including chronic obstructive pulmonary disease, congestive heart failure, diabetes complications, and epilepsy also decreased for elderly patients over the 10-year study period. Conclusions In Singapore, despite a rapidly aging population, there have been surprisingly lower proportions of chronic conditions, pre-existing comorbidities, and chronic ACSC among the elderly emergency admissions. This is possibly consistent with an overall improved management of the chronic conditions among the elderly population. Future studies should include similar studies at the national level and comparison with other healthcare settings in different countries.Zhongxun HuFahad Javaid SiddiquiQiao FanSherman W. Q. LianNan LiuMarcus E. H. OngBMCarticleAging populationChronic illnessEmergency admissionHealth servicesPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Aging population Chronic illness Emergency admission Health services Public aspects of medicine RA1-1270
spellingShingle	Aging population Chronic illness Emergency admission Health services Public aspects of medicine RA1-1270 Zhongxun Hu Fahad Javaid Siddiqui Qiao Fan Sherman W. Q. Lian Nan Liu Marcus E. H. Ong Trends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years
description	Abstract Background This study aimed to determine to what extent an aging population and shift to chronic illness has contributed to emergency admissions at a tertiary care hospital over ten years. Methods This was a retrospective observational study performed using a database of all emergency admissions from the Emergency Department (ED) at a single tertiary hospital in Singapore during a ten-year period (January 1st, 2008 to December 31st, 2017). Emergency admissions were defined as ED visits with inpatient admission as the disposition. This study analyzed the trends of demographics, pre-existing comorbidities, chronic conditions or ambulatory care sensitive conditions (ACSC) of all patients who underwent emergency admissions in Singapore General Hospital. Results A total of 446,484 emergency records were included. For elderly patients, the proportions of them had pre-existing multimorbidity at the time of undergoing emergency admissions were found to be lower at the end the 10-year study period relative to the beginning of the study period. The proportions of emergency admissions whose ED primary diagnoses were categorized as chronic conditions and certain chronic ACSC including chronic obstructive pulmonary disease, congestive heart failure, diabetes complications, and epilepsy also decreased for elderly patients over the 10-year study period. Conclusions In Singapore, despite a rapidly aging population, there have been surprisingly lower proportions of chronic conditions, pre-existing comorbidities, and chronic ACSC among the elderly emergency admissions. This is possibly consistent with an overall improved management of the chronic conditions among the elderly population. Future studies should include similar studies at the national level and comparison with other healthcare settings in different countries.
format	article
author	Zhongxun Hu Fahad Javaid Siddiqui Qiao Fan Sherman W. Q. Lian Nan Liu Marcus E. H. Ong
author_facet	Zhongxun Hu Fahad Javaid Siddiqui Qiao Fan Sherman W. Q. Lian Nan Liu Marcus E. H. Ong
author_sort	Zhongxun Hu
title	Trends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years
title_short	Trends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years
title_full	Trends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years
title_fullStr	Trends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years
title_full_unstemmed	Trends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years
title_sort	trends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2983ce1347274e79ada6eced119aa29b
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Trends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years

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