Cover Image

Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia

Introduction: The objective of this study aimed to determine the prevalence of geriatric patients being treated in Red Zone of Emergency Department in Hospital Universiti Sains Malaysia (USM), and factors associated with special care unit admission and in-hospital mortality. Methodology: This s...

Full description

Saved in:
Bibliographic Details
Main Author: Yen, Lim Khai
Format: Thesis
Language:English
Published: 2018
Subjects:
RC Internal medicine
Online Access:http://eprints.usm.my/46132/1/Dr.%20Lim%20Khai%20Yen-24%20pages.pdf
http://eprints.usm.my/46132/
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.usm.eprints.46132
record_format eprints
spelling my.usm.eprints.46132 http://eprints.usm.my/46132/ Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia Yen, Lim Khai RC Internal medicine Introduction: The objective of this study aimed to determine the prevalence of geriatric patients being treated in Red Zone of Emergency Department in Hospital Universiti Sains Malaysia (USM), and factors associated with special care unit admission and in-hospital mortality. Methodology: This study was a single centre prospective cross-sectional study which was carried out from 1 January 2016 – 31 December 2016 at Red Zone of the Emergency Department Hospital USM. All patients aged 60 years and above were included. Systematic random sampling was used. Variables were analyzed using simple and multiple logistic regressions. Results: Total patients included in this study were 328 patients, 55.8% were male and 91.2% were Malay. The mean age was 70.6 years old. The cases geriatric patients commonly presented were cardiovascular (31.4%), infectious disease (29.6%), neurology (14.9%), and respiratory (12.5%). Out of 328 patients studied, 187 patients (57.0%) were admitted to general wards, 110 patients (33.5%) were admitted to SCU. 55 patients (16.8%) passed away within the period of in-hospital treatment. Factors associated with SCU admissionwere the usage of NIV, and the usage of inotropic support. On the other hand, factors associated with in-hospital mortality were blood urea level, serum albumin level and the application of mechanical ventilation. Conclusions: Geriatric patients who presented to Red Zone of ED requiring ventilator and inotropic support had shown to have worse outcome. The associated factors for SCU admission and in-hospital mortality had been identified, and this will enable better settings cater to the needs for critically ill geriatric patients. 2018 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/46132/1/Dr.%20Lim%20Khai%20Yen-24%20pages.pdf Yen, Lim Khai (2018) Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia. Masters thesis, Universiti Sains Malaysia.
institution Universiti Sains Malaysia
building Hamzah Sendut Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sains Malaysia
content_source USM Institutional Repository
url_provider http://eprints.usm.my/
language English
topic RC Internal medicine
spellingShingle RC Internal medicine
Yen, Lim Khai
Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia
description Introduction: The objective of this study aimed to determine the prevalence of geriatric patients being treated in Red Zone of Emergency Department in Hospital Universiti Sains Malaysia (USM), and factors associated with special care unit admission and in-hospital mortality. Methodology: This study was a single centre prospective cross-sectional study which was carried out from 1 January 2016 – 31 December 2016 at Red Zone of the Emergency Department Hospital USM. All patients aged 60 years and above were included. Systematic random sampling was used. Variables were analyzed using simple and multiple logistic regressions. Results: Total patients included in this study were 328 patients, 55.8% were male and 91.2% were Malay. The mean age was 70.6 years old. The cases geriatric patients commonly presented were cardiovascular (31.4%), infectious disease (29.6%), neurology (14.9%), and respiratory (12.5%). Out of 328 patients studied, 187 patients (57.0%) were admitted to general wards, 110 patients (33.5%) were admitted to SCU. 55 patients (16.8%) passed away within the period of in-hospital treatment. Factors associated with SCU admissionwere the usage of NIV, and the usage of inotropic support. On the other hand, factors associated with in-hospital mortality were blood urea level, serum albumin level and the application of mechanical ventilation. Conclusions: Geriatric patients who presented to Red Zone of ED requiring ventilator and inotropic support had shown to have worse outcome. The associated factors for SCU admission and in-hospital mortality had been identified, and this will enable better settings cater to the needs for critically ill geriatric patients.
format Thesis
author Yen, Lim Khai
author_facet Yen, Lim Khai
author_sort Yen, Lim Khai
title Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia
title_short Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia
title_full Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia
title_fullStr Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia
title_full_unstemmed Predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the Emergency Department of Hospital Universiti Sains Malaysia
title_sort predictive factors for special care units admission and in-hospital mortality of geriatric patients that presented to red zone of the emergency department of hospital universiti sains malaysia
publishDate 2018
url http://eprints.usm.my/46132/1/Dr.%20Lim%20Khai%20Yen-24%20pages.pdf
http://eprints.usm.my/46132/
_version_ 1662755743018778624
score 13.211869

Similar Items