Javier Jacob, Elena Fuentes, Juan González Del Castillo, Inmaculada Bajo-Fernández, Aitor Alquezar-Arbé, Eric Jorge García-Lamberechts, Sira Aguiló, Cesáreo Fernández-Alonso, Guillermo Burillo-Putze, Pascual Piñera, Pere Llorens, Sònia Jimenez, Adriana Gil-Rodrigo, Jorge Sánchez Tembleque-Sánchez, Maria Pilar López-Diez, Marta Iglesias-Vela, Rafael Antonio Pérez-Costa, Marién López-Pardo, Rebeca González-González, Marina Carrión-Fernández, Carmen Escudero-Sánchez, Maria Adroher-Muñoz, Patricia Trenc-Español, Sara Gayoso-Martín, Goretti Sánchez-Sindín, Isabel Cirera-Lorenzo, Jésica Pazos-González, Miguel Rizzi, Lluís Llauger, Òscar Miró
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引用次数: 0
Abstract
Objective: Analyse the association between the use of diagnostic tests and the characteristics of older patients 65 years of age or more who consult the emergency department (ED).
Methods: We performed an analysis of the EDEN cohort that includes patients who consulted 52 Spanish EDs. The association of age, sex, and ageing characteristics with the use of diagnostic tests (blood tests, electrocardiogram (ECG), microbiological cultures, X-ray, computed tomography, ultrasound, invasive techniques) was studied. The association was analysed by calculating the adjusted odds ratios (aOR) and their 95 % confidence intervals (CI) using a logistic regression model.
Results: A total of 25,557 patients were analysed. There was an increase in the use of diagnostic tests based on age, with an aOR for blood test of 1.805 (95 %CI 1.671 - 1.950), ECG 1.793 (95 %CI 1.664 - 1.932) and X-ray 1.707 (95 %CI 1.583 - 1.840) in the group of 85 years or more. The use of diagnostic tests is lower in the female population. Most ageing characteristics (cognitive impairment, previous falls, polypharmacy, dependence, and comorbidity) were independently associated with increased use of diagnostic tests.
Conclusions: Age, and the characteristics of ageing itself are generally associated with a greater use of diagnostic tests in the ED.
期刊介绍：
Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.
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