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

BMC Health Services Research

Qiao Fan¹  Sherman W. Q. Lian²  Marcus E. H. Ong³  Zhongxun Hu⁴  Nan Liu⁵  Fahad Javaid Siddiqui⁶ 

[1] Center for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore;Department of Emergency Medicine, Singapore General Hospital, Singapore, Singapore;Department of Emergency Medicine, Singapore General Hospital, Singapore, Singapore;Health Services and Systems Research, Prehospital and Emergency Research Center, Duke-NUS Medical School, Singapore, Singapore;Duke-NUS Medical School, Singapore, Singapore;Health Services & Systems Research, Duke-NUS Medical School, Singapore, Singapore;Prehospital and Emergency Research Centre, Health Services & Systems Research, Duke-NUS Medical School, Singapore, Singapore;

关键词: Aging population;    Chronic illness;    Emergency admission;    Health services;   

DOI  :  10.1186/s12913-021-07309-z

来源: Springer

【 摘 要 】

BackgroundThis 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.MethodsThis 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.ResultsA 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.ConclusionsIn 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.

【 授权许可】

CC BY