Evidence map›Paper›PMID 34934699›Full record

ArticleJournal of family medicine and primary care2021

Prevalence and pattern of geriatric emergencies in a teaching hospital of North India.

Nidhi Kaeley, Jainendra Kumar, Manish Kumar, Nagasubramanyam Vempalli, Mridul Dhar, Bharat B Bhardwaj, Subodh Kumar, Ankita Kabi, Poonam Arora

Open access · goldAbstract read
In one paragraph

Article in Journal of family medicine and primary care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Nidhi KaeleyDepartment of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Jainendra KumarDepartment of Medicine, Government Doon Medical College, Dehradun, Uttarakhand, India.
Manish KumarDepartment of Medicine, Government Doon Medical College, Dehradun, Uttarakhand, India.
Nagasubramanyam VempalliDepartment of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Mridul DharDepartment of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Bharat B BhardwajDepartment of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Subodh KumarDepartment of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Ankita KabiDepartment of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Poonam AroraDepartment of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
All India Institute of Medical Sciences RishikeshDoon University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChanging demographic patterns worldwide and improvement in healthcarehas contributed to increasing visits to the emergency department byelderly patients. Geriatric patients usually have multiple co-morbidities and declining physiological functional status. This complex interplay of various factors requires a specific and curated approach from the emergency physicians. Our aim was to study the pattern and prevalence of geriatric emergencies and the profile of infectious and non-infectious causes of fever in geriatric population in our tertiary care center. MATERIALS AND

methodsThis retrospective descriptive study was carried out at a tertiary care hospital of north India and included all patients aged more than 18 years who visited the emergency department over a period of six months (July 2018 to December 2018). Detailed data regarding demographic, clinical and diagnosis was obtained retrospectively from the hospital records system. The patients were divided into two groups, age less than 60 years and elderly patients more than 60 years of age for comparison.

resultsA total of 24768 patients above the age of 18 years visited the emergency department over a period of six months. Out of which 5399 (27.5%) patients belonged to the geriatric age group more than 60 years of age. 2474 (45.8%) geriatric age group patientswere triaged to critical areas level one and level two as compared to 4668 (24.1%) patients aged less than 60 years. Ninety (1.8%) geriatric patients succumbed to death as compared to 77 (0.4%) patients aged less than 60 years. 651 (21.9%) geriatric patients were shifted to intensive care unit as opposed to 1038 (14.8%) patients of the younger age group.226 (4.2%) geriatric patients presented with fever in the emergency department.116 (73.4%) patients having underlying co-morbidities , had fever due to infectious causes whereas 42 ( 26.5%) patients had fever due to non-infectious causes.

conclusionThe clinical presentation mortality and morbidity pattern of geriatric patients differs significantly from that of younger population and requires a customized approach and dedicated emergency setups.

Indexed as

Emergency departmentemergency severity indexGeriatric emergenciesTriage

Identifiers

PMID34934699
PMCPMC8653474
OpenAlexW3215822516

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.