Evidence map›Paper›PMID 41366322›Full record

ArticleBMC geriatrics2025

The prevalence and factors of adverse health outcomes in Chinese older emergency patients: a cohort study.

Xinyu Ren, Manping Gu, Kebiao Zhang, Hong Li, Rui He

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xinyu RenDepartment of Rheumatology and Immunology, Center for Immune Ageing and Rejuvenation, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, 400016, Chongqing, China.
Manping GuDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, 400016, Chongqing, China. gumanping@163.com.
Kebiao ZhangDepartment of Emergency, The First Affiliated Hospital of Chongqing Medical University, Yuzhong District, Chongqing, 400016, China.
Hong LiDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, Jinshan Campus, Chongqing, China.
Rui HeDepartment of Cardiothoracic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Funding

Intelligent Medical Research Project of Chongqing Medical University (project number YJSZHYX202119) YJSZHYX202119the Nursing Research and Innovation Program of the First Affiliated Hospital of Chongqing Medical University 2024 (project number HLPY2024-14) HLPY2024-14
6 · The paper itself

Abstract

BACKGROUND AND

objectiveOlder emergency patients are at a higher risk of mortality, hospitalization, readmission, and functional decline. However, the potential factors for these adverse health outcomes in the Chinese population have not been extensively explored. Our study aims to investigate the prevalence and development of adverse health outcomes among older emergency patients, explore the risk factors, and offer insights for clinical decisions.

methodsThis prospective cohort study enrolled 1,023 patients aged ≥ 65 from a Chinese tertiary hospital emergency department (March-July 2023). Logistic regression analyzed predictors of 90-day functional decline and/or mortality.

resultsAfter 90 days of visiting the emergency department, 60.2% of older patients experienced functional decline and/or mortality. High-risk patients (8.5%) identified by the APOP screener exhibited sustained functional decline. We grouped major risk factors into three categories. Sociodemographic: Advanced age (OR = 1.053 for functional decline), male gender (OR = 1.411 for hospitalization), and BMI < 18.5 (OR = 3.040 for mortality). Clinical factors: acuity triage level (OR = 4.206 for composite outcomes), arrival by ambulance (OR = 3.354 for mortality), and Charlson Comorbidity Index (OR = 2.912 for composite outcomes). Geriatric assessments: impaired cognition (OR = 1.814 for functional decline) and number of medications (OR = 3.319-3.554 for ED revisits) (P < 0.05).

conclusionsAdverse outcomes, including functional decline and even mortality, are prevalent among older emergency patients in China, especially those classified as high-risk by the APOP screener. These findings highlight the imperative of incorporating risk assessment tools into routine triage and prioritizing multidisciplinary interventions for high-risk subgroups.

Indexed as

Emergency Service, HospitalAgedAged, 80 and overChinaCohort StudiesEast Asian PeopleFemaleHospitalizationHumansMalePrevalenceProspective StudiesRisk FactorsEmergencyHealth outcomesInfluencing factorNursing careOlder patients

Identifiers

PMID41366322
PMCPMC12829017

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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.