ArticleIrish journal of medical science2026
Clinical and demographic analysis of centenarian patients presenting to the emergency department.
Article in Irish journal of medical science, 2026. 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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Abstract
backgroundGlobally, the centenarian population has approximately doubled every decade and is projected to continue growing. This study aims to determine the sociodemographic characteristics, medical histories, reasons for visits, patterns of emergency department utilization, treatment processes, hospital outcomes and the economic burden of geriatric patients aged 100 years and older.
methodsThis retrospective study included all emergency department visits by patients aged 100 years and older at a university tertiary care hospital between January 1, 2014 and December 31, 2024. Data from 261 presentations by 120 unique patients were examined.
resultsOf the patients, 94.2% were female and 73.3% resided in city centers. Comorbidities were present in 90.0% of patients, with 73.3% exhibiting multimorbidity and 49.2% polypharmacy. Presentations peaked during winter (28% ) and daytime hours (08:00-20:00, 66.7% ). Most frequent diagnoses included gastrointestinal (24.9% ), respiratory (23.0% ) and neuropsychiatric (12.3% ) diseases. The mean emergency department length of stay lasted 315.95 min with 83.9% of cases resulted within eight hours. Patients who presented during the night shift were significantly older than those during the day shift (p = 0.008). Most visits resulted in discharge (82.8% ). The mean cost per presentation was 45.08 USD. Costs exhibited a significant longitudinal increase, peaking in 2024 compared to both the 2014 baseline and all preceding years (p = 0.027).
conclusionGastrointestinal issues predominate centenarian emergency visits, with the majority resolving in under eight hours. Rising healthcare costs and centenarians' unique needs necessitate targeted interventions and specialized emergency management to optimize outcomes.
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