Table 1 Patient characteristics of deceased patients and survival patients
From: Unplanned return presentations of older patients to the emergency department: a root cause analysis
Patient characteristics | Deceased 6 months follow-up n = 11 (13%) | Survival 6 months follow-up n = 72 (87%) |
|---|---|---|
Age | ||
• 70–79, n (%) | 7 (63.6%) | 41 (56.9%) |
• 80–89, n (%) | 3 (27.3%) | 26 (36.1%) |
• ≥90, n (%) | 1 (9.1%) | 5 (6.9%) |
Median (IQR1-IQR3) | 78 (77–84) | 78 (73–84) |
Gender Male, n (%) | 9 (81.8%) | 39 (54.2%) |
Living with partner, n (%) | 5 (45.5%) | 42 (58.3%) |
Homecare, n (%) | 7 (63.6%) | 18 (25.0%) |
Median (IQR1-IQR3) | 2 (0–7) | 0 (0–0) |
Medication use ≥5, n (%) | 10 (90.9%) | 50 (69.4%) |
Admitted to hospital last year, n (%) | 9 (81.8%) | 54 (75.0%) |
Hospital admissions | ||
• < year, n (%) | 9 (81.8%) | 18 (25.0%) |
• < 6 months, n (%) | 8 (72.7%) | 47 (65.3%) |
• < 30 days, n (%) | 8 (72.7%) | 37 (51.4%) |
ED presentations last year | ||
• 1, n (%) | 5 (45.5%) | 39 (54.2%) |
• 2, n (%) | 3 (27.3%) | 16 (22.2%) |
• ≥3, n (%) | 3 (27.3%) | 17 (23.6%) |
GP visits last year, median (IQR1-IQR3) | 3 (2–8) | 4 (2–5) |
Specialist visit last year, median (IQR1-IQR3) | 6 (2–28) | 3 (1–8) |
APOP decline score % [16] | ||
• Low< 60% | 8 (72.7%) | 65 (90.3%) |
• High> 60% | 3 (27.3%) | 7 (9.7%) |
Median (IQR1-IQR3) | 44 (25–64) | 23 (15–39) |
APOP mortality score % [16] | ||
• Low< 60%, n (%) | 11 (100%) | 72 (100%) |
• High > 60%, n (%) | 0 (0%) | 0 (0%) |
Median (IQR1-IQR3) | 11 (7–44) | 6.5 (3–13) |
Days between initial and return ED presentation | ||
• ≤ 2 days, n (%) | 2 (18.2%) | 18 (25.0%) |
• 3–7 days, n (%) | 4 (36.4%) | 19 (26.4%) |
• > 7 days, n (%) | 5 (45.5%) | 35 (48.6%) |
Median (IQR1-IQR3) | 9 (4–19) | 7 (2–17) |
Return ED presentation related to initial ED presentation < 30 days, n (%) | 9 (81.8%) | 55 (76.4%) |
Triage code, to be seen: | ||
• Directly, n (%) | 0 (0%) | 2 (2.8%) |
• Within 10 min, n (%) | 6 (54.6%) | 25 (34.7%) |
• > 10 min, n (%) | 2 (18.2%) | 28 (38.9%) |
• > 1 h, n (%) | 3 (27.2%) | 17 (23.6%) |
Type of referral | ||
• Self, n (%) | 3 (27.2%) | 20 (27.7%) |
• GP, n (%) | 4 (36.4%) | 30 (41.7%) |
• Specialist, n (%) | 4 (36.4%) | 22 (30.6%) |
Arrival by ambulance, n (%) | 7 (63.6%) | 15 (20.8%) |
Medical specialty a | ||
• Surgery, n (%) | 1 (9.1%) | 16 (22.2%) |
• Emergency Medicine, n (%) | 1 (9.1%) | 15 (20.8%) |
• Oncology, n (%) | 3 (27.3%) | 5 (6.9%) |
• Pulmonology, n (%) | 2 (18.2%) | 3 (4.2%) |
• Neurology, n (%) | 2 (18.2%) | 7 (9.7%) |
• Internal Medicine, n (%) | 1 (9.1%) | 11 (15.3%) |
• Nephrology, n (%) | 1 (9.1%) | 1 (1.4%) |
• Cardiology, n (%) | 0 (0%) | 2 (2.8%) |
• Gastroenterology, n (%) | 0 (0%) | 8 (11.1%) |
• Orthopedics, n (%) | 0 (0%) | 1 (1.4%) |
Diagnostics tests at ED b, median (IQR1-IQR3) | 3 (2–4) | 2 (1–3) |
Consultations at ED, median (IQR1-IQR3) | 0 (0–1) | 1 (0–1) |
Type of discharge | ||
• Own living environment, n (%) | 3 (27.3%) | 35 (48.6%) |
• Admission acute medical unit VUmc, n(%) | 4 (36.3%) | 16 (22.2%) |
• Admission other ward VUmc, n (%) | 3 (27.3%) | 19 (26.4%) |
• Admission supportive care facility c, n (%) | 1 (9.1%) | 2 (2.8%) |