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| 題 名 | Clinical Presentations of Elderly Patients at Emergency Departments: A Comparison between a Medical Center and a Community Hospital=老年急性病患於醫學中心與地區醫院之就醫差異 |
|---|---|
| 作 者 | 廖浩欽; 胡百敏; 廖訓禎; 陳日昌; 邱德發; Bullard,Michael J.; | 書刊名 | 長庚醫學 |
| 卷 期 | 23:11 2000.11[民89.11] |
| 頁 次 | 頁681-687 |
| 分類號 | 412.79 |
| 關鍵詞 | 老年病患; 急診服務使用情形; 區域醫院; 醫學中心; Elderly patients; Emergency service utilization; Community hospital; Medical center; |
| 語 文 | 英文(English) |
| 英文摘要 | Background. The utilization of emergency services is expected to increase in parallel with an increase of the elderly population. This article compares the elderly patient Emergency Department (ED) utilization at a 3500-bed medical center with that of a 600-bed community hospital serviced by the same group of emergency physicians. Methods. We retrospectively reviewed all patients over 64 years old who presented to Linkou Chang Gung Memorial Hospital (CGMH) and Keelung CGMH between July 1, 1995 and June 30, 1996 by using the 2 ED掇 real-time computer logs. Data comparisons included age, gender, mode of arrival, arriving source, triage category, chief complaint, impression, and final disposition. Results. There were 18,285 patients in the Linkou ED and 8038 in Keelung. Significant differences in arrival mode, arriving source, triage category, disease pattern, and final disposition were observed between the Linkou and Keelung CGMH EDs. Conclusion. Significant differences reflected the different roles between the Linkou and Keelung CGMH EDs. Hospital EDs should be prepared to adapt to meet the needs of the elderly based on their roles in the medical care system, at the elderly population grows in the 21st century. |
本系統中英文摘要資訊取自各篇刊載內容。