دورية أكاديمية
أعرض في EDS

Bradycardia in Older Patients in a Single-Center Emergency Department: Incidence, Characteristics and Outcomes.

التفاصيل البيبلوغرافية
العنوان: Bradycardia in Older Patients in a Single-Center Emergency Department: Incidence, Characteristics and Outcomes.
المؤلفون: Rujichanuntagul S; Cardiovascular Unit, The Department of Internal Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand., Sri-On J; Geriatric Emergency Medicine Unit, The Department of Emergency Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand., Traiwanatham M; The Department of Emergency Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand., Paksophis T; Geriatric Emergency Medicine Unit, The Department of Emergency Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand., Nithimathachoke A; The Department of Emergency Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand., Bunyaphatkun P; The Department of Emergency Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand., Sukklin J; The Department of Emergency Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand., Rojsaengroeng R; The Department of Emergency Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.
المصدر: Open access emergency medicine : OAEM [Open Access Emerg Med] 2022 Apr 11; Vol. 14, pp. 147-153. Date of Electronic Publication: 2022 Apr 11 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Dove Medical Press Country of Publication: New Zealand NLM ID: 101570796 Publication Model: eCollection Cited Medium: Print ISSN: 1179-1500 (Print) Linking ISSN: 11791500 NLM ISO Abbreviation: Open Access Emerg Med Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Auckland, NZ : Dove Medical Press
مستخلص: Objective: This study aimed to explore data associated with the characteristics, incidence, and outcomes of older patients with symptomatic bradycardia presenting to the emergency department (ED).
Methods: We prospectively reviewed data of all patients aged 60 years and older who visited our ED with symptomatic bradycardia during 8AM-12PM between June 4, 2018, and June 10, 2019. The outcomes were the incidence of symptomatic bradycardia and adverse events (recurrent bradycardia, rate of ED revisits, subsequent hospitalization, mortality rate, and composite outcomes) at 30 days and 180 days.
Results: A total of 3297 patients visited the ED. Of these, 205 patients had symptomatic bradycardia. The incidence of symptomatic bradycardia was 6.2% (205/3297). One hundred fourteen patients (55.7%) were female, and the mean age was 74.9 (SD, 9) years. One-third of bradycardia patients (80 patients [39.0%]) were admitted to the hospital, 32 of whom because of unstable bradycardia. Ten of these 32 (30%) patients died during hospitalization from causes unrelated to bradycardia. One-third of unstable bradycardia patients had dyspnea (10/32 patients [31.3%]) followed by chest pain and altered mental status, respectively. ED revisit was the most common adverse event after 30 days (10.8%) and 180 days (20.3%). End-stage renal disease with hemodialysis was associated with adverse outcomes at 30 days (odds ratio, 2.34; 95% confidence interval, 1.30-20.87).
Conclusion: The incidence of symptomatic bradycardia among older adults was 6.2% in one urban ED. End-stage renal disease with hemodialysis was associated with adverse outcomes at 30 days. Larger studies should confirm this association and investigate methods of minimizing adverse outcomes.
Competing Interests: The authors declare that they have no conflicts of interest for this work.
(© 2022 Rujichanuntagul et al.)
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فهرسة مساهمة: Keywords: adverse event; bradycardia; emergency medicine; older adults
تواريخ الأحداث: Date Created: 20220425 Latest Revision: 20220716
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC9021000
DOI: 10.2147/OAEM.S351548
PMID: 35462948
قاعدة البيانات: MEDLINE
الوصف
تدمد:1179-1500
DOI:10.2147/OAEM.S351548