非急症老年患者急诊就诊现况及影响因素分析

doi:10.3761/j.issn.2096-7446.2023.05.016

Abstract

Abstract: Objective To analyze the current situation of emergency room visits of elderly non-urgent patients and explore its influencing factors. Methods The clinical data of 34 133 elderly patients in 2020 were retrospectively analyzed. The patients were divided into two groups based on whether they were non-urgent patients. The differences of clinical indicators between the two groups were compared,and the influencing factors of emergency non-urgent elderly patients were analyzed by Logistic regression model. Results 29 206（85.57%）were non-urgent patients and 4 927（14.43%）were urgent patients. Binary Logistic regression analysis showed that medical departments were surgery（OR=2.118）,orthopedics（OR=4.671）and ENT departments（OR=6.472）,and other departments（OR=11.914）,patients who transferred by ambulance（OR=0.115）or other channels（OR=0.291）,summer visits（OR=0.783）or autumn visits（OR=0.568）were influencing factors for emergency visits in elderly non-urgent patients（P<0.05）. Conclusion The emergency visit rate of elderly non-urgent patients in ER is higher,triage personnel should pay attention to elderly patients who come to the hospital on foot,for non-medical treatment,and visits in summer and autumn,and can try to guide them to outpatient clinics or other treatment places to reduce emergency overcrowding.

Key words: Aged, Emergency Nursing, Triage, Epidemiology, Risk factors

YAO Xiaoyue, YANG Minfei, CHEN Fang, ZHANG Lanlan, SHEN Weidi, YANG Shilei. The current status and influencing factors analysis of elderly non-urgent patients in emergency department[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(5): 458-462.

References

[1] 中华人民共和国国家统计局. 第七次全国人口普查主要数据情况[DB/OL].(2021-07-01)[2022-08-13]. http://www.stats.gov.cn/tjsj/pcsj/.
National Bureau of Statistics of the People's Republic of China. Seventh national census figures for main[DB/OL].(2021-07-01)[2022-08-13]. http://www.stats.gov.cn/tjsj/pcsj/.
[2] Preston L,van Oppen JD,Conroy SP,et al. Improving outcomes for older people in the emergency department:a review of reviews[J]. Emerg Med J,2021,38(12):882-888.
[3] 蒋灵俊,叶磊. 非急症患者急诊就医的现状分析[J]. 河北医药,2020,42(14):2203-2207.
Jiang LJ,Ye L.Research current situation of non-urgent visits in emergency department[J]. Hebei Med J,2020,42(14):2203-2207.
[4] 施小明. 加强老年流行病研究科学指导老年健康防控[J]. 中华预防医学杂志,2021,55(1):1-3.
Shi XM.Strengthening the researches on geriatric epidemiology to provide scientific guidance on control and prevention strategies for elderly[J]. Chin J Prev Med,2021,55(1):1-3.
[5] 胡滨,王振常,王斯佳,等. 三级甲等医院急诊拥堵和工作效率提升的关键因素相关性分析研究[J]. 中华急诊医学杂志,2018, 27(8):943-948.
Hu B,Wang ZC,Wang SJ,et al.Key factors affecting the correlation between improving work efficiency and emergency department overcrowding in the tertiary level A hospitals[J]. Chin J Emerg Med,2018,27(8):943-948.
[6] Jeyaraman MM,Copstein L,Al-Yousif N,et al.Interventions and strategies involving primary healthcare professionals to manage emergency department overcrowding:a scoping review[J]. BMJ Open,2021,11(5):e048613.
[7] Idil H,Kilic TY,Toker İ,et al.Non-urgent adult patients in the emergency department:causes and patient characteristics[J]. Turk J Emerg Med,2018,18(2):71-74.
[8] Procter AM,Gialamas A,Pilkington RM,et al.Characteristics of paediatric frequent presenters at emergency departments:a whole-of-population study[J]. J Paediatr Child Health,2021,57(1):64-72.
[9] 金静芬,陈玉国,朱华栋,等. 急诊预检分诊标准(成人部分)[J]. 中华急危重症护理杂志,2020,1(1):45-48.
Jin JF,Chen YG,Zhu HD,et al.Emergency triage scale(adult part)[J]. Chin J Emerg Crit Care Nurs,2020,1(1):45-48.
[10] 许敬华. 基于“加拿大分诊标尺”的急诊电子分诊系统的优化研究[D]. 上海:上海交通大学,2020.
Xu JH.A study on optimization of emergency electronic triage system based on Canadian triage and acuity scale[D]. Shanghai:Shanghai Jiao Tong University,2020.
[11] 中国气象局. 白天和晚上如何划分[EB/OL].(2015-09-18)[2022-08-13]. https://www.cma.gov.cn/wmhd/gzly/cjwt/202204/t202204-15_4759074.html.
China Meteorological Administration. How to divide up the China Meteorological Administration. Day and night[EB/OL]. (2015-09-18)[2022-08-13]. https://www.cma.gov.cn/wmhd/gzly/cjwt/202204/t20220415_4759074.html.
[12] Dufour I,Dubuc N,Chouinard MC,et al.Profiles of frequent geriatric users of emergency departments:a latent class analysis[J]. J Am Geriatr Soc,2021,69(3):753-761.
[13] Bahadori M,Mousavi SM,Teymourzadeh E,et al.Emergency department visits for non-urgent conditions in Iran:a cross-sectional study[J]. BMJ Open,2019,9(10):e030927.
[14] Al-Otmy SS,Abduljabbar AZ,Al-Raddadi RM,et al.Factors associated with non-urgent visits to the emergency department in a tertiary care centre,western Saudi Arabia:cross-sectional study[J]. BMJ Open,2020,10(10):e035951.
[15] 张雅芝. 某院急诊科非紧急病人流行病学特征分析研究[D]. 北京:北京协和医学院,2018.
Zhang YZ.Epidemiological characteristics of non-emergency patients in emergency department of a hospital[D]. Beijing:Peking Union Medical College,2018.
[16] Goodridge D,Stempien J.Understanding why older adults choose to seek non-urgent care in the emergency department:the patient's perspective[J]. CJEM,2019,21(2):243-248.
[17] 邴婧莹,李熹,李桐瑶,等. 居家养老老年人跌倒现状及影响因素研究[J]. 现代预防医学,2022,49(1):110-114,151.
Bing JY,Li X,Li TY,et al.Study on the status quo and influencing factors of falls among the elderly aged at home[J]. Mod Prev Med,2022,49(1):110-114,151.
[18] 刘亭亭,夏东. 9612例院前急救患者流行病学分析[J]. 中国社会医学杂志,2021,38(6):711-715.
Liu TT,Xia D.Epidemiological study of 9 612 cases in pre-hospital emergency cares[J]. Chin J Soc Med,2021,38(6):711-715.
[19] De Freitas L,Goodacre S,O'Hara R,et al. Interventions to im-prove patient flow in emergency departments:an umbrella review[J]. Emerg Med J,2018,35(10):626-637.

The current status and influencing factors analysis of elderly non-urgent patients in emergency department

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	YANG Muying, FAN Wenqi, HU Han. Early identification and emergency nursing of cerebral hemorrhage during dialysis in a maintenance hemodialysis patient [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 704-706.
[2]	DING Youya, WANG Sa, YAN Danping, ZHOU Shuaishuai, WU Zuojia, WANG Yuwei. Nursing care of a patient with refractory hypokalemia caused by methanol poisoning [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 447-449.
[3]	HU Ziwei, OUYANG Lanxin, KE Haiming, LIN Yin, LIU Di. Development of audit indicators for structured triage of emergency chest pain patients and analysis of barriers and facilitators [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 469-475.
[4]	CHEN Zhaofei, WANG Wei, ZHAI Zhenguo. Implementation and quality control of an integrated prevention and management strategy for venous thromboembolism [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 274-278.
[5]	YU Yanuo, SONG Yuhang, GAO Lingjie, LI Xiaobo. The application of clinical decision support system in emergency triage management：a scoping review [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 306-311.
[6]	GAO Binbing, WANG Sa, ZHOU Shuaishuai, ZHANG Yukun, WANG Yuwei. Emergency nursing of a patient with cardiac arrest caused by pulmonary embolism complicated by ruptured hepatic hemangioma [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 315-318.
[7]	MO Minling, ZENG Guqing, ZHANG Yajuan, ZHAI Dahong, LI Xiaoshan, ZHU Ying. Risk factors for lower extremity deep vein thrombosis in patients with severe traumatic brain injury after surgery：a scoping review [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 373-378.
[8]	LI Jingnan, HU Ziyue, SUN Chao, WU Quanying, HU Huixiu, GUO Hong, FAN Juan, HUANG Jingyuan. A study on the journey map of enteral nutrition tube feeding experience in elderly patients with pneumonia [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 133-141.
[9]	SHI Min, ZHAI Huaixiang, ZHANG Xingxing, XU Ping, LI Xiaoqing. Current status and latent profile analysis of post-traumatic growth in young and middle-aged patients with mechanical ventilation in ICU [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 182-189.
[10]	XIA Zhiyuan, HE Jia, WANG Lixing, SHI Yirong, YANG Min, WANG Xun, HUANG Yanmei, LI Zhiyan, ZHANG Li. Interagency collaboration and emergency nursing care for patients with Gelsemium elegans group poisoning [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 77-79.
[11]	ABUDU·Zulubiya , LI Ting, SUN Libing, CHEN Huijuan. Development and validation of a predictive model for deep vein thrombosis in patients with multiple trauma [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1067-1073.
[12]	YANG Yunli, ZHANG Xiaofeng, LIU Yanan, WANG Huarong. Triage standards of elderly trauma patients in emergency department：a scoping review [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1074-1081.
[13]	ZHAO Jiayi, WANG Shujun, ZHU Hongjuan. Research progress on hospital secondary triage of massive critical burn injuries [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1089-1093.
[14]	LIU Chang, WANG Zhongxia, QU Jiangyue, LIU Xudong, MENG Liping, ZHANG Hua. Research progress on coping strategies for fear of disease progression in young and middle-aged post-PCI patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 1021-1024.
[15]	WANG Yijia, PAN Aihong, LIU Rui, CHEN Qian, WANG Chengchen. Risk factors for post-traumatic stress disorders in family members of intensive care unit patients：a meta-analysis [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 938-944.