Table 1 Baseline characteristics geriatric patients who visited the ED with abdominal pain
Characteristics | Serious abdominal conditions (n = 72) | Non-serious abdominal conditions (n = 1,149) | Total (n = 1,221) | p-value |
|---|---|---|---|---|
Sex | 0.031 | |||
Male | 42 (48) | 512 (44.6) | 554 (45.4) | |
Female | 30 (52) | 637 (55.4) | 667 (54.6) | |
Age (years), median (IQR) | 73 (69,80.2) | 74 (69,81) | 74 (69,81) | 0.776 |
Age group | 0.843 | |||
65–79 | 52 (72.2) | 814 (70.8) | 866 (70.9) | |
80–89 | 18 (25) | 287 (25) | 305 (25) | |
≥90 | 2 (2.8) | 48 (4.2) | 50 (4.1) | |
Comorbidities | ||||
DM | 17 (23.6) | 331 (28.8) | 348 (28.5) | 0.416 |
Hypertension | 44 (61.1) | 649 (56.5) | 693 (56.8) | 0.518 |
CKD | 8 (11.1) | 150 (13.1) | 158 (12.9) | 0.767 |
Cardiovascular disease | 14 (19.4) | 222 (19.3) | 236 (19.3) | 1.000 |
Cerebrovascular disease | 10 (13.9) | 125 (10.9) | 135 (11.1) | 0.551 |
Hepatobiliary disease | 6 (8.3) | 115 (10) | 121 (9.9) | 0.796 |
Asthma/COPD | 8 (11.1) | 74 (6.4) | 82 (6.7) | 0.196 |
Current medications | ||||
Beta-blocker | 22 (30.6) | 226 (19.7) | 248 (20.3) | 0.038 |
Pain control | 4 (5.6) | 87 (7.6) | 91 (7.5) | 0.689 |
Immunosuppressant | 1 (1.4) | 28 (2.4) | 29 (2.4) | 0.867 |
Anticholinergic | 1 (1.4) | 21 (1.8) | 22 (1.8) | 1.000 |
Antihistamine | 4 (5.6) | 64 (5.6) | 68 (5.6) | 1.000 |
History of abdominal surgery | 0.002 | |||
Present | 22 (30.6) | 182 (15.8) | 204 (16.7) | |
Absent | 50 (69.4) | 967 (84.2) | 1017 (83.3) | |
Onset of abdominal pain (hours) median (IQR) | 15.5 (4.48) | 24 (5,48) | 24 (5,48) | 0.825 |
ESI Triage levels | < 0.001 | |||
1 | 7 (9.7) | 0 (0) | 7 (0.6) | |
2 | 21 (29.2) | 137 (11.9) | 158 (12.9) | |
3 | 42 (58.3) | 850 (74) | 892 (73.1) | |
4–5 | 2 (2.8) | 162 (14.1) | 162 (13.5) | |
Treatment | < 0.001 | |||
Conservative | 19 (26.4) | 104 (9.1) | 123 (10.1) | |
Surgical | 50 (69.4) | 22 (1.9) | 72 (5.9) | |
Supportive | 1 (1.4) | 1023 (89) | 1024 (83.9) | |
Resuscitation | 2 (2.8) | 0 (0) | 2 (0.2) | |
EDLOS (hours), median (IQR) | 6 (4,7.6) | 3 (2,4.5) | 3 (2,4.5) | < 0.001 |
< 4 h | 14 (19.4) | 753 (67) | 767 (64.1) | |
4–8 h | 49 (68.1) | 339(30.2) | 388 (32.4) | |
> 8 h | 9 (12.5) | 32 (2.8) | 41 (3.4) | |
Emergency department disposition | < 0.001 | |||
Admit ICU | 22 (30.6) | 0 (0) | 22 (1.8) | |
Admit ward | 48 (66.7) | 118 (10.3) | 166 (13.6) | |
Admit SOU | 0 (0) | 17 (1.5) | 17 (1.4) | |
Discharge | 1 (1.4) | 1014 (88.3) | 1015 (83.1) | |
Dead | 1 (1.4) | 0 (0) | 1 (0.1) | |
Hospital length of stay (days) | 3 (97.2) | 5.6 (11.7) | 8.5 (16.8) | < 0.001 |
Hospital discharge status | < 0.001 | |||
Survived | 63 (90) | 135 (100) | 198 (96.6) | |
Dead | 7 (10) | 0 (0) | 7 (3.4) |