@article{article_1119584, title={Retrospective Analysis of the Oldest-Old Patients Who Applied to the Emergency Department and Their Differences from the Young-Old And Middle-Old}, journal={Anatolian Journal of Emergency Medicine}, volume={6}, pages={20–24}, year={2023}, DOI={10.54996/anatolianjem.1119584}, author={Toker, İbrahim and Kılınç Toker, Ayşin and Gökçek, İrfan and Bulbul, Emre and Yılmaz, Gökhan and Silcan, Mustafa and Irmak, Şaban and Altuntaş, Mükerrem}, keywords={Yaşlı, hasta sonuçlarının değerlendirilmesi, acil tıp}, abstract={Aim: Our study examined young, middle, and oldest-old patients who visited the emergency department (ED) and their differences. Material and Methods: The research was executed retrospectively, utilizing the medical data of patients aged 65 and over who applied to the ED of a research hospital in Kayseri for the two years between January 1, 2020, and December 31, 2021. The patients were young-old, between 65 and 74 years old; aged 75 to 84 were middle-old, and those aged 85 and over were classified as oldest-old. Results: 84415 (13.7%) older patients visited the ED during the study period. The patients’ median age was 74 years, IQRs (69- 80) and 53.9% (n=45466) were female. 53.4% of the patients were young-old, 33.4% middle-old, and 13.2% were oldest-old. 7.2% (n=6060) of the hospitalized patients were admitted to the intensive care unit, and 7.8% (n=1719) died. Among the first three reasons for admitting the patients to the ED, 20% (n=16874) had COVID-19, 14.4% (n=12131) had gastrointestinal symptoms, and 13.9% (n=11718) had circulatory system symptoms. Oldest-old patients were brought to the ED by ambulance more (38.4% vs. 50.9% vs. 63.2% p < 0.001), stayed longer in the ED (81 vs. 103 vs. 116 minutes, p <0.001), fewer discharged (76.2% vs. 69.5% vs. 66%, p <0.001) and a higher in-hospital mortality rate (6% vs. 8.1% vs. 12.4% p <0.001). Conclusıon: We found that the length of stay in the ED, hospitalization rate, and ED and hospital mortality increased with age and were higher in oldest-old patients. We think that emergency health services should be developed according to the groups of elderly patients.}, number={1}, publisher={Türkiye Acil Tıp Derneği}