Characteristics of Older People from a Poor Residential Environment in Okinawa, Japan: An Emergency Department-Based Cross-Sectional Study

Background: Evidence for what diseases occur more commonly in older people from a poor residential environment (PRE) is limited. Objective: We investigated characteristics, especially the underlying reason (disease) for visiting an emergency department (ED), of older people from a PRE in ED settings. Methods: A cross-sectional study was conducted on people aged ≥65 years who presented to the EDs of 2 hospitals in Okinawa, Japan, between 2015 and 2019. PRE cases were identified by searching relevant words, such as a house overflowing with garbage from hoarding or housing squalor (gomi-yashiki in Japanese), in electric medical records. Controls (2 controls per case) were randomly selected from those without a PRE, with both living at home and matching each PRE case for age and sex. Characteristics of interest between cases and controls were compared using a χ2 test. Results: PRE cases (n = 67), compared with controls (n = 134), were more often transported by ambulance (79.1% vs. 61.9%; p = 0.01). A family member or relative (43.4%) or professional supporter (20.8%) called an ambulance for most PRE cases. PRE cases were more likely to visit the ED due to injury/fracture (16.4% vs. 8.2%), rhabdomyolysis (11.9% vs. 1.5%), undernutrition/dehydration (10.4% vs. 1.5%), and cancer (9.0% vs. 5.2%) than controls (p < 0.001). PRE cases had a higher prevalence of being underweight (35.4% vs. 14.9%), dementia (41.8% vs. 16.4%), decubitus ulcer (29.9% vs. 8.2%), living alone (73.1% vs. 23.1%), and receiving public welfare assistance (35.8% vs. 9.0%) than controls (all p ≤ 0.001). Conclusion: In EDs, older people from a PRE exhibited certain diseases and characteristics.

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Discharge education for older people and family members in emergency department: A cross-sectional study

International Emergency Nursing ◽

10.1016/j.ienj.2015.02.003 ◽

2015 ◽

Vol 23 (4) ◽

pp. 306-311 ◽

Cited By ~ 6

Author(s):

Mira Palonen ◽

Marja Kaunonen ◽

Mika Helminen ◽

Päivi Åstedt-Kurki

Keyword(s):

Emergency Department ◽

Older People ◽

Family Members ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Discharge Education

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Emergency nurses attitudes towards older people in the emergency department: a cross-sectional study

Contemporary Nurse ◽

10.1080/10376178.2016.1224122 ◽

2016 ◽

Vol 52 (2-3) ◽

pp. 369-380 ◽

Cited By ~ 1

Author(s):

Debra Deasey ◽

Ashley Kable ◽

Sarah Jeong

Keyword(s):

Emergency Department ◽

Older People ◽

Cross Sectional Study ◽

Sectional Study ◽

Emergency Nurses ◽

Cross Sectional

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Prescribing of Xylometazoline in the Outpatient Department of a Public Hospital

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2020/v32i3931018 ◽

2021 ◽

pp. 1-4

Author(s):

Nehad J. Ahmed ◽

Menshawy A. Menshawy

Keyword(s):

Emergency Department ◽

Electronic Medical Records ◽

Medical Records ◽

Public Hospital ◽

Cross Sectional Study ◽

Outpatient Department ◽

Prescription Data ◽

Sectional Study ◽

Prescribing Pattern ◽

Cross Sectional

Objective: The aim of this study is to analyze the prescribing pattern of Xylometazoline in the outpatient department in a public hospital. Methods: This is a retrospective cross-sectional study that was conducted in a public hospital in alkharj. Prescription data was collected from electronic medical records in the outpatient department. Results: A total of 600 patients received xylometazoline during the study time. 55% of them were males and more than 57% of them aged less than 10 years. More than 86% of the prescriptions were prescribe by the emergency department followed by E.N.T department (13%). Most of the patients received xylometazoline for 3 days and 15.17% of them received it for 5 days. Conclusion: Xylometazoline was prescribed commonly in the outpatients department and could cause several adverse events so its prescribing should be assessed continuously to prevent its adverse effects and to decrease its interactions with drugs.

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Uncrossmatched Blood Transfusion for Resuscitation Patients at the Emergency Department

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.6543 ◽

2021 ◽

Vol 9 (E) ◽

pp. 496-499

Author(s):

Korakot Apiratwarakul ◽

Sivit Chanthawatthanarak ◽

Piyathida Klawkla ◽

Kamonwon Ienghong ◽

Vajarabhongsa Bhudhisawasdi ◽

...

Keyword(s):

Emergency Department ◽

Blood Transfusion ◽

Medical Records ◽

Emergency Situation ◽

Cross Sectional Study ◽

Trauma Patients ◽

Sectional Study ◽

Cross Sectional ◽

Transfusion Complications ◽

Uncontrolled Bleeding

BACKGROUND: Patients with uncontrolled blood loss often require immediate blood transfusion after the bleeding is stopped. If it is an emergency situation, blood that has not been tested for compatibility (uncrossmatched red blood cell [URBC] products) can be used. However, no studies have been conducted to evaluate the effectiveness of this protocol. AIM: The aim of the study is to evaluate the effectiveness of URBC transfusion in Srinagarind Hospital’s emergency department (ED). METHODS: This was a cross-sectional study that reviewed the medical records of ninty Thai patients over 18 years of age who received at least one unit of blood through URBC transfusion in the Srinagarind Hospital ED from September 2016 to August 2018. RESULTS: The average age of the patients was 47.23 ± 18.2 years, and 73.3% were male. A total of 149 units of URBC were provided, with 54.44% of recipients being trauma patients and 27.78% being gastrointestinal bleeding patients. The 24-h and in-hospital mortality rates were 58.89 and 72.22%, respectively. There were no cases of acute blood transfusion complications or inappropriate URBC transfusion. CONCLUSIONS: The transfusion of URBC necessary in patients with uncontrolled bleeding. No complications were found due to acute blood transfusion.

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Impact of social relationships on income–laughter relationships among older people: the JAGES cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-019104 ◽

2018 ◽

Vol 8 (7) ◽

pp. e019104 ◽

Cited By ~ 5

Author(s):

Yurika Imai ◽

Masato Nagai ◽

Tetsuya Ohira ◽

Kokoro Shirai ◽

Naoki Kondo ◽

...

Keyword(s):

Older People ◽

Family Structure ◽

Social Relationships ◽

Social Relationship ◽

Cross Sectional Study ◽

Living Alone ◽

Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Equivalent Income

ObjectivesLaughter has a positive and quantifiable effect on certain aspects of health, and previous studies have suggested that income influences the emotion. However, it is unknown whether social relationship-related factors modify the association between equivalised income and laughter among older people. In the present study, we examined the relationship between equivalised income and the frequency of laughter. In addition, we examined the impact of social relationship-related factors on the association between equivalised income and frequency of laughter using a cross-sectional study design.DesignCross-sectional study and binomial regression analysis.SettingWe sampled from 30 municipalities in Japan.ParticipantsWe examined 20 752 non-disabled Japanese individuals aged ≥65 years using data from the Japan Gerontological Evaluation Study.Primary outcomeFrequency of laughter.ResultsLaughter increased significantly with an increase in equivalent income (p for trend <0.0001). Prevalence ratios (PR) for laughing almost every day were calculated according to quartile equivalised income after adjusting for age, instrumental activities of daily living, depression, frequency of meeting friends, number of social groups and family structure. The results revealed that PRs in Q4 (men; ≥€24 420, women; ≥€21 154) were 1.21 (95% CI 1.13 to 1.30) among men and 1.14 (95% CI 1.08 to 1.20) among women, as compared with Q1 (men; <€12 041, women; <€9518), respectively. After excluding participants with depression, the association remained significant. In addition, we found inadequate social relationships and living alone were associated with a lower frequency of laughter. In comparison with the lowest equivalent income with meeting friends less frequently and living alone, the PRs of the highest equivalent income with meeting friends frequently and living with someone were higher, respectively.ConclusionsThe results revealed a significant relationship between equivalent income and the frequency of laughter. Social relationships and family structure were also associated with the frequency of laughter.

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