Pattern of use and presenting complaints of older patients visiting an Emergency Department in Italy.


BACKGROUND AND AIMS:The number of older persons admitted to the Emergency Department (ED) is dramatically increasing due to their complex medical and social problems, which in turn lead to longer clinical evaluation times and increased use of resources compared to younger adults. However, scant data are available for Italian EDs. Similarly, no data are available about the reasons to ED visit and its role in determining the ED utilization pattern. The study aimed at describing the pattern of ED use by older patients and main presenting complaints. METHODS:Cross-sectional descriptive study of 5,826 ED patients in the city of Fano (Italy). Identifiers and triage, clinical and social data were collected. Presenting complaints as recorded by triage nurses have been recoded according to the Canadian Emergency Department Information System list version 1.1. Data were analyzed comparing older patients (more than 65 years-old) with younger adults (less than 65 years-old). RESULTS:The prevalence of ED visits by older adults was 23.9 %. Their visits were characterized by higher emergency levels, admission rate and length of ED stay. Trauma was the main reason for ED presentation, especially among young adults, but elderly trauma patients were more frequently admitted because of hip fracture. Dyspnea and abdominal pain were the most frequent non-trauma presenting complaints among geriatric patients and represented the main causes for admission. CONCLUSIONS:Older adults use the ED appropriately also in Italy. Trauma with complications (fracture) and various presenting complaints underlying medical problems accounted for more than 50 % of ED visits and hospital admissions.


Aging Clin Exp Res


Salvi F,Mattioli A,Giannini E,Vita D,Morichi V,Fallani M,Dessì-Fulgheri P,Cherubini A




Has Abstract


2013-10-01 00:00:00












  • Circadian rhythm of TSH levels in subjects with Alzheimer's disease (AD).

    abstract:OBJECTIVES:The circadian rhythm of serum thyroid stimulating hormone (TSH) levels in patients with Alzheimer's disease was measured by means of a case-control study. METHODS:Serum samples from cases and controls were collected continuously for 2 days, and then once every 2 h (even number time-point during the first da...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Chen JM,Huang CQ,Ai M,Kuang L

    更新日期:2013-05-01 00:00:00

  • Cell biology of normal brain aging: synaptic plasticity-cell death.

    abstract::Senescence of the brain seems to be related to increased levels of free oxygen radical (FOR). FOR may damage macromolecular compounds such as: proteins, lipids, and DNA. In the aging brain, increased FOR levels damage DNA, mitochondrial DNA (mtDNA), and nuclear DNA (nDNA). In DNA they damage single and double strands,...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章,评审


    authors: Dorszewska J

    更新日期:2013-04-01 00:00:00

  • Neurosyphilis prevalence at a Portuguese stroke unit care.

    abstract:INTRODUCTION:Syphilis is a systemic human disease which is caused by infection with the spirochete Treponema pallidum. It is spread worldwide, and there has recently been an increase in its incidence. Neurosyphilis (NS) can have a variety of presentations; meningovascular NS is a specific affection of the Treponema whi...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Pintado Maury I,Alves M,Fonseca T

    更新日期:2019-08-01 00:00:00

  • Income differentials in functional disability in old age: relative risks of onset, recovery, decline, attrition and mortality.

    abstract:BACKGROUND AND AIMS:Socioeconomic status (SES) differences in health decline in late life may be underestimated, because the relatively higher risks of attrition of lower-SES persons are seldom taken into account. This longitudinal study aimed at comparing income differences in the course of disability, non-mortality a...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Broese van Groenou MI,Deeg DJ,Penninx BW

    更新日期:2003-04-01 00:00:00

  • Serum sestrins: potential predictive molecule in human sarcopenia.

    abstract:BACKGROUND:The aging trajectory from a state of robustness and good health proceeds from sarcopenia to frailty followed by disability and death due to decline in skeletal muscle mass and function. Sarcopenia is now formally recognized as a muscle disease with an ICD-10-MC diagnosis code. The autophagic response seems t...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Rajan SP,Anwar M,Jain B,Khan MA,Dey S,Dey AB

    更新日期:2020-06-27 00:00:00

  • An overview of standard statistical methods for assessing exposure-outcome link in survival analysis (Part I): basic concepts.

    abstract::The occurrence of a given disease in a population is measured by prevalence and incidence. Prevalence reflects the burden of a given disease in a specific population and is calculated as point prevalence or period prevalence. Incidence denotes the number of new cases of a given disease which occur in a cohort of indiv...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章,评审


    authors: Tripepi G,Torino C,D'Arrigo G,Bolignano D,Provenzano F,Zoccali C

    更新日期:2012-04-01 00:00:00

  • Assessing competence at a higher level among older adults: development of the Japan Science and Technology Agency Index of Competence (JST-IC).

    abstract:BACKGROUND AND AIMS:Older adults' ever-improving health and changing lifestyles necessitate the development of a scale that can better measure their competence at a higher level. We developed the Japan Science and Technology Agency Index of Competence (JST-IC) via item analysis and assessed its psychometric properties....

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Iwasa H,Masui Y,Inagaki H,Yoshida Y,Shimada H,Otsuka R,Kikuchi K,Nonaka K,Yoshida H,Yoshida H,Suzuki T

    更新日期:2018-04-01 00:00:00

  • Mild cognitive impairment, degenerative and vascular dementia as predictors of intra-hospital, short- and long-term mortality in the oldest old.

    abstract:BACKGROUND AND AIMS:The relative weight of various etiologies of dementia and mild cognitive impairment (MCI) as predictors of intra-hospital, short- and long-term mortality in very old acutely ill patients suffering from multiple comorbid conditions remains unclear. We investigated intra-hospital, 1- and 5-year mortal...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Zekry D,Herrmann FR,Graf CE,Giannelli S,Michel JP,Gold G,Krause KH

    更新日期:2011-02-01 00:00:00

  • The relationship between common geriatric syndromes and potentially inappropriate medication use among older adults.

    abstract:BACKGROUND/AIM:Polypharmacy and inappropriate medication use in older adults is a major public health problem associated with morbidity and mortality. Aging is associated with metabolic changes and decreased drug clearance, increased drug-drug interactions, prescribing cascades, and potentially inappropriate medication...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Kucukdagli P,Bahat G,Bay I,Kilic C,Oren MM,Turkmen BO,Karan MA

    更新日期:2020-04-01 00:00:00

  • An algorithm to screen long-term care residents at risk for accidental falls.

    abstract:BACKGROUND AND AIMS:The process applied to identify fall risks in frail elderly persons remains a matter of debate. We intended to develop a fall screening instrument for clinically defined subgroups of long-term care residents, to be administered by nursing staff. METHODS:Fall risk indicators were selected by multipl...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Becker C,Loy S,Sander S,Nikolaus T,Rissmann U,Kron M

    更新日期:2005-06-01 00:00:00

  • Validation of population-based cutoffs for low muscle mass and strength in a population of Turkish elderly adults.

    abstract:BACKGROUND:Despite differences between the studies regarding methods for estimating low muscle mass, the European Working Group on Sarcopenia in Older People (EWGSOP) recommends use of two standard deviations (SDs) below the reference sex-specific means of healthy young adults. AIMS:The aim of this study was to determ...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Ates Bulut E,Soysal P,Dokuzlar O,Kocyigit SE,Aydin AE,Yavuz I,Isik AT

    更新日期:2020-09-01 00:00:00

  • The effect of milk consumption on bone and fracture incidence, an update.

    abstract::Milk is a major source of high bioavailable calcium in most developed countries with an average calcium content of 1150 mg/L, providing a ready means of meeting the daily requirements. Its content in other minerals, phosphorus, vitamins, iodine, proteins, potassium and various nutrients is supposed to be beneficial fo...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章,评审


    authors: Fardellone P

    更新日期:2019-06-01 00:00:00

  • Effects of aging on spatial hearing.

    abstract:BACKGROUND:Aging has several effects on auditory processing with the most important effect known as speech perception impairment in noise. AIMS:The aim of the present study was to investigate the effects of aging on spatial hearing using quick speech in noise (QSIN) and binaural masking level difference (BMLD) tests a...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Adel Ghahraman M,Ashrafi M,Mohammadkhani G,Jalaie S

    更新日期:2020-04-01 00:00:00

  • Validity of the interRAI Acute Care based on test content: a multi-center study.

    abstract:BACKGROUND AND AIMS:The MDS inter- RAI Acute Care is a comprehensive geriatric assessment tool for hospitalized older persons. The aim was to examine its validity based on test content by use in daily clinical practice. METHODS:Clinical staff of multiple disciplines assessed 256 older persons (83.2±5.2 years; 60% fema...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章,多中心研究


    authors: Wellens NI,Deschodt M,Boonen S,Flamaing J,Gray L,Moons P,Milisen K

    更新日期:2011-10-01 00:00:00

  • Efficacy and safety of insulin lispro in geriatric patients with type 2 diabetes: a retrospective analysis of seven randomized controlled clinical trials.

    abstract:BACKGROUND AND AIMS:Glycemic control in geriatric patients with type 2 diabetes (T2DM) remains clinically challenging. The objective of this study was to compare the safety and efficacy of insulin lispro in patients C65 years (geriatric) to those\65 years (non-geriatric), using a metaanalysis of randomized controlled c...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章,meta分析


    authors: Curtis BH,Rees TM,Gaskins KA,Sierra-Johnson J,Liu R,Jiang HH,Holcombe JH

    更新日期:2014-02-01 00:00:00

  • Predictive value of C-reactive protein and NT-pro-BNP levels in sepsis patients older than 75 years: a prospective, observational study.

    abstract:INTRODUCTION:Using biomarkers to predict mortality in patients with sepsis is important because these patients frequently have high mortality rates and unsatisfactory outcomes. The performance of N-terminal pro-brain natriuretic peptide (NT-pro-BNP) and C-reactive protein (CRP) to predict clinical outcomes in elderly s...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Li H,Shan-Shan Z,Jian-Qiang K,Ling Y,Fang L

    更新日期:2020-03-01 00:00:00

  • Nutritional status, physical performance and disability in the elderly of the Peruvian Andes.

    abstract:BACKGROUND:Although nutritional status plays an important part in the physical performance and disability of older people, this relationship has been little studied in developing countries. AIMS:A study on the effects of nutritional status on the physical performance and functional status of elderly people living in r...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Tramontano A,Veronese N,Giantin V,Manzato E,Rodriguez-Hurtado D,Trevisan C,De Zaiacomo F,Sergi G

    更新日期:2016-12-01 00:00:00

  • Representativeness of the "Fiesole Misurata" study database for use in pharmaco-epidemiological investigations on adherence to antihypertensive medications.

    abstract:BACKGROUND AND AIMS:Poor adherence to medications is a major health concern especially among older subjects. To plan future studies to improve adherence, an epidemiological study, called "Fiesole Misurata", was conducted. The aim of the present paper was to verify the representativeness of the database in evaluating th...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Lapi F,Lucenteforte E,Moschini M,Bonaiuti R,Di Pirro M,Barchielli A,Benemei S,Belladonna M,Nesti N,Coppini R,Taras M,Vannacci A,Ungar A,Mugelli A

    更新日期:2013-08-01 00:00:00

  • Strength training and protein supplementation improve muscle mass, strength, and function in mobility-limited older adults: a randomized controlled trial.

    abstract:BACKGROUND:Adaptation to strength training in very old mobility-limited individuals is not fully characterized. Therefore, the aim of this study was to perform a thorough investigation of the adaptation to a lower body strength training regime in this population, with particular emphasis on the relationship between cha...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章,随机对照试验


    authors: Aas SN,Seynnes O,Benestad HB,Raastad T

    更新日期:2020-04-01 00:00:00

  • Effect of a mixed-exercise program on physical capacity and sedentary behavior in older adults during cancer treatments.

    abstract:BACKGROUND:Aging, cancer and its treatment all contribute to increase the risk of deconditioning and sedentary behaviors. Mixed exercise is recognized to counteract the effects of aging and deconditioning as well as improving physical capacity during cancer treatment in adults. AIMS:To determine the impact of a mixed ...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章,随机对照试验


    authors: Maréchal R,Fontvieille A,Parent-Roberge H,Fülöp T,Riesco E,Pavic M,Dionne IJ

    更新日期:2019-11-01 00:00:00

  • Aging leads to dysfunctional innate immune responses to TLR2 and TLR4 agonists.

    abstract:BACKGROUND:Sepsis is more common in the elderly. TNF⍺ is recognized as an important mediator in sepsis and Toll-like receptors (TLRs) play an important role in initiating signaling cascades to produce TNF⍺. Little is known about how innate immunity is altered in healthy human aging that predisposes to sepsis. AIMS AND...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Bailey KL,Smith LM,Heires AJ,Katafiasz DM,Romberger DJ,LeVan TD

    更新日期:2019-09-01 00:00:00

  • Relationship of a lifelong physical workload with physical function and low back pain in retired women.

    abstract:BACKGROUND AND AIMS:The effect of heavy work-related physical loads (WRPL) on low back pain (LBP) and impaired physical function has been studied extensively in active workers but not in pensioners. METHODS:We compared LBP and physical function in post-menopausal pensioners, divided according to their life-long WRPL i...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Gnudi S,Sitta E,Gnudi F,Pignotti E

    更新日期:2009-02-01 00:00:00

  • The incidence of fragility fractures in Italy.

    abstract::Osteoporosis can significantly impact on the risk of developing a fracture. Thus, fragility fractures represent a challenge for health professionals and decision makers of the twenty-first century. The aim of this work is to review the literature concerning osteoporotic fractures in Italy in terms of incidence, rate o...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章,评审


    authors: Ratti C,Vulcano E,La Barbera G,Canton G,Murena L,Cherubino P

    更新日期:2013-10-01 00:00:00

  • Testosterone effect on brain metabolism in elderly patients with Alzheimer's disease: comparing two cases at different disease stages.

    abstract:OBJECTIVE:To describe the effect of testosterone replacement therapy (TRT) on the brain activity of two demented, hypogonadal male patients with early and late-stage Alzheimer's disease (AD), respectively. METHODS:We describe the clinical and positron emission tomography (PET) findings for two individuals, one with ea...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Tan RS

    更新日期:2013-06-01 00:00:00

  • Is it safe and useful, laparoscopic peritoneal lavage in the treatment of acute diverticulitis of octogenarian patients? A multicenter retroprospective observational study.

    abstract:BACKGROUND:Diverticular disease of the colon also affects older people. Generally, older patients with diverticulitis may be regarded as too risky to undergo surgery. This retroprospective multicentric observational study aims to assess the safety and benefits of laparoscopic peritoneal lavage (LPL) in elderly patients...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章,多中心研究


    authors: Boselli C,Gemini A,Cirocchi R,Grassi V,Avenia S,Polistena A,Sanguinetti A,Pironi D,Santoro A,Tabola R,Burattini MF,Avenia N

    更新日期:2017-02-01 00:00:00

  • Reduced midlife physical functioning among never married and childless men: evidence from the 1946 British birth cohort study.

    abstract:BACKGROUND AND AIMS:Marital and parental role characteristics are important factors in both men and women's health. Most studies to date have either focused on disease specific outcomes or summary measures of self-reported health rather than using functional tests of performance. The goal of this study is to investigat...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Guralnik JM,Butterworth S,Patel K,Mishra G,Kuh D

    更新日期:2009-04-01 00:00:00

  • Assessment of sarcopenia: longitudinal versus cross sectional body composition data.

    abstract:BACKGROUND AND AIMS:An accurate diagnosis of sarcopenia is required. The aim of this study is to correlate the results of two methods to define sarcopenia using cross sectional body composition data, with actual loss of fat free mass. METHODS:Healthy older subjects (926 females and 381 males aged 70 years or more) and...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Bunout D,de la Maza MP,Barrera G,Leiva L,Gattas V,Hirsch S

    更新日期:2007-08-01 00:00:00

  • Clinical assessment of gait and functional mobility in Italian healthy and cognitively impaired older persons using wearable inertial sensors.

    abstract:AIM:The main purpose of the present study was to verify the feasibility of wearable inertial sensors (IMUs) in a clinical setting to screen gait and functional mobility in Italian older persons. In particular, we intended to verify the capability of IMUs to discriminate individuals with and without cognitive impairment...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Mulas I,Putzu V,Asoni G,Viale D,Mameli I,Pau M

    更新日期:2020-09-25 00:00:00

  • Physical frailty in older people with severe aortic stenosis.

    abstract:BACKGROUND:Assessment of physical frailty is important among elderly with severe aortic stenosis (AS) when considering treatment. AIMS:We aimed to: (1) investigate the prevalence of physical frailty in older people with severe AS and (2) examine factors related to physical frailty. METHODS:A total of 125 consecutive ...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章


    authors: Fukui S,Kawakami M,Otaka Y,Ishikawa A,Mizuno K,Tsuji T,Hayashida K,Inohara T,Yashima F,Liu M

    更新日期:2016-12-01 00:00:00

  • Nutrition, osteoarthritis and cartilage metabolism.

    abstract:BACKGROUND:Osteoarthritis (OA) is a degenerative joint disease and a leading cause of adult disability. There is no cure for OA and there is no effective treatment to stop its progression. Current pharmacologic treatments such as analgesics and non-steroidal anti-inflammatory drugs may improve the pain and offer some r...

    journal_title:Aging clinical and experimental research

    pub_type: 杂志文章,评审


    authors: Messina OD,Vidal Wilman M,Vidal Neira LF

    更新日期:2019-06-01 00:00:00