Emergency department visited for elderly patients in Bangkok, Thailand before and after severe flooding in 2011
Keywords:
disaster, elderly, Thailand’s floodAbstract
Introduction: Thailand's major flood since 2011, causing widespread impact in Bangkok and nearby provinces, which affects the mind and the human body and over time could cause a patient to the emergency department (ED) more than usual, the elderly is weak and needs help.
Objective: This study aims to compare the prevalence of diseases; characteristics that lead older adults visited the ED, in the period before flood (BF) and after the flood (AF) in Bangkok 2011.
Methods: This study was a retrospective chart review. Data were proceeding from electronic medical records (EMRs) in the period BF in Augusts 5, 2011 to October 4, 2011 and AF in October 5, 2011 to November 25, 2011. All patients age 60 years and over who came to the ED were enrolled. Data were compared between BF and AF included characteristics, diagnosesand adverse outcomes which defined as ED revisits, prolong hospitalization (>7 days)
Results: Our study had 388 patients in BF group and 401 patients in AF group. Most of them were female in both groups [BF group 230(59.3%) versus (vs.) AF group 235(59.6%)]. In AF group had more patients in age group 60-74 years than BF group [AF 275(68.6%) vs BF 173(44.6%) p<0.01]. In AF group had ED visited time at 16.01-0.00 more than BF group [AF 175(43.6%) vs. BF 141(36.3%) p=0.04]. Most common chief complaint was dyspnea [AF 73(18.2%) vs. BF 56(14.4%) p=0.15]. In AF group complaint more for “muscle pain” than BF group [AF 11(2.7%) vs. BF 7(1.8%)]. There was no difference of adverse outcomes between groups.
Conclusion: After flood in Thailand, ED had more young older age group visited, came in the afternoon and had more complaint for muscle pain compared with BF. Prepares to medical personnel when older people come to the ED if disaster to next time.
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บทความที่ได้รับตีพิมพ์ในวารสารเวชศาสตร์ฉุกเฉินแห่งประเทศไทย ถือเป็นเป็นลิขสิทธิ์ของ วิทยาลัยแพทย์เวชศาสตร์ฉุกเฉินแห่งประเทศไทย
กรณีที่บทความได้รับการตีพิมพ์ในวารสารเวชศาสตร์ฉุกเฉินแห่งประเทศไทยแล้ว จะตีพิมพ์ในรูปแบบอิเล็กทรอนิกส์ ไม่มีสำเนาการพิมพ์ภายหลังหนังสือเผยแพร่เรียบร้อยแล้ว ผู้นิพนธ์ไม่สามารถนำบทความดังกล่าวไปนำเสนอหรือตีพิมพ์ในรูปแบบใดๆ ที่อื่นได้ หากมิได้รับคำอนุญาตจากวารสารเวชศาสตร์ฉุกเฉินแห่งประเทศไทย
