P-030: Deaths of elderly people In the Hospital Emergency Department: observation of one center

摘要

Introduction: The place of death is important for both the dying person and her relatives. At present, in our country more and more people are dying in the hospital. In spite of this, death in the emergency department often causes negative emotions. Meanwhile, in a heavily burdened hospital it happens more and more often in elderly patients. Method: We would like to present our retrospective observation of record of deaths in Emergency Department form 600 bed tertiary hospital. Results: There are more than 30,000 hospitalizations per year and there are from 600 to 700 deaths. The number of deaths in the emergency department is slowly increasing over the years, as is the age of the deceased in the analyzed time period-it doubled during our observation and the average age increased from 68.35 to 69.14 years, meanwhile the median age fluctuated around 70 years. Moreover, structure of the causes of death changed-shifitng from 64% cardiovascular diseases and 17.6% cancer diseases in 2011 to 32.4% and 32.4% respectively in 2015. The percentage of people older than 80 years was lowest in 2015-22.8%, and highest in 2013-31.6%. Key conclusion: It seems reasonable to create a special path to dealing with elderly people in the emergency department, but also to discuss the place of the expected death with the patient and his relatives.