Factors associated with serious abdominal conditions in geriatric patients visiting the emergency department.

ABSTRACT

BACKGROUND: Abdominal pain occurs in 20% of geriatric patients who visit the emergency department (ED). Geriatric patients usually have more severe conditions and a higher mortality rate. We aimed to determine the factors associated with serious abdominal conditions in geriatric patients who visit the ED with abdominal pain. METHODS: This retrospective cohort study was conducted from January 1, 2017 to June 30, 2021. The inclusion criteria were patients aged ≥ 65 years and presented at the ED with acute abdominal pain. Significantly associated factors for serious abdominal conditions were examined using univariate and multivariate logistic regression analyses. RESULTS: A total of 1221 patients were included in this study. Multivariate logistic regression analysis showed that the significant factors associated with serious abdominal conditions were male (adjusted odds ratio [AOR] 2.29, 95% CI1.3-4.04; p = 0.004), anorexia (AOR 2.16, 95% CI1.08-4.32; p = 0.03), NEWS 5-6 (AOR 2.96, 95% CI1.35-6.49; p = 0.007), SBP 100-125 mmHg (AOR 1.5, 95% CI0.75-2.99; p ≤ 0.001), guarding (AOR 6.92, 95% CI3.39-14.12; p ≤ 0.001), WBC ≥ 14,000 cells/mm3 (AOR 2.08, 95% CI1.06-4.09; p = 0.034), ED length of stay (EDLOS) 4-8 h (AOR 2.17, 95% CI1.08-4.36; p = 0.03), and EDLOS ≥ 8 h (AOR 3.22, 95% CI1.15-9; p = 0.025). CONCLUSIONS: The statistically significant factors associated with serious abdominal conditions in geriatric patients were male, anorexia, NEWS 5-6, SBP 100-125 mmHg, guarding, WBC ≥ 14,000 cells/mm3, EDLOS 4-8 h, and EDLOS ≥ 8 h.