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Abstract

Objective: To examine characteristics, outcomes and flow for patients over the age of 45 years with a life-limiting illness (LLI) presenting to a regional ED.Methods: Retrospective, observational cohort study of patients with LLI in an Australian regional ED over a 15-day period. Eligible patients were 45 years of age or older who fulfilled criteria for having an LLI. Data included demographics, diagnosis for current presentation, presence of advance care documentation, LLI category, admission and discharge destination from ED, ED and hospital length of stay and outcome for patients admitted to the acute hospital.Results: A total of 152 (12%) patients had an LLI. The LLI group were older, had a significantly longer median length of stay in the ED (5.9 [interquartile range 4.0-8.4] vs 3.9 h [interquartile range 2.5-6.3], P Conclusion: A significant proportion of patients 45 years or older had an LLI which had implications for their length of ED stay and discharge destination.

Item Type:	Article
Authors/Creators:	Ragg, M and Ragg, J and Milnes, J and Bailey, M and Orford, N
Keywords:	cancer, emergency medicine, frailty, life-limiting illness, organ failure
Journal or Publication Title:	EMA
Publisher:	Wiley-Blackwell Publishing Asia
ISSN:	1742-6731
DOI / ID Number:	10.1111/1742-6723.13409
Copyright Information:	Copyright 2019 Australasian College for Emergency Medicine
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