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[Emergency room deaths.]

Philippe Le Conte1, Marc Amelineau, David Trewick

  • 1Service Accueil-Urgences, CHU Nantes (44).

Presse Medicale (Paris, France : 1983)
|July 1, 2005
PubMed
Summary

Emergency departments frequently see deaths, primarily among elderly patients with chronic conditions. Decisions to limit or withdraw care were common, highlighting a need for further study into these end-of-life care practices.

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Area of Science:

  • Emergency Medicine
  • Geriatrics
  • Palliative Care

Background:

  • Deaths in emergency units are a significant concern, particularly for elderly individuals with complex health issues.
  • Understanding patient characteristics and care limitations is crucial for improving end-of-life care in emergency settings.

Purpose of the Study:

  • To characterize patients who died in the emergency unit.
  • To determine the frequency of limited or withdrawn care for these patients.

Main Methods:

  • A 3-month retrospective study of all emergency unit deaths at a single center.
  • Bivariate analysis compared patients receiving maximum care (MC) versus limited care (LC).

Main Results:

  • 84 patients died (mean age 73), with most having severe chronic diseases and impaired mobility.
  • Neurological, cardiac, septic, and respiratory causes predominated.
  • Care was limited or withdrawn in 84% of cases, though documented in only 55%.

Conclusions:

  • Elderly patients with chronic diseases and mobility issues are frequently affected by mortality in emergency units.
  • Limiting or stopping active care is a primary factor in these deaths, necessitating further investigation.

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