The adherence of Turkish emergency departments to geriatric guideline recommendations

土耳其急诊科对老年医学指南建议的遵循情况

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Abstract

OBJECTIVES: This study aims to determine the availability of geriatrics-friendly protocols, pieces of equipment, and physical environments alongside potential opportunities of improvement in the emergency departments of our country. METHODS: This prospective, cross-sectional study was conducted between the 1(st) and 29(th) of February, in the year 2024, within the AI, AII, B group- and university hospitals in Turkey. A questionnaire form consisting of three subdivisions in which general pieces of information, information regarding appropriate personnel/management for geriatrics-friendly emergency departments, equipment/materials, and the presence of physical environments was presented online to the participants and the responses that were provided online were evaluated. RESULTS: The study was conducted with a total of 175 participants from hospital emergency departments. The number of hospitals with monthly older patient application amounts of 500 and above was 133 (76.0%). It was observed that personnel/management knowledge was, relative to guideline suggestions, at low levels. When the appropriateness of personnel/management knowledge and total equipment/materials were compared to hospital roles, it was determined that university hospitals adhered closest to the guideline and that inter-group differences were significant (p < 0.001). CONCLUSIONS: It was determined that the compliance of emergency departments in Turkey with the criteria specified in the geriatric emergency department guidelines is at very low levels.

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