Evaluation of Older People's Presentations to the Emergency Department With Pain During and Before the COVID-19 Pandemic

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dc.contributor.authorSofuoğlu, Zeynep
dc.contributor.authorTurhan Damar, Hale
dc.contributor.authorSehitoglu Alpagut, Gulsah
dc.contributor.authorCalik, Bulent
dc.contributor.authorKebapci, Eyup
dc.contributor.authorGulmez, Hakan
dc.contributor.authorKurtulus, Mustafa
dc.date.accessioned2025-03-20T09:44:56Z
dc.date.available2025-03-20T09:44:56Z
dc.date.issued2025
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractBackground: This study aimed to determine the tendency of older adults to present to the emergency department with pain complaints during the COVID-19 pandemic compared to the prepandemic period. Methods: A cross-sectional, retrospective study design was used. Data were collected from the electronic medical records of older people who presented to emergency departments with pain before (March 2019-March 2020) and during the COVID-19 pandemic (April 2020-July 2021). We identified 10 pain diagnosis groups using ICD-10 codes. Patient data were grouped and cleaned using SQL scripts on the Oracle database. Results: It was determined that 13.3% of 405,404 older people had presented to the emergency department with pain between March 2019 and July 2021. There was a 14.2% decrease in such admissions during the pandemic period. In the study, an increase was observed in the rates of older adults presenting to the emergency department with myalgia and joint pain. In contrast, the rates of those presenting with low back and neck pain, headache, eye pain, dysuria, and acute pain decreased during the pandemic. In the regression analysis, predictors for older adults’ presentation to the emergency department with pain included age over 85 years (OR: 1.403), female gender (OR: 1.053), and myalgia (OR: 2.471). Conclusions: During the COVID-19 pandemic, our study revealed fewer presentations to the emergency department for pain-related complaints. To prevent severe health problems from delayed care, we recommend expanding telemedicine, remote pain management, and home-based care. Further research is needed to examine the long-term effects of increased myalgia and joint pain. © 2024
dc.identifier.doi10.1016/j.pmn.2024.12.007
dc.identifier.issn1524-9042
dc.identifier.scopus2-s2.0-85215111688
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1016/j.pmn.2024.12.007
dc.identifier.urihttps://hdl.handle.net/20.500.14034/2076
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherW.B. Saunders
dc.relation.ispartofPain Management Nursing
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_Scopus_20250319
dc.subjectCOVID-19
dc.subjectEmergency Department
dc.subjectOlder People
dc.subjectPain
dc.subjectRetrospective
dc.subjectTrends
dc.titleEvaluation of Older People's Presentations to the Emergency Department With Pain During and Before the COVID-19 Pandemic
dc.typeArticle

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