PURPOSE: This study was to examine the clinical characteristics and mortality risk factors of geriatric hospital patients who visited one region-wide emergency department (ED). It's basically meant to develop criteria for the patient management of geriatric hospitals and to provide related information. METHODS: A retrospective research study was implemented using electronic medical records. The subjects in this study included 484 geriatric hospital patients who were selected from among 15,994 patients that visited one region-wide ED between January 1, 2014, and December 31, 2015. RESULTS: There were significant differences in death, a change for the better and no change for the better, which were results of treatment, according to the length of stay in hospital, hospitalization in a general ward, not having an operation or surgery, the presence or absence of malignant neoplasm, the insertion of foley catheter, intubation, ventilator and the insertion of central venous catheter. CONCLUSION: The results of this study suggest that a patient management system is necessary in geriatric hospitals and that competent healthcare workers who can properly respond to emergencies are required as well.
Catheters ; Central Venous Catheters ; Delivery of Health Care ; Electronic Health Records ; Emergencies* ; Emergency Service, Hospital* ; Hospitalization ; Humans ; Intubation ; Length of Stay ; Mortality* ; Patients' Rooms ; Retrospective Studies ; Risk Factors* ; Ventilators, Mechanical

Purpose: The purpose of this study was to build a structural model for explaining and predicting end-of-life care performance of home-visiting nurses. Methods: This study was conducted using data from 360 home-visiting nurses that fit the structural equation model collected from May 3 to September 2, 2019. These data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and structural equation modeling to determine factors that could influence end-of-life care performance. Results: Our proposed structural model demonstrated a fine fitness level. Our proposed structural model was also able to describe end-of-life care performance with an accuracy of 35.5%. Visiting nursing types, experience of end-of-life care education, attitudes toward nursing care of the dying, and end-of-life care stress were confirmed as key factors that could influence end-of-life care performance. Meanwhile, death-related anxiety was not a factor influencing end-of-life care performance. Conclusion Findingsof this study suggest that the aforementioned key factors can improve the performance of home-visiting nurses in providing end-of-life care. Therefore, expanding home nursing services, developing end-of-life nursing education at home, and implementing programs to reduce stress and improve positive attitudes toward end-of-life care are necessary for home-visiting nurses who provide end-of-life care.