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Background <p>Globally, the centenarian population has approximately doubled every decade and is projected to continue growing. This study aims to determine the sociodemographic characteristics, medical histories, reasons for visits, patterns of emergency department utilization, treatment processes, hospital outcomes and the economic burden of geriatric patients aged 100 years and older.</p> Methods <p>This retrospective study included all emergency department visits by patients aged 100 years and older at a university tertiary care hospital between January 1, 2014 and December 31, 2024. Data from 261 presentations by 120 unique patients were examined.</p> Results <p>Of the patients, 94.2% were female and 73.3% resided in city centers. Comorbidities were present in 90.0% of patients, with 73.3% exhibiting multimorbidity and 49.2% polypharmacy. Presentations peaked during winter (28% ) and daytime hours (08:00–20:00, 66.7% ). Most frequent diagnoses included gastrointestinal (24.9% ), respiratory (23.0% ) and neuropsychiatric (12.3% ) diseases. The mean emergency department length of stay lasted 315.95&#xa0;min with 83.9% of cases resulted within eight hours. Patients who presented during the night shift were significantly older than those during the day shift (<i>p</i> = 0.008). Most visits resulted in discharge (82.8% ). The mean cost per presentation was 45.08 USD. Costs exhibited a significant longitudinal increase, peaking in 2024 compared to both the 2014 baseline and all preceding years (<i>p</i> = 0.027).</p> Conclusion <p>Gastrointestinal issues predominate centenarian emergency visits, with the majority resolving in under eight hours. Rising healthcare costs and centenarians’ unique needs necessitate targeted interventions and specialized emergency management to optimize outcomes.</p>

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Clinical and demographic analysis of centenarian patients presenting to the emergency department

  • 期刊论文

  • 发表日期：

    2026年7月11日

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  • Salih Subari,
  • Mustafa Sabak,
  • Zeynel Abidin Ozturk

摘要

Background

Globally, the centenarian population has approximately doubled every decade and is projected to continue growing. This study aims to determine the sociodemographic characteristics, medical histories, reasons for visits, patterns of emergency department utilization, treatment processes, hospital outcomes and the economic burden of geriatric patients aged 100 years and older.

Methods

This retrospective study included all emergency department visits by patients aged 100 years and older at a university tertiary care hospital between January 1, 2014 and December 31, 2024. Data from 261 presentations by 120 unique patients were examined.

Results

Of the patients, 94.2% were female and 73.3% resided in city centers. Comorbidities were present in 90.0% of patients, with 73.3% exhibiting multimorbidity and 49.2% polypharmacy. Presentations peaked during winter (28% ) and daytime hours (08:00–20:00, 66.7% ). Most frequent diagnoses included gastrointestinal (24.9% ), respiratory (23.0% ) and neuropsychiatric (12.3% ) diseases. The mean emergency department length of stay lasted 315.95 min with 83.9% of cases resulted within eight hours. Patients who presented during the night shift were significantly older than those during the day shift (p = 0.008). Most visits resulted in discharge (82.8% ). The mean cost per presentation was 45.08 USD. Costs exhibited a significant longitudinal increase, peaking in 2024 compared to both the 2014 baseline and all preceding years (p = 0.027).

Conclusion

Gastrointestinal issues predominate centenarian emergency visits, with the majority resolving in under eight hours. Rising healthcare costs and centenarians’ unique needs necessitate targeted interventions and specialized emergency management to optimize outcomes.