Search tips
Search criteria 


Logo of jaccidemLink to Publisher's site
J Accid Emerg Med. 1996 July; 13(4): 269–271.
PMCID: PMC1342728

Changing patterns in accident and emergency attenders.


OBJECTIVE: To investigate demographic changes in attenders at an accident and emergency (A&E) department. METHODS: Patients attending Leeds General Infirmary A&E department in 1990 were compared with those attending in 1993 and 1994. Internal quality control suggested that 99% of patients were correctly registered for details of method of arrival, age, and departure (admission/discharge). RESULTS: By 1994 there had been a 6.9% increase in total numbers, including a disproportionate rise in elderly patient attendances. The overall number of patients admitted increased, as did the proportion of those attending the A&E department. There was a 28% increase in number of patients arriving by ambulance between 1990 and 1993, and this rose to 32% in 1994. CONCLUSIONS: The increasing number of new patients, especially elderly people, has implications for future planning of A&E departments. The expected demographic rise in the elderly population means that A&E departments must expect to receive more elderly patients. Our figures, if generally applicable, suggest that this is already occurring. Staffing requirements and the physical space necessary to care for these extra patients needs to take these figures into account. These factors are of relevance to both purchasers and providers.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (501K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Wofford JL, Schwartz E, Byrum JE. The role of emergency services in health care for the elderly: a review. J Emerg Med. 1993 May-Jun;11(3):317–326. [PubMed]
  • Hayward J. Purchasing clinically effective care. BMJ. 1994 Oct 1;309(6958):823–824. [PMC free article] [PubMed]
  • Castillo PA, Pousada L. Emergency services use by elderly individuals. Clin Geriatr Med. 1993 Aug;9(3):491–497. [PubMed]
  • Dove AF, Dave SH. Elderly patients in the accident department and their problems. Br Med J (Clin Res Ed) 1986 Mar 22;292(6523):807–809. [PMC free article] [PubMed]
  • Burdett-Smith P, Rowland K, Woodhouse KW, Maitra AK. A comparative study of the injury profile of the elderly patients in an accident and emergency department. Arch Emerg Med. 1989 Sep;6(3):189–192. [PMC free article] [PubMed]
  • Eliastam M. Elderly patients in the emergency department. Ann Emerg Med. 1989 Nov;18(11):1222–1229. [PubMed]
  • Gerson LW, Shvarch L. Emergency medical service utilization by the elderly. Ann Emerg Med. 1982 Nov;11(11):610–612. [PubMed]

Articles from Journal of Accident & Emergency Medicine are provided here courtesy of BMJ Group