31914

Abstract

Introduction: The care of older adults in emergency settings represents a growing challenge due to population aging and the high burden of clinical comorbidities, particularly when mental health problems and behavioral disturbances coexist. In Paraguay, available evidence regarding the characteristics of this population in emergency departments remains limited. Objective: To describe the clinical and epidemiological profile of older adults treated at the Emergency Department of the District Hospital of Coronel Bogado during 2024. Methodology: An observational, descriptive, retrospective, cross-sectional study was conducted. A total of 300 older adults (≥ 65 years) were analyzed, selected through consecutive sampling based on institutional Emergency Department records. Data were extracted from medical records, organized into a coded database, and analyzed using descriptive statistics. Results: The study included 300 older adults, with an equal distribution by sex (50.0% men and 50.0% women). The highest concentration of patients was observed in the 65–79-year age groups. Regarding place of residence, 64.3% came from urban areas. Among the recorded mental health and behavioral problems, affective symptoms were predominant (31.3%), followed by psychotic symptoms (28.0%) and behavioral disturbances (22.3%). Overall, 57.7% of patients presented at least one medical comorbidity. The most frequent therapeutic recommendation was outpatient follow-up (40.7%), followed by pharmacological treatment (29.3%), hospitalization (26.0%), and referral to specialized care (4.0%). Conclusion: The findings demonstrate relevant clinical and mental health needs among older adults treated at the Emergency Department of the District Hospital of Coronel Bogado, highlighting the importance of a comprehensive approach and ensuring continuity of care for this population.