The Comparison of the Impact of Improving Emergency Care on the Prognosis and Treatment Rate of Elderly Patients in the Emergency  Departments: A Meta-Analysis

Ningning  Dai; Dan  Zhao; Dongmei  Yang; Jing  Qian; Zeyu  Xie; Maling  Xiang

doi:10.18502/ijph.v55i1.20973

Ningning Dai Department of Emergency Medicine, the Fourth Affiliated Hospital of Soochow University, Suzhou Dushu Lake Hospital, Medi-cal Center of Soochow University, Suzhou, China
Dan Zhao Department of Emergency Medicine, the Fourth Affiliated Hospital of Soochow University, Suzhou Dushu Lake Hospital, Medi-cal Center of Soochow University, Suzhou, China
Dongmei Yang Department of Emergency Medicine, the Fourth Affiliated Hospital of Soochow University, Suzhou Dushu Lake Hospital, Medi-cal Center of Soochow University, Suzhou, China
Jing Qian Department of Emergency Medicine, the Fourth Affiliated Hospital of Soochow University, Suzhou Dushu Lake Hospital, Medi-cal Center of Soochow University, Suzhou, China
Zeyu Xie Department of Emergency Medicine, the Fourth Affiliated Hospital of Soochow University, Suzhou Dushu Lake Hospital, Medi-cal Center of Soochow University, Suzhou, China
Maling Xiang Department of Emergency Medicine, the Fourth Affiliated Hospital of Soochow University, Suzhou Dushu Lake Hospital, Medi-cal Center of Soochow University, Suzhou, China

DOI: https://doi.org/10.18502/ijph.v55i1.20973

Keywords: Elderly; Emergency department; Acute strokes; First-aid nursing

Abstract

Background: A meta-analysis study was implemented to review the comparison of the impact of improving emergency care on the prognosis and treatment rate of elderly patients in the emergency department who have acute strokes.

Methods: An inclusive literature investigation was completed until April 2025, and 1765 related studies were reviewed. The 12 selected studies encompassed 1300 elderly patients in the emergency department who had acute strokes. The dichotomous or continuous methodologies with a fixed or random model were used to assess the comparison of the impact of improving emergency care on the prognosis and treatment rate of elderly patients in the emergency department who have acute strokes using odds ratios (ORs), mean difference (MD), and 95% confidence intervals (CIs).

Results: First-aid nursing had significantly lower rescue time (MD, -11.16; 95% CI, -15.74- -6.58, P<0.001), fatality rate (OR, 0.26; 95% CI, 0.16-0.43, P<0.001), and disability rate (OR, 0.30; 95% CI, 0.15-0.58, P<0.001) compared to control in elderly patients in the emergency department who have acute strokes.

Conclusion: First-aid nursing had significantly lower rescue time, fatality rate, and disability rate compared to control in elderly patients in the emergency department who have acute strokes. Nevertheless, since most of the studies nominated for evaluation in the meta-analysis had low sample sizes, care must be taken when working with their values.