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Research article
Jiraporn Sri-on
Faculty of Medicine Vajira Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8853-2567
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: In disaster situations, the elderly are considered to be a particularly vulnerable population. Preparedness is the key to reduce post-disaster damage. There is limited research in middle-income countries on how well elderly emergency department (ED) patients are prepared for disaster situations. The objective of this study was to determine the attitudes and behavior of elderly ED patients toward disaster preparedness. Methods: This study was a cross-sectional face-to-face survey at one urban teaching hospital in Bangkok, Thailand between August 1st and September 30th, 2016. Patients aged 60 and older who presented to the ED were included to this study. We excluded patients who had severe dementia defined as Short Portable Mental State Questionnaires (SPMSQ) > 8, were unable to speak Thai, had severe trauma and/or needed immediate resuscitation. The survey instruction was adapted from previous disaster surveys. This study was approved by the Vajira Institutional Review Board (IRB). Results: A total of 243 patients were enrolled. Most of them were female 154 patients (63.4%). The median age was 72 Interquartile range (IQR) 66-81 years and the most common underlying diseases were hypertension 148 patients (60.9%) and diabetes 108 patients (44.4%). The majority of patients 172 patients (72.4%) reported that they had had some teaching about disaster knowledge from a healthcare provider and had experienced a disaster 138 patients (56.8%). While 175/197 (81.8%) patients who had underlying diseases reported that they had a medication supply for disaster situations, only 61 (25.1%) patients had an emergency toolbox for disasters. Most patients (159, 65.4%) did not know the emergency telephone number, and 133 (54.7%) patients reported transportation limitations. Conclusions: While most Thai elderly ED patients reported having a medication supply for disaster situations, many lacked comprehensive plans for a disaster situation. Work needs to be done to improve the quality of preparedness in disaster situations among elderly patients. Future research should focus on preparedness knowledge regarding evacuation, and shelter/residence for older patients.
Keywords
Disaster preparedness, Elderly, Emergency Department
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CURRENT STATUS: Published
View the published article at BMC Emergency Medicine.
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Submission checks complete
On 06 Nov, 2019
Editorial decision: Accept
On 12 Sep, 2019
Version 2
Posted 13 Aug, 2019
No comments provided
Editorial decision: Minor revision
On 10 Sep, 2019
Review #3 received
Received 23 Aug, 2019
Reviewer #3 agreed
On 11 Aug, 2019
Review #1 received
Received 10 Aug, 2019
Reviewer #2 agreed
On 02 Aug, 2019
Review #2 received
Received 02 Aug, 2019
Reviewer #1 agreed
On 31 Jul, 2019
Reviewers invited
Invitations sent on 30 Jul, 2019
Editor assigned
On 25 Jul, 2019
Submission checks complete
On 24 Jul, 2019
Editor invited
On 24 Jul, 2019
No comments provided
Editorial decision: Major revision
On 15 Jul, 2019
Review #2 received
Received 14 Jul, 2019
Review #1 received
Received 13 Jul, 2019
Reviewer #2 agreed
On 03 Jul, 2019
Editor assigned
On 02 Jul, 2019
Reviewers invited
Invitations sent on 02 Jul, 2019
Reviewer #1 agreed
On 02 Jul, 2019
Submission checks complete
On 27 Jun, 2019
Editor invited
On 27 Jun, 2019
First submitted
On 24 Jun, 2019
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See the published version of this preprint at BMC Emergency Medicine.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Jiraporn Sri-on
Faculty of Medicine Vajira Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8853-2567
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Emergency Medicine.
No community comments so far
Submission checks complete
On 06 Nov, 2019
Editorial decision: Accept
On 12 Sep, 2019
Version 2
Posted 13 Aug, 2019
No comments provided
Editorial decision: Minor revision
On 10 Sep, 2019
Review #3 received
Received 23 Aug, 2019
Reviewer #3 agreed
On 11 Aug, 2019
Review #1 received
Received 10 Aug, 2019
Reviewer #2 agreed
On 02 Aug, 2019
Review #2 received
Received 02 Aug, 2019
Reviewer #1 agreed
On 31 Jul, 2019
Reviewers invited
Invitations sent on 30 Jul, 2019
Editor assigned
On 25 Jul, 2019
Submission checks complete
On 24 Jul, 2019
Editor invited
On 24 Jul, 2019
No comments provided
Editorial decision: Major revision
On 15 Jul, 2019
Review #2 received
Received 14 Jul, 2019
Review #1 received
Received 13 Jul, 2019
Reviewer #2 agreed
On 03 Jul, 2019
Editor assigned
On 02 Jul, 2019
Reviewers invited
Invitations sent on 02 Jul, 2019
Reviewer #1 agreed
On 02 Jul, 2019
Submission checks complete
On 27 Jun, 2019
Editor invited
On 27 Jun, 2019
First submitted
On 24 Jun, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Emergency Medicine.
Background: In disaster situations, the elderly are considered to be a particularly vulnerable population. Preparedness is the key to reduce post-disaster damage. There is limited research in middle-income countries on how well elderly emergency department (ED) patients are prepared for disaster situations. The objective of this study was to determine the attitudes and behavior of elderly ED patients toward disaster preparedness. Methods: This study was a cross-sectional face-to-face survey at one urban teaching hospital in Bangkok, Thailand between August 1st and September 30th, 2016. Patients aged 60 and older who presented to the ED were included to this study. We excluded patients who had severe dementia defined as Short Portable Mental State Questionnaires (SPMSQ) > 8, were unable to speak Thai, had severe trauma and/or needed immediate resuscitation. The survey instruction was adapted from previous disaster surveys. This study was approved by the Vajira Institutional Review Board (IRB). Results: A total of 243 patients were enrolled. Most of them were female 154 patients (63.4%). The median age was 72 Interquartile range (IQR) 66-81 years and the most common underlying diseases were hypertension 148 patients (60.9%) and diabetes 108 patients (44.4%). The majority of patients 172 patients (72.4%) reported that they had had some teaching about disaster knowledge from a healthcare provider and had experienced a disaster 138 patients (56.8%). While 175/197 (81.8%) patients who had underlying diseases reported that they had a medication supply for disaster situations, only 61 (25.1%) patients had an emergency toolbox for disasters. Most patients (159, 65.4%) did not know the emergency telephone number, and 133 (54.7%) patients reported transportation limitations. Conclusions: While most Thai elderly ED patients reported having a medication supply for disaster situations, many lacked comprehensive plans for a disaster situation. Work needs to be done to improve the quality of preparedness in disaster situations among elderly patients. Future research should focus on preparedness knowledge regarding evacuation, and shelter/residence for older patients.
Figure 1
Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
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