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Is someone older or elder than someone else? Or would you settle on a different word entirely? Well, for those writers stuck picking between elder and older, have no fear. In this post, I will clear up any confusion between these words, their differences, and their uses. Broadly speaking, these two words have the same meanings and can be used interchangeably in most settings. For example,. In cases like those above, elder is simply a more formal version of the word older , and when comparing two persons, elder has no implication of advanced age, just more advanced than its comparison.
While these words can broadly be used to mean the same things, there are some circumstances that call for one over the other, depending on the context of your sentence. Of the total admitted elderly patients, Differences were found between the groups in the analysis of admission department. A total The rate of hospitalization in internal medicine and orthopedics showed an increasing trend with increasing age.
Regarding hospitalization in the internal medicine department, pulmonology hospitalization was the most frequent among all three groups.
In group 3, After hospitalization, the discharge rate was lower among older patients, 1, patients The overall length of hospitalization also increased with age: Korea has the fastest growth rate of the elderly population among the Organization for Economic Cooperation and Development countries. Women represented These frequencies show that the rate of ED visits for female patients increases with age [ 6 ].
In this study, there were more female than male patients. Women accounted for Therefore, both government health policies and hospital managers should consider expanding the number of female wards and specialized medical services for women. The main reason for elderly patients visiting the ED was medical causes Although the underlying diseases were not investigated in this study, it has been reported that elderly people have four to five diseases on average, which may be the reason for increasing medical diseases with increasing age [ 7 ].
Also, the decreased function with aging of internal organs such as those of the respiratory, cardiovascular, and digestive systems, as well as poor immunity and nutritional imbalance would contribute to the occurrence of medical events. On the other hand, activities such as participating in sports and driving decrease with age, which may lead to a corresponding decrease in non-medical diseases among older individuals.
Despite a decline in non-medical events, the probability of fracture of the femur neck, vertebra, and wrist increases with trauma owing to osteoporosis, which is more likely to develop as people age.
This is reflected in the increased ratio of admission to orthopedic surgery with increased age. Additionally, in Korea the prevalence of osteoporosis is increasing with age, with higher prevalence in women than in men. Therefore, the diagnosis and treatment of osteoporosis should be strongly encouraged in the elderly population [ 9 ].
Moreover, the most common cause of elderly trauma is falling [ 10 , 11 ]. One of the causes of falling is syncope or near-syncope caused by underlying diseases such as arrhythmia, acute coronary syndrome, hypoglycemia, anemia, gastrointestinal bleeding, and antihypertensive agents. In addition, there are various other causes such as visual impairment, drunkenness, sleeping pills, and mechanical falls due to paralysis caused by stroke or neuromuscular disease. Therefore, it is necessary to adjust the living spaces of elderly adults so that falls and slips do not occur.
In Korea, the use of an emergency ambulance summoned by dialing , the emergency assistance number in Korea is very common. Over one-third of elderly patients, and about half of patients older than 85 years, use ambulances as a means of transportation to the ED. Therefore, ambulance medical equipment and environments should be tailored to the needs of elderly patients.
There was an absolute difference in admission department between the groups. Among hospitalized elderly patients, two-thirds of old-old patients were admitted to the internal medicine department. Together, all three groups accounted for the largest number of hospitalizations in the internal medicine department.
This is due to the decrease in macrophage function and potential dysfunction of T cells, which results in decreased immunity and increased susceptibility to various infectious diseases, cancer, and autoimmune diseases among elderly adults [ 13 - 15 ], as well as impaired function of the anti-inflammatory pathways, leading to chronic inflammation and tissue damage [ 16 ].
With age, lung parenchymal changes occur, and the lung elasticity and the chest wall compliance decrease, causing the respiratory muscles to stiffen [ 2 ], this may explain why respiratory disease is more likely to occur in elderly patients.
In our study, admission for respiratory problems made up the largest proportion of internal medicine admissions. More respiratory physicians must be trained, and respiratory equipment should be in adequate supply for the care of elderly patients.
Biber et al. In another study, patients older than 85 years remained approximately 1. Our results showed that LOS in the oldest-old group was approximately 78 minutes longer than that of the youngest-old group. This demonstrates that LOS in the ED increases with increased age, perhaps because elderly patients in the ED are at high risk for associated diseases, and required more diagnostic testings and emergency treatments, as well as time-consuming consultations with various departments.
In addition, studies by Choi et al. This study revealed that there was no difference in the admission rate to the ICU between groups, but a difference was found for the length of ICU stay between groups 1 and 3. This might be due to the better physiologic capacity and response to treatment of patients in group 1, who are younger than those in group 3.
However, for more accurate investigation of this question, information about disease severity, such as triage level at the time of ED arrival, as well as APACHE acute physiology and chronic health evaluation scores should be collected. There are several limitations in this study. First, the study was conducted over 2 years at one university hospital located in the capital city of Korea. Therefore, the results may be difficult to apply to all elderly patients in the country, owing to characteristics of the region, hospital scale, and study period.
Analysis using national data should be conducted, for more accurate research. Second, this was a retrospective study conducted through the review of medical records, and there may have been errors or insufficient information in these records. Third, this study included the period before use of the Korean Triage and Acuity Scale had been initiated, therefore, it is difficult to know the exact disease severity of study participants at the time of their ED visit.
Nevertheless, this study is important in confirming the clinical differences between youngest-old, middle-old, and oldest-old patients in Korea, as there is insufficient previous research regarding these age groups. Based on this research, further prospective and multicenter studies using national data on ED visits in elderly patients by age groups should be conducted in the near future. We found that elderly adults were more likely to visit the ED for medical reasons, and the percentage of women visiting the ED increased with age.
The rate of ED visits made using an emergency ambulance transport was found to increase with age, as did hospitalization rates and number of hospitalizations in internal medicine and orthopedics. The LOS in the ED and total length of hospitalization increased with older age, as did the ED mortality rate and hospital mortality rate. Due to differences among the age groups, we suggest that medical services that are customized to the needs of elderly patients should be developed and provided at the national level.
Elderly populations are increasing exponentially and consume a large portion of medical services. Many researchers have investigated the differing clinical characteristics between elderly and young adults. And elder has a noun sense to refer to a person of advanced age respect your elders that is not shared by older. Despite these differences, the two words share a root: elder derives from an Old English word, ieldra , the comparative form of eald "old". Old also derives from eald , but with some Old High German influencing the spelling along the way.
Additionally, eld is a seldom-used noun that means "old age" and long ago meant "old times" or "antiquity. Biden rolls out vaccination effort. Subscribe to America's largest dictionary and get thousands more definitions and advanced search—ad free!
Log in Sign Up. Usage Notes What's the difference between 'elder' and 'older'? An age-old question. What to Know Elder and older but mean "more advanced in age.
More Words At Play. Biden: Vaccine 'Mandates'. Merriam-Webster's Words of the Week - Oct. Time Traveler.
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