Purpose: The older population is rapidly increasing and will create the greatest challenge and consume the greatest amount of emergency center resources in the near future. It is necessary to prepare measures to meet the needs of older people who visit emergency centers. This study was conducted to provide fundamental data for developing a management strategy for elderly patients. Method: A retrospective study of the medical records of 5,759 elderly patients seen at E medical center from January 1 to December 31, 2007. General and ER (Emergency Room) utilization characteristics were assessed. ER utilization characteristics included the reason, route, time and season of the visit to the ER. Discharge results and length of stay in the ER were also assessed. Results: Women used emergency services more than men. The older the patient was, the higher rate of ambulance service. According to type of transportation to the hospital, those who called 119 showed a higher intensive care admission rate. Conclusion: Chronic disease management of older female patients should be given more consideration when planning care for older patients. Development of triage tools for elderly patients which consider transportation to the ER is also necessary.