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Centre for Policy on Ageing | |
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Utilization of emergency center services by older adults with a psychiatric diagnosis | Author(s) | J A Cully, V A Molinari, A L Snow |
Journal title | Aging & Mental Health, vol 9, no 2, March 2005 |
Pages | pp 172-176 |
Source | http://www.tandfonline.com |
Keywords | Mental disorder ; Symptoms ; Ethnic groups ; Accident & emergency depts ; Usage [services] ; Longitudinal surveys ; United States of America. |
Annotation | Information regarding the patient characteristics of older people using emergency centers (EC) in the US remains limited. This retrospective study encompasses all 825,682 EC visits over an 8-year period to a large hospital in Ohio. Only participants with a primary psychiatric diagnosis were examined, comprising 53,894 adults aged 18-64 and 1,478 adults aged 65+. Despite an increasing ageing population, EC visits for older people with psychiatric disorders did not increase over time. Within the older adult sample, cognitive, psychotic and bipolar disorders were associated with higher rates of hospital admission, whilst substance use, depression and anxiety disorder were associated with lower numbers of inpatient admissions. African-Americans were over-represented in the EC and admitted to hospital at higher rates, compared to other ethnic groups. Caucasian patients were the group most frequently diagnosed with a substance use disorder. Thus, differences in ethnicity and diagnosis support the idea that such variables directly relate to usage rates, presentation and disposition within the EC. (RH). |
Accession Number | CPA-050426217 A |
Classmark | E: CT: TK: LD6: QLD: 3J: 7T |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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