Centre for Policy on Ageing
 

 

Use of emergency departments by older people from residential care
 — a population based study
Author(s)Sharyn L Ingarfield, Judith C Finn, Ian G Jacobs
Journal titleAge and Ageing, vol 38, no 3, May 2009
Pagespp 314-318
Sourcehttp://www.ageing.oxfordjournals.org
KeywordsAccident & emergency depts ; Residents [care homes] ; Usage [services] ; Social surveys ; Australia.
AnnotationA study of all 97,161 patients aged 65+ who presented to public hospital emergency departments (EDs) in Perth, Western Australia 2003-2006 considered patient demographic and clinical characteristics. Logistic regression was used to model the effects of living in residential care on the likelihood of a a particular ED diagnosis, hospital admission and in-hospital death. Older people from residential care were 1.69 times more likely to present to EDs than those from the community, and they were also older (mean age 84.7 vs 76 years). Those from residential care also had a different pattern of presentations: they were more likely to be diagnosed with pneumonia or influenza, urinary tract infections and hip fractures, and less likely to be diagnosed with circulatory system diseases and neoplasms. They were more likely to be admitted to hospital and die there. Whether these differences in care practices are appropriate, or represent under-treatment of those from residential care, is unknown. (RH).
Accession NumberCPA-090618217 A
ClassmarkLD6: KX: QLD: 3F: 7YA

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