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Centre for Policy on Ageing | |
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| Emergency department visits and resulting hospitalizations by elderly nursing home residents, 2001-2008 | | Author(s) | Chun-Ju Hsiao, Esther Hing |
| Journal title | Research on Aging, vol 36, no 2, March 2014 |
| Publisher | Sage, March 2014 |
| Pages | pp 207-227 |
| Source | roa.sagepub.com |
| Keywords | Residents [care homes] ; Nursing homes ; Accident & emergency depts ; Admission [hospitals] ; Cross sectional surveys ; United States of America. |
| Annotation | This study examines emergency department (ED) visits by nursing home (NH) residents aged 65 and over, and factors associated with hospital admission from the ED visit using data from the US National Hospital Ambulatory Medical Care Survey 2001-2008. Cross-sectional analyses were conducted on patient characteristics, diagnosis, procedures received, and triage status. On average, older NH residents visited EDs at a rate of 123 visits per 100 institutionalised persons. Nearly 15% of all ED visits had ambulatory care sensitive condition diagnoses. Nearly half of these visits resulted in hospital admission; chronic obstructive pulmonary disease, congestive heart failure, kidney/urinary tract infection, and dehydration were associated with higher odds of admission. Previous studies suggested that adequate medical staffing and appropriate care in the NH could reduce ED visits and hospital admissions. Recent initiatives seek to reduce ED visits and hospitalisations by providing financial incentives to spur better coordination between NH and hospital. (RH). |
| Accession Number | CPA-150626284 A |
| Classmark | KX: LHB: LD6: LD:QKH: 3KB: 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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