Predictors of Emergent Emergency Department Visits and Costs in Community-Dwelling Older Adults.
Background: The number of yearly emergency department (ED) visits by older adults in the United States has been increasing. Purpose: The objectives were to (1) describe the demographics, health-related variables, and ED visit characteristics for community-dwelling older adults using an urban, safety...
| Publicado en: | Health Services Insights Vol. 11; pp. 1 - 2 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134163467&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134163467 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11786329 B10H jtl: Health Services Insights issn: 11786329 maglogo: Y pubinfo: dt: 2018 vid: 11 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 134163467 134163467 134163467 10.1177/1178632918790256 134163467 ppf: 1 ppct: 1 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Predictors of Emergent Emergency Department Visits and Costs in Community-Dwelling Older Adults. aug: au: Coe, Antoinette B. Moczygemba, Leticia R. Ogbonna, Kelechi C. Parsons, Pamela L. Slattum, Patricia W. Mazmanian, Paul E. affil: University of Michigan College of Pharmacy, Ann Arbor, MI, USA sug: subj: Emergency Service Utilization Health Care Costs Community Living Office Visits In Old Age Human Health Resource Utilization Cross Sectional Studies Retrospective Design Academic Medical Centers Virginia Male Female African Americans Emergency Patients Primary Health Care Sex Factors Race Factors Aged Aged, 80 and Over Demography Descriptive Statistics Bivariate Statistics Regression Analysis of Variance Linear Regression Nonparametric Statistics Data Analysis Software Scales Confidence Intervals Odds Ratio Residence Characteristics Funding Source Aged: 65+ years Aged, 80 & over Male Female ab: Background: The number of yearly emergency department (ED) visits by older adults in the United States has been increasing. Purpose: The objectives were to (1) describe the demographics, health-related variables, and ED visit characteristics for community-dwelling older adults using an urban, safety-net ED; (2) examine the association between demographics, health-related variables, and ED visit characteristics with emergent vs nonemergent ED visits; and (3) examine the association between demographics, health-related variables, ED visit characteristics, and ED visit costs. Methods: A cross-sectional, retrospective analysis of administrative electronic medical record and billing information from 2010 to 2013 ED visits (n = 7805) for community-dwelling older adults (⩾65 years old) from an academic medical center in central Virginia was conducted. Results: Most of the ED visits were by women (62%), African Americans (75%), and approximately 50% of ED visits were nonemergent (n = 3871). Men had 1.2 times the odds of an emergent ED visit (95% confidence interval [CI]: 1.02-1.37). The ED visits by white patients had 1.3 times the odds of an emergent ED visit (95% CI: 1.09-1.57) and 14% higher costs (white race: 95% CI: 1.07-1.21) compared with African American patients. Emergent ED visits were 60% more likely to have higher costs than nonemergent visits (95% CI: 1.52-1.69). White race and arrival by ambulance were associated with both emergent ED visits and higher total ED visit costs in this sample of ED visits by community-dwelling older adults. Conclusions: Strategies to maximize opportunities for care in the primary care setting are warranted to potentially reduce nonemergent ED utilization in community-dwelling older adults. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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