Factors Associated with Re-attendance at Emergency Departments Among Older Adults: A Cross-Sectional Analytical Study.
Emergency department (ED) re-attendance among older adults is an increasing global concern, often reflecting gaps in chronic disease management, discharge planning, and continuity of care. This study aimed to determine the frequency of ED re-attendance and identify associated patient- and system-lev...
| Publicado en: | Inquiry (00469580) Vol. 62; pp. 1 - 9 |
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| Autores principales: | , |
| Formato: | forms research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
6/24/2025
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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=186160779&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186160779 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 6/24/2025 vid: 62 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 186160779 186160779 186160779 10.1177/00469580251349652 186160779 ppf: 1 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Factors Associated with Re-attendance at Emergency Departments Among Older Adults: A Cross-Sectional Analytical Study. aug: au: Janda, Saengdao Sansuk, Juree affil: Praboromarajchanok Institute, Khon Kaen, Thailand sug: subj: Emergency Service Readmission Statistics and Numerical Data Risk Assessment Emergency Room Visits Human Male Female Middle Age Aged Comorbidity Cross Sectional Studies Analytic Research Hospitals, Community Hospitals, Public Multi-Stage Cluster Health Personnel Record Review Structured Questionnaires Descriptive Statistics Multiple Logistic Regression Time Patient Discharge Odds Ratio Confidence Intervals Hospitalization After Care Descriptive Research Random Sample Conceptual Framework Thailand Content Analysis Data Analysis Software Chronic Disease Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Emergency department (ED) re-attendance among older adults is an increasing global concern, often reflecting gaps in chronic disease management, discharge planning, and continuity of care. This study aimed to determine the frequency of ED re-attendance and identify associated patient- and system-level factors. A cross-sectional analytical study was conducted between July 2023 and August 2024 across general and community hospitals. A total of 740 participants were selected using multi-stage sampling, comprising 400 older adult patients and 340 healthcare professionals. Data were collected from medical records and structured questionnaires. Descriptive statistics and multiple logistic regression were applied to identify factors linked to ED re-attendance within 60 days. Among older adults, 35% revisited the ED within 60 days post-discharge. Key factors significantly associated with re-attendance included prior ED visits (OR = 3.92; 95% CI: 2.11-7.31), hospitalization within the previous year (OR = 1.97; 95% CI: 1.15-3.38), no follow-up with specialists (OR = 2.27; 95% CI: 1.35-3.83), and treatment at M2-level hospitals (OR = 7.28; 95% CI: 3.62-14.64). Targeted strategies to improve discharge processes, ensure specialist follow-up, and enhance primary care coordination are essential to reduce potentially avoidable ED re-attendance among older adults. pubtype: Academic Journal doctype: forms research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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