The objectives of this study were to examine the epidemiology of injury among older adults treated in emergency departments (EDs) and to explore the effect of advanced age and nursing home residence on associated outcomes.
A secondary data analysis of a nationally representative sample from the National Hospital Ambulatory Care Survey was conducted using available sampling weights and data from the US Census Bureau. Weighted multivariate logistic regression was used to explore factors associated with injury outcomes, including hospitalization and receipt of potentially inappropriate medications.
Nearly 21 million injury-related ED patient visits were made by older adults during the study period. Nearly 10% of episodes were identified as adverse events, which increased hospitalization risk 3-fold. Potentially inappropriate medications were provided during nearly 12% of encounters.
Injury reductions among elders could be achieved by reducing adverse events, whereas quality could be improved by reducing potentially inappropriate medication use in the ED.
"One study focused exclusively on the epidemiology of injuries among older adults treated in the ED. Using the National Hospital and Ambulatory Medical Care Survey (NHAMCS), Carter and Gupta (2008) looked at visits for injuries over 5 years. They estimated that older adults made nearly 21 million injury-related visits to the ED in the United States, representing an annual per capita rate of roughly 12 visits per 100 older adults. "
[Show abstract][Hide abstract] ABSTRACT: Older adults use emergency departments (EDs) more than any other age group and are more prone to subsequent adverse events. This article reviews the literature on ED use by older adults within the context of evaluating their need for emergency care and the extent to which access to primary and supportive care services affect use. While a substantial research literature describes general patterns of ED use, there is much less research on ED use as a function of other health service use. Gaps in the research literature result in a limited understanding of the full scope of the issue and opportunities for practice and policy intervention.
Medical Care Research and Review 04/2011; 68(2):131-55. DOI:10.1177/1077558710379422 · 2.62 Impact Factor
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