scholarly journals Emergency Department Utilization Patterns Among Older Adults

2008 ◽  
Vol 63 (2) ◽  
pp. 204-209 ◽  
Author(s):  
F. D. Wolinsky ◽  
L. Liu ◽  
T. R. Miller ◽  
H. An ◽  
J. F. Geweke ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Emergency Department Utilization ◽  
Utilization Patterns

scholarly journals Emergency Department Utilization Patterns Among Physical Elder Abuse Victims in Comparison to Other Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 151-152
Author(s):  
Tony Rosen ◽  
Katherine Wen ◽  
Sunday Clark ◽  
Alyssa Elman ◽  
Philip Jeng ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Elder Abuse ◽  
Statistical Significance ◽  
Preliminary Evidence ◽  
Emergency Department Utilization ◽  
Care Utilization ◽  
Control Subjects ◽  
Patterns Of Utilization ◽  
Utilization Patterns

Abstract Background Physical elder abuse is common and has serious health consequences. Little is known, however, about the patterns of health care utilization among these victims, including whether opportunities may exist for earlier identification and intervention. Our goal was to describe Emergency Department (ED) utilization known physical elder abuse victims compared with non-victims. Methods We used Medicare insurance claims to examine ED utilization patterns among a well-characterized cohort of 139 known physical elder abuse victims in the year before abuse was identified and compared this to control subjects matched on age, sex, race, and residential zip code. Results Physical elder abuse victims were significantly more likely than control subjects to visit the ED (47.5% vs. 35.9%, p=0.01) during the year before identification and to have at least one visit for an injury-related complaint (14.4% vs. 8.3%, p=0.03). Victims were also more likely to have multiple visits (18.7% vs. 14.6%, p=0.24), visit multiple EDs (7.9% vs. 6.7%, p=0.63), or be high frequency utilizers (≥4 visits, 3.6% vs. 2.7%, p=0.58), but differences did not reach statistical significance. The most common diagnoses in ED visits among victims were: open wound of knee/ankle, exacerbation of chronic bronchitis, pneumonia, and chest pain. Conclusion This work provides preliminary evidence that physical elder abuse victims use the ED more frequently and potentially have different patterns of utilization than other older adults. We plan to further characterize these different patterns to potentially to use them to develop tools for earlier identification.

Abstract P267: Burden of Disease Among Older Adults With Type 1 and Type 2 Diabetes: Results From the Study of Longevity in Diabetes (SOLID)

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Mary E Lacy ◽  
Paola Gilsanz ◽  
Chloe Eng ◽  
Michal S Beeri ◽  
Andrew J Karter ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Emergency Department ◽  
Functional Impairment ◽  
Coronary Bypass ◽  
Emergency Department Utilization ◽  
Geriatric Syndromes ◽  
History Of

Introduction: Increasing incidence of type 1 diabetes (T1D) coupled with increasing life expectancy have resulted in an unprecedented number of older adults living with T1D. However, little is known about the burden of aging and diabetes-related complications in this unique group. We hypothesized that older adults with T1D would have greater diabetes and aging-related burden compared to an age, sex, race/ethnicity, and education-matched group of older adults with type 2 diabetes (T2D). Methods: We compared the following characteristics by diabetes type among older adults (aged ≥60) with T1D (n=805) and T2D (n=249) from the Study of Longevity in Diabetes (SOLID) using chi-squared tests: diabetes history (age of onset, diabetes duration); diabetes-related complications (retinopathy, neuropathy, nephropathy, severe hypo- and hyperglycemia resulting in hospitalization/emergency department utilization), cardiovascular disease (stroke, MI, coronary bypass), and geriatric syndromes (depression, incontinence, memory problems and functional impairment). Results: Average age at diagnosis and duration of diabetes, respectively, were 28 years old and 40 years duration for T1D and 56 years old and 13 years duration for T2D (Table 1). Compared to T2D, participants with T1D were more likely to report history of retinopathy, neuropathy, nephropathy, lifetime hypo- and hyperglycemic events resulting in hospitalization/emergency department utilization, and history of a coronary bypass. By contrast, those with T2D were more likely to be incontinent and have functional impairment. Conclusions: Our results show that diabetes-related complications are more prevalent in those with T1D than in comparable adults with T2D, while certain geriatric syndromes were more prevalent in those with T2D. Older adults with T1D are a growing population with unique diabetes-specific and aging-related considerations. Additional research is needed to understand the interplay of aging and diabetes in this group to inform patient care .

scholarly journals FAMILY CAREGIVER FACTORS AND SUBSEQUENT EMERGENCY DEPARTMENT UTILIZATION AMONG OLDER ADULTS WITH DISABILITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S219-S219
Author(s):  
Julia Burgdorf ◽  
John Mulcahy ◽  
Halima Amjad ◽  
Judith D Kasper ◽  
Kenneth Covinsky ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Emergency Department ◽  
Health Status ◽  
Family Caregivers ◽  
Family Caregiver ◽  
Primary Caregiver ◽  
Emergency Department Utilization ◽  
Community Living ◽  
Physical Strain

Abstract Community-living older adults with disability are frequent Emergency Department (ED) users and most rely on family caregiver support. However, no prior research has examined associations between caregiver characteristics and subsequent ED utilization among older adults. We draw on a sample of 2,521 community-living older adults with mobility/self-care disability and their primary family caregivers to identify caregiver characteristics associated with all-cause or potentially preventable ED use. We use Cox proportional hazards regression to separately model the likelihood of all-cause and potentially preventable ED use as a function of caregiver characteristics. Models account for competing risk of mortality and adjust for measures of older adults’ socio-demographic characteristics, health status, and survey wave. About half (52.5%) of older adults incurred 1+ ED visit and 26.8% incurred 1+ potentially preventable ED visit within 12 months of interview. Adjusting for survey wave and older adult sociodemographic characteristics and health status, older adults were at greater risk of all-cause ED use if their primary caregiver provided greater than 40 hours of care per week (HR: 1.22, 95% CI: 1.04-1.43; p=0.02), helped with health care tasks (HR: 1.26; 95% CI: 1.08-1.46; p<0.01), or experienced physical strain (HR: 1.18; 95% CI: 1.03-1.36; p=0.02). Older adults were at greater risk of potentially preventable ED use if their primary caregiver helped with health care tasks (HR: 1.25; 95% CI: 1.02-1.54; p=0.03). Findings highlight the relevance of caregiver factors to older adults’ ED use and suggest the need for assessment and support of family caregivers in the care delivery setting.

Medical Emergency Department Utilization Patterns Among Uninsured Patients With Psychiatric Disorders

2008 ◽  
Vol 59 (7) ◽  
pp. 808-811 ◽  
Author(s):  
Jacques Baillargeon ◽  
Chris R. Thomas ◽  
Brie Williams ◽  
Charles E. Begley ◽  
Sarghi Sharma ◽  
...  
Keyword(s):  
Emergency Department ◽  
Psychiatric Disorders ◽  
Medical Emergency ◽  
Emergency Department Utilization ◽  
Uninsured Patients ◽  
Utilization Patterns

scholarly journals Emergency Department Utilization, Hospital Admissions, and Office-Based Physician Visits Among Under-Resourced African American and Latino Older Adults

2022 ◽  
Author(s):  
Sharon Cobb ◽  
Mohsen Bazargan ◽  
Shervin Assari ◽  
Lisa Barkley ◽  
Shahrzad Bazargan-Hejazi
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
African American ◽  
Hospital Admissions ◽  
Predisposing Factors ◽  
Emergency Department Utilization ◽  
Enabling Factors ◽  
Physician Visits ◽  
African American Older Adults ◽  
Latino Older Adults

Abstract Objectives This study uses a theoretical model to explore (a) emergency department (ED) utilization, (b) hospital admissions, and (c) office-based physician visits among sample of under-resourced African American and Latino older adults. Methods Nine hundred five African American and Latino older adults from an under-resourced urban community of South Los Angeles participated in this study. Data was collected using face-to-face interviews. Poisson and logistic regression analysis were used to estimate the parameters specified in the Andersen behavioral model. Predictors included predisposing factors, defined as demographic and other personal characteristics that influence the likelihood of obtaining care, and enabling factors defined as personal, family, and community resources that support or encourage efforts to access health services. Results African American older adults have a greater frequency of hospital admissions, ED, and physician visits than their Latino counterparts. About 25%, 45%, and 59% of the variance of the hospital admissions, ED utilization, and physician visits could be explained by predisposing and enabling characteristics. Lower health-related quality of life was associated with a higher number of hospital admissions, ED, and physician visits. Financial strain and difficulty accessing medical care were associated with a higher number of hospital admissions. Being covered by Medicare and particularly Medi-Cal were positively associated with higher hospital admissions, ED, and physician visits. Discussion Compared to African American older adults, Latino older adults show higher utilization of (a) emergency department (ED) utilization, (b) hospital admissions, and (c) office-based physician visits. A wide range of predisposing and enabling factors such as insurance and financial difficulties correlate with some but not other types of health care use. Multi-disciplinary, culturally sensitive, clinic- and community-based interventions are needed to address enabling and predisposing factors that influence ED utilization and hospital admission among African American and Latino older adults in under-resourced communities.

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