ArticleBMC geriatrics2011
Unmet need and psychological distress predict emergency department visits in community-dwelling elderly women: a prospective cohort study.
Article in BMC geriatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed, 21 citations in OpenAlex.
- Patient priorities and the doorknob phenomenon in primary care: Can technology improve disclosure of patient stressors?Patient education and counseling · 2018Trial
- The Epidemiology of the Long-Term Care Needs and Unmet Needs of Older Veterans in the United States.Journal of clinical medicine · 2025Article
- Using decision tree analysis to identify population groups at risk of subjective unmet need for assistance with activities of daily living.BMC geriatrics · 2023Article
- Peer-to-Patient-Aligned Care Team (Peer-to-PACT; P2P), a Peer-Led Home Visit Intervention Program for Targeting and Improving Long-term Care Services and Support for Veterans With High Needs and High Risk: Protocol for a Mixed Methods Feasibility Study.JMIR research protocols · 2023Article
- Content comparison of long-term care instruments based on the international classification of functioning, disability and health (ICF).BMC geriatrics · 2023Article
- Health Service Use among Individuals with Depression and Psychological Distress: A Population-Based Cohort Study in Ontario, Canada: Utilisation des services de santé par les personnes souffrant de dépression et de détresse psychologique : une étude de cohorte dans la population de l'Ontario, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2020Article
- Patients' experiences of a multidisciplinary team-led community case management programme: a qualitative study.BMJ open · 2016Article
- Functional Decline Predicts Emergency Department Use in Veterans With Dementia.American journal of Alzheimer's disease and other dementias · 2014Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundUnmet need to perform activities of daily living (ADL) is associated with increased use of urgent health services by the elderly. However, the reported associations may be confounded by psychological distress. We examine the independent effects of unmet need and psychological distress upon emergency department (ED) visits.
methodsWe conducted a prospective study of randomly selected community-dwelling adults aged ≥ 75. We report here the results for women only (n = 530). In-person interviews collected data on self-reported unmet need and the 14-item l'Indice de détresse psychologique de Santé Québec psychological distress scale. ED visits were identified from an administrative database. Multivariable logistic regression was used to identify predictors of any ED visit in the 6 months following the baseline interview.
resultsIn multivariable analysis, unmet need in instrumental ADL was associated with subsequent ED visits (odds ratio = 1.57, 95% confidence interval = 1.02-2.41), as was psychological distress (odds rate = 1.30, 95% confidence interval = 1.02-1.67). The magnitude of the association between unmet need and ED visits was overestimated in statistical models that did not adjust for psychological distress.
conclusionsBoth unmet need and psychological distress were independent predictors of ED visits. Future investigations of unmet need and health services utilization should include psychological distress to control for confounding and improve the internal validity of statistical models.
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