ArticleBMJ open2017
Association of socioeconomic status with outcomes in older adult community-dwelling patients after visiting the emergency department: a retrospective cohort study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Impact of health insurance status on hospitalization and mortality from emergency department admission in patients with end-stage kidney disease: a Korean nationwide registry analysis.Kidney research and clinical practice · 2026Article
- How socioeconomic status shapes health outcomes following severe falls: a cross-sectional analysis.BMC geriatrics · 2025Article
- The Relationship Between Socioeconomic Status and Health Behaviors in Older Adults: A Narrative Review.Healthcare (Basel, Switzerland) · 2025Review
- Exploring the implementation of a data trust committee: a qualitative evaluation of processes and practices.Research involvement and engagement · 2025Article
- Impact of socioeconomic status on utilisation of a Virtual Emergency Department: An exploratory analysis.Emergency medicine Australasia : EMA · 2025Article
- Sociodemographic Disparities in Queue Jumping for Emergency Department Care.JAMA network open · 2023Article
- Impact of Socioeconomic Status on Emergency Department Visits in Patients With Atrial Fibrillation: A Nationwide Population-Based Cohort Study.Journal of the American Heart Association · 2022Article
- Socioeconomic and Demographic Factors Effect in Association with Driver's Medical Services after Crashes.International journal of environmental research and public health · 2022Article
- Factors Associated with Emergency Department Visits and Consequent Hospitalization and Death in Korea Using a Population-Based National Health Database.Healthcare (Basel, Switzerland) · 2022Article
- Disparities in outcomes among patients diagnosed with cancer in proximity to an emergency department visit.Scientific reports · 2022Observational
- Socioeconomic Inequalities in Elective and Nonelective Hospitalizations in Older Men.JAMA network open · 2022Article
- Residential Area Socioeconomic Deprivation is Associated with Physical Dependency and Polypharmacy in Community-Dwelling Older Adults: An Analysis of Health Administrative Data in Ireland.Journal of multidisciplinary healthcare · 2022Article
- Infrastructure and operating processes of PIONEER, the HDR-UK Data Hub in Acute Care and the workings of the Data Trust Committee: a protocol paper.BMJ health & care informatics · 2021Article
- The effect of socioeconomic status on severe traumatic injury: a statistical analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Telling friend from foe in emergency vertigo and dizziness: does season and daytime of presentation help in the differential diagnosis?Journal of neurology · 2020Article
- Article
- Risk of falls and fear of falling in older adults residing in public housing in Ontario, Canada: findings from a multisite observational study.BMC geriatrics · 2020Observational
- Recommendations of older adults on how to use the PROM 'TOPICS-MDS' in healthcare conversations: A Delphi study.PloS one · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesOlder adults frequently visit the emergency department (ED). Socioeconomic status (SES) has an important impact on health and ED utilisation; however, the association between SES and ED utilisation in elderly remains unclear. The aim of this study was to investigate the association between SES in older adult patients visiting the ED on outcomes.
designA retrospective study.
participantsOlder adults (≥65 years) visiting the ED, in the Netherlands. SES was stratified into tertiles based on average household income at zip code level: low (<€1800/month), intermediate (€1800-€2300/month) and high (>€2300/month). PRIMARY OUTCOMES: Hospitalisation, inhospital mortality and 30-day ED return visits. Effect of SES on outcomes for all groups were assessed by logistic regression and adjusted for confounders.
resultsIn total, 4828 older adults visited the ED during the study period. Low SES was associated with a higher risk of hospitalisation among community-dwelling patients compared with high SES (adjusted OR 1.3, 95% CI 1.1 to 1.7). This association was not present for intermediate SES (adjusted OR 1.1, 95% CI 0.95 to 1.4). Inhospital mortality was comparable between the low and high SES group, even after adjustment for age, comorbidity and triage level (low OR 1.4, 95% CI 0.8 to 2.6, intermediate OR 1.3, 95% CI 0.8 to 2.2). Thirty-day ED revisits among community-dwelling patients were also equal between the SES groups (low: adjusted OR 1.0, 95% CI 0.7 to 1.4, and intermediate: adjusted OR 0.8, 95% CI 0.6 to 1.1).
conclusionIn older adult ED patients, low SES was associated with a higher risk of hospitalisation than high SES. However, SES had no impact on inhospital mortality and 30-day ED revisits after adjustment for confounders.
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