SynthesisEuropean journal of public health2019
Factors associated with older people's emergency department attendance towards the end of life: a systematic review.
Synthesis in European journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Factors associated with psychological distress among end-of-life care volunteers: a systematic review of quantitative and qualitative evidence.BMC palliative care · 2026Pooled it
- Pooled it
- Factors associated with hospitalisations of patients with chronic heart failure approaching the end of life: A systematic review.Palliative medicine · 2022Pooled it
- Drivers of avoidable emergency department visits in older adults with multiple long-term conditions and palliative care needs: a qualitative survey across six care providers.Scandinavian journal of primary health care · 2026Article
- Article
- Trajectories of health and social care expenditure in the last year of life among people 70 years and older in Region Stockholm: a population-based cohort study.BMC geriatrics · 2025Article
- The Economic Cost of Nursing Care of Palliative Patients in the Emergency Department.Healthcare (Basel, Switzerland) · 2025Article
- " I can't do it anymore": a qualitative study on the emergence of crisis in outpatient palliative care-the perspective of family caregivers.BMC palliative care · 2025Article
- Association between ethnicity and emergency department visits in the last three months of life in England: a retrospective population-based study using electronic health records.BMJ public health · 2024Article
- Review
- End-of-Life Care during the COVID-19 Pandemic: Decreased Hospitalization of Nursing Home Residents at the End of Life.Healthcare (Basel, Switzerland) · 2024Article
- From comfort zone to front-line care: perspectives and reflections of community pharmacists entering home-based palliative care.BMC palliative care · 2024Article
- Considerations of Intersectionality for Older Adults with Palliative Care Needs in the Emergency Department: An Integrative Review.Current geriatrics reports · 2023Article
- Pattern of care of brain tumor patients in the last months of life: analysis of a cohort of 3045 patients in the last 10 years.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023Article
- SPICT as a predictive tool for risk of 1-year health degradation and death in older patients admitted to the emergency department: a bicentric cohort study in Belgium.BMC palliative care · 2023Article
- Nursing Home Residents Hospitalization at the End of Life: Experience and Predictors in Portuguese Nursing Homes.International journal of environmental research and public health · 2023Article
- Emergency department crowding and mortality: an observational multicenter study in Sweden.Frontiers in public health · 2023Article
- Communication of palliative care needs in discharge letters from hospice providers to primary care: a multisite sequential explanatory mixed methods study.BMC palliative care · 2022Article
- Acute healthcare utilization in end-of-life among Swedish brain tumor patients - a population based register study.BMC palliative care · 2022Article
- Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Emergency department (ED) attendance for older people towards the end of life is common and increasing, despite most preferring home-based care. We aimed to review the factors associated with older people's ED attendance towards the end of life. Methods: Systematic review using Medline, Embase, PsychINFO, CINAHL and Web of Science from inception to March 2017. Included studies quantitatively examined factors associated with ED attendance for people aged ≥65 years within the last year of life. We assessed study quality using the QualSyst tool and determined evidence strength based on quality, quantity and consistency. We narratively synthesized the quantitative findings. Results: Of 3824 publications identified, 21 were included, combining data from 1 565 187 participants. 17/21 studies were from the USA and 19/21 used routinely collected data. We identified 47 factors and 21 were included in the final model. We found high strength evidence for associations between ED attendance and palliative/hospice care (adjusted effect estimate range: 0.1-0.94); non-white ethnicity (1.03-2.16); male gender (1.04-1.83, except 0.70 in one sub-sample) and rural areas (0.98-1.79). The final model included socio-demographic, illness and service factors, with largest effect sizes for service factors. Conclusions: In this synthesis, receiving palliative care was associated with lower ED attendance in the last year of life for older adults. This has implications for service models for older people nearing the end of life. However, there is limited evidence from European countries and none from low or middle-income countries, which warrants further research.
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