ArticleBMJ open2018
Disability and morbidity among older patients in the emergency department: a Danish population-based cohort study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Involving patients and caregivers to develop items for a new patient-reported experience measure for older adults attending the emergency department. Findings from a nominal group technique study.Health expectations : an international journal of public participation in health care and health policy · 2023Pooled it
- Advancing a patient-centered and holistic approach for older patients with frailty in a vascular surgical department: a quality improvement initiative.European geriatric medicine · 2026Article
- [Patient specific implants and instruments in orthopaedic trauma: 3D prints and implants in perlvic and hip fractures].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Article
- Risk screening by the emergency medical services identifies older patients at risk of emergency department readmission: a retrospective observational study.Aging clinical and experimental research · 2025Observational
- Clinical Frailty Scale score is a predictor of short-, mid- and long-term mortality in critically ill older adults (≥ 70 years) admitted to the emergency department: an observational study.BMC geriatrics · 2024Observational
- Typologies of dependency, household characteristics, and disparity in formal and informal care use: analysis of community-dwelling long-term care insurance claimants in an urban municipality of China.International journal for equity in health · 2023Article
- Clinical Acuity in the Emergency Department and Injury Severity Determine Hospital Admission of Older Patients with Low Energy Falls: Outcomes from a Prospective Feasibility Study.Journal of clinical medicine · 2023Article
- Associations between care home residents' characteristics and acute hospital admissions - a retrospective, register-based cross-sectional study.BMC geriatrics · 2023Article
- Initial Development of a Patient-Reported Experience Measure for Older Adults Attending the Emergency Department: Part II-Focus Groups with Professional Caregivers.Healthcare (Basel, Switzerland) · 2023Article
- Predictors of short- and long-term mortality in critically ill, older adults admitted to the emergency department: an observational study.BMC emergency medicine · 2022Observational
- Profiling Bispebjerg Acute Cohort: Database Formation, Acute Contact Characteristics of a Metropolitan Hospital, and Comparisons to Urban and Rural Hospitals in Denmark.Clinical epidemiology · 2022Article
- Article
- Age is associated with increased mortality in the RETTS-A triage scale.BMC geriatrics · 2019Article
- Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe objective was to describe the prevalence of geriatric conditions among older medical patients in the emergency department (ED) and the association with admission, mortality, reattendance and loss of independency.
designPopulation-based prospective cohort study.
settingED of a large university hospital.
participantsAll medical patients ≥65 years of age from a single municipality with a first attendance to the ED during a 1-year period (November 2013 to November 2014). PRIMARY AND SECONDARY OUTCOME MEASURES: Based on information from healthcare registers, we defined geriatric conditions as disability, recently increased disability, polypharmacy and comorbidity. Outcomes were admission, length of admission, 30 days postdischarge mortality, 30 days hospital reattendance and home care dependency 0-360 days following ED contact.
resultsTotally, 3775 patients (55% women) were included, age 78 (71-85) years (median (IQR)). No patients were lost to follow-up. The prevalence of 0-4 geriatric conditions was 14.9%, 27.3%, 25.2%, 22.3% and 10.3%, respectively. The number of conditions was significantly associated with hospital admission, length of admission, 30 days postdischarge mortality and 30 days hospital reattendance. Among patients with no geriatric conditions, 70% lived independent all 360 days after discharge, whereas all patients with ≥3 conditions had some dependency or were dead within 360 days following discharge.
conclusionAmong older medical patients in the ED, 50% had two or more geriatric conditions which were associated with poor health outcomes. This highlights the need for studies of the effect of geriatric awareness and competences in the ED.
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