ArticleBMJ open2019
Association between the level of municipality healthcare services and outcome among acutely older patients in the emergency department: a Danish population-based cohort study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The C-Reactive Protein/Albumin Ratio Predicts In-Hospital Mortality Across Age Groups.Nutrients · 2026Article
- Multimorbidity, readmissions and mortality among older patients with potentially preventable hospitalisations: a Danish nationwide cohort study.European geriatric medicine · 2026Article
- 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
- Risk factors for frequent unplanned hospital visits in older multimorbid patients after an emergency department visit: a retrospective cohort study.Aging clinical and experimental research · 2025Article
- Acute readmissions among care home residents aged 65+ years: a register-based study.European geriatric medicine · 2025Article
- Article
- Associations between care home residents' characteristics and acute hospital admissions - a retrospective, register-based cross-sectional study.BMC geriatrics · 2023Article
- The quality of life of older adults acutely admitted to the emergency department: A cross-sectional study.Nursing open · 2022Article
- Article
- Older adults who receive homecare are at increased risk of readmission and mortality following a short ED admission: a nationally register-based cohort study.BMC geriatrics · 2021Article
- Readmission After Geriatric Inpatient Care: A Narrative Review and a Comparative Analysis.Journal of primary care & community healthReview
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aims to describe the association between use of municipality healthcare services before an emergency department (ED) contact and mortality, hospital reattendance and institutionalisation.
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: Patients were categorised as independent of home care, dependent of home care or in residential care depending on municipality healthcare before ED contact. Patients were followed 360 days after discharge. Outcomes were postdischarge mortality, hospital reattendance and institutionalisation.
resultsA total of 3775 patients were included (55% women), aged (median (IQR) 78 years (71-85)). At baseline, 48.9% were independent, 34.9% received home care and 16.2% were in residential care. Receiving home care or being in residential care was a strong predictor of mortality, hospital reattendance and institutionalisation. Among patients who were independent, 64.3% continued being independent up to 360 days after discharge. Even among patients ≥85 years, 35.4% lived independently in their own house 1 year after ED contact.
conclusionPrehospital information on municipality healthcare is closely related to patient outcome in older ED patients. It might have the potential to be used in risk stratification and planning of needs of older acute medical patients attending the ED.
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