ArticleGeriatrics & gerontology international2020
Frequent emergency department use by older adults with ambulatory care sensitive conditions: A population-based cohort study.
Article in Geriatrics & gerontology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 36 citations in OpenAlex.
- Article
- Review
- Exploring the COVID-19 pandemic's impact on mood, anxiety, and neurocognitive disorders in older adults: sex, geographic context, and healthcare setting considerations.Social psychiatry and psychiatric epidemiology · 2026Article
- Factors affecting access to palliative care in the emergency department for older adults with serious life- limiting illnesses: a qualitative study.BMC palliative care · 2026Article
- Addressing Frailty in the Emergency Department: Early Outcomes of a Geriatric Rapid Access Clinic.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Frequent emergency department users in Finnish public healthcare - a nationwide registry-based study.BMC health services research · 2026Article
- Hospital at home for older frequent hospital users: present and future of a healthcare challenge.Aging clinical and experimental research · 2026Article
- Article
- Article
- Characteristics of emergency department visits in Jordanian public hospitals.International journal of emergency medicine · 2025Article
- Article
- Drivers of Frequent Emergency Department Use in Socioeconomically Disadvantaged Older Adults: A Qualitative Study.Journal of the American Geriatrics Society · 2025Article
- Perceptions of Frail Older Adults on Contributing Factors Causing the Onset of Crises Leading to Hospital Admissions: A Qualitative Study.Journal of advanced nursing · 2025Article
- Frequency and predictors of emergency department visits among the oldest old in Finland: the Vitality 90+ Study.BMC health services research · 2025Article
- Emergency Department Navigator Interventions and Outcome Measures: A Scoping Review.International journal of older people nursing · 2025Article
- Creating an Inclusive Definition for High Users of Inpatient Hospital Systems That Considers Different Levels of Rurality.International journal of environmental research and public health · 2025Article
- Patient, caregiver and professional views on preventable emergency admissions of older patients, a multi-method study in three Dutch hospitals.BMC geriatrics · 2024Article
- Transitions of care for older adults discharged home from the emergency department: an inductive thematic content analysis of patient comments.BMC geriatrics · 2024Observational
- Article
- A causal loop diagram of older persons' emergency department visits and interactions of its contributing factors: a group model building approach.European geriatric medicine · 2023Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
aimTo identify factors associated with frequent emergency department (ED) use among older adults with ambulatory care sensitive conditions.
methodsThis was a retrospective cohort study using databases from the Régie de l'assurance maladie du Québec. We included community-dwelling individuals aged ≥65 years in the Province of Quebec (Canada), who consulted in ED at least once between 2012 and 2013 (index period), and were diagnosed with at least one ambulatory care sensitive condition in the 2 years preceding and including the index date (n = 264 473). We used a multivariate logistic regression model to evaluate the association between independent variables and being a frequent geriatric ED user, defined as four or more visits during the year after the index date.
resultsOut of the total study population, 17 332 (6.6%) individuals were considered frequent ED users in the year after the index date, accounting for 38% of ED uses for this period. The main variables associated with frequent geriatric ED use were older age, presence of chronic obstructive pulmonary disorder or diabetes, higher comorbidity index, common mental health disorders, polypharmacy, higher number of past ED and specialist visits, rural residence, and higher material and social deprivation. Dementia was inversely associated with frequent ED use.
conclusionsFrequent geriatric ED users constitute a complex population whose characteristics need to be managed thoroughly in order to enhance the quality and efficiency of their care. Further studies should address their description in administrative databases so as to combine self-perceived and professionally evaluated variables. Geriatr Gerontol Int 2020; 20: 317-323.
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