ArticleBMJ open2022
Association between household context and emergency hospital use in older people: a retrospective cohort study on indicators for people living alone or living with somebody with frailty, developed from routine healthcare data in England.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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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.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- Network-based identification of central ADL and IADL items in older adults living alone.BMC geriatrics · 2026Article
- Association between living alone and frailty, and its gender disparity: a multicenter cross-sectional study in Chinese older adults undergoing hospitalisation.BMC public health · 2025Article
- Impact of household size and co-resident multimorbidity on unplanned hospitalisation and transition to care home.Nature communications · 2025Article
- Household size and its role in the association between multimorbidity and health and social care outcomes in older adults in Wales: retrospective cohort study.BMJ medicine · 2025Article
- Limited Social Support, but Comparable Health Literacy and Service Utilization, Among Elderly People Living Alone - Six PLADs, China, May-September 2020.China CDC weekly · 2024Article
- Social determinants of health and emergency department visits among older adults with multimorbidity: insight from 2010 to 2018 National Health Interview Survey.BMC public health · 2024Article
- Determining households from patient addresses and unique property reference numbers in general practitioner electronic health records.International journal of population data science · 2024Article
- A Framework for an Intelligent Social Engagement Support System: Identifying and Addressing Challenges at Multiple Levels to Reduce Health Disparities.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
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Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo derive two household context factors - living alone and living in a two-person household with a person who is frail - from routine administrative health data and to assess their association with emergency hospital use in people aged 65 or over.
designRetrospective cohort study using national pseudonymised hospital data and pseudonymised address data derived from a minimised version of the Master Patient Index, a central database of all patient registrations in England.
settingEngland-wide.
participants4 876 285 people aged 65 years or older registered at GP practices in England on 16 December 2018 who were living alone or in a household of up to six people, and with at least one hospital admission in the last 3 years. OUTCOMES: Rates of accident and emergency (A&E) attendance and inpatient emergency admissions over a 1-year follow-up period.
resultsOlder people living alone had higher rates of A&E attendances (adjusted rate ratio 1.09, 95% CI 1.09 to 1.10) and emergency admissions (1.14, 95% CI 1.14 to 1.15) than older people living in households of 2-6 people. Older people living with someone with frailty in a two-person household had higher rates of A&E attendance (adjusted rate ratio 1.09, 95% CI 1.08 to 1.10) and emergency admissions (1.10, 95% CI 1.09 to 1.11) than other older people living in a two-person household.
conclusionsWe show that household context factors can be derived from linked routine administrative health data and that these are strongly associated with higher emergency hospital use in older people. Using household context factors can improve analyses, as well as support in the understanding of local population needs and in population health management.
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