ArticleBMJ medicine2024
Multimorbidity and adverse outcomes following emergency department attendance: population based cohort study.
Article in BMJ medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Determinants of seasonal influenza and COVID-19 vaccine uptake in high-risk individuals in northern Sweden.Human vaccines & immunotherapeutics · 2026Article
- Comment on: effects of emergency department length of stay on inpatient utilization and mortality.Health economics review · 2026Article
- Emergency department referral and short-term death after outpatient hyperkalemia: a population-based study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
- Barriers to Protocol Adherence in Emergency Departments and Evidence-Based Strategies for Successful Implementation: A Scoping Review.Journal of clinical medicine · 2026Review
- Beyond Clinical Acuity: Cardiac Comorbidity and Complication Profiles and the Prehospital Hospitalization/Transport Decision in Ischemic Heart Disease-A Five-Year Retrospective Emergency Medical Service Study in Astana, Kazakhstan.Healthcare (Basel, Switzerland) · 2026Article
- Association of the barthel index with mortality and intensive care unit admission in older patients presenting to the emergency department.BMC geriatrics · 2026Observational
- [Characteristics and clinical outcomes of cancer patients presenting to the emergency department in Korea: a retrospective descriptive study].Journal of Korean biological nursing science · 2026Article
- Observational
- Approaches to characterising multimorbidity in older people accessing hospital care: a scoping review.European geriatric medicine · 2025Article
- Adverse events identified by a trigger tool as indicators of patient safety and safety management in a medical department.Frontiers in public health · 2025Observational
- Determinants of Severely Prolonged Emergency Department Stays Among Older Adults: A Retrospective Comparative Analysis.Journal of nursing management · 2025Article
- Multimorbidity in emergency departments: urgent need for integrated care.BMJ medicine · 2024Article
- A 2-Year Retrospective Clinical Evaluation of a Novel Virtual Ward Model.Journal of primary care & community healthArticle
- Associations of chronic disease and multimorbidity with healthcare utilization, mortality and adverse events in Estonia.Journal of multimorbidity and comorbidityArticle
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Authors and funding
17 authors.
Funding
Abstract
abstractObjectives: To describe the effect of multimorbidity on adverse patient centred outcomes in people attending emergency department. Design: Population based cohort study. Setting: Emergency departments in NHS Lothian in Scotland, from 1 January 2012 to 31 December 2019. Participants: Adults (≥18 years) attending emergency departments. Data sources: Linked data from emergency departments, hospital discharges, and cancer registries, and national mortality data. Main outcome measures: Multimorbidity was defined as at least two conditions from the Elixhauser comorbidity index. Multivariable logistic or linear regression was used to assess associations of multimorbidity with 30 day mortality (primary outcome), hospital admission, reattendance at the emergency department within seven days, and time spent in emergency department (secondary outcomes). Primary analysis was stratified by age (<65 Results: 451 291 people had 1 273 937 attendances to emergency departments during the study period. 43 504 (9.6%) had multimorbidity, and people with multimorbidity were older (median 73 Conclusions: Almost one in ten patients presenting to emergency department had multimorbidity using Elixhauser index conditions. Multimorbidity was strongly associated with adverse outcomes and these associations were stronger in younger people. The increasing prevalence of multimorbidity in the population is likely to exacerbate strain on emergency departments unless practice and policy evolve to meet the growing demand.
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