Service use by older very frequent emergency department users: A retrospective cohort study

Background: Frequent Emergency Department (ED) attendance is a common occurrence, across all patient age groups. Older frequent users of ED are an at-risk group who often have complex, chronic health needs with many requiring out-of-hospital services to support their care.Methods: A retrospective co...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Berry, D. [verfasserIn] Street, M. [verfasserIn] Considine, J. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	Aged Emergency service Hospital Emergency medical services Health services Health services accessibility

Übergeordnetes Werk:	Enthalten in: Australasian emergency care - Amsterdam : Elsevier, 2018, 22, Seite 133-138
Übergeordnetes Werk:	volume:22 ; pages:133-138

DOI / URN:	10.1016/j.auec.2019.05.001

Katalog-ID:	ELV002802368

Internformat


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024	7		\|a 10.1016/j.auec.2019.05.001 \|2 doi
035			\|a (DE-627)ELV002802368
035			\|a (ELSEVIER)S2588-994X(19)30039-9
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041			\|a eng
082	0	4	\|a 610 \|q DE-600
100	1		\|a Berry, D. \|e verfasserin \|4 aut
245	1	0	\|a Service use by older very frequent emergency department users: A retrospective cohort study
264		1	\|c 2019
336			\|a nicht spezifiziert \|b zzz \|2 rdacontent
337			\|a Computermedien \|b c \|2 rdamedia
338			\|a Online-Ressource \|b cr \|2 rdacarrier
520			\|a Background: Frequent Emergency Department (ED) attendance is a common occurrence, across all patient age groups. Older frequent users of ED are an at-risk group who often have complex, chronic health needs with many requiring out-of-hospital services to support their care.Methods: A retrospective cohort study, at three Australian EDs, comparing first and last ED attendances, by older people (≥65 years) with frequent ED use (≥8 attendances/year).Results: There were 1387 ED attendances in 12 months by 115 patients (median=11). The median age-adjusted Charlson comorbidity score increased between attendances (5 vs 6, p <0.001). From first to last visit, hospital stays exceeding 7 days increased (12% vs 20%, p =0.013), while both ED re-attendances within 28 days (58% vs 20%, p ≤0.001) and hospital readmissions within 30 days (39% vs 23%, p =0.016) decreased. In-patient mortality was 11% (n =10/88). There was no change in out-of-hospital services in place at both ED attendances (55% vs 61%, p =0.185).Conclusions: Out-of-hospital service use did not change despite frequent ED attendance. Older very frequent ED users had increasing co-morbidities over time and often required hospital admission.
650		4	\|a Aged
650		4	\|a Emergency service
650		4	\|a Hospital
650		4	\|a Emergency medical services
650		4	\|a Health services
650		4	\|a Health services accessibility
700	1		\|a Street, M. \|e verfasserin \|4 aut
700	1		\|a Considine, J. \|e verfasserin \|4 aut
773	0	8	\|i Enthalten in \|t Australasian emergency care \|d Amsterdam : Elsevier, 2018 \|g 22, Seite 133-138 \|h Online-Ressource \|w (DE-627)101529197X \|w (DE-600)2922090-7 \|w (DE-576)500431779 \|x 2588-994X \|7 nnns
773	1	8	\|g volume:22 \|g pages:133-138
912			\|a GBV_USEFLAG_U
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912			\|a GBV_ILN_23
912			\|a GBV_ILN_24
912			\|a GBV_ILN_31
912			\|a GBV_ILN_32
912			\|a GBV_ILN_40
912			\|a GBV_ILN_60
912			\|a GBV_ILN_62
912			\|a GBV_ILN_63
912			\|a GBV_ILN_65
912			\|a GBV_ILN_69
912			\|a GBV_ILN_70
912			\|a GBV_ILN_73
912			\|a GBV_ILN_74
912			\|a GBV_ILN_90
912			\|a GBV_ILN_95
912			\|a GBV_ILN_100
912			\|a GBV_ILN_101
912			\|a GBV_ILN_105
912			\|a GBV_ILN_110
912			\|a GBV_ILN_151
912			\|a GBV_ILN_224
912			\|a GBV_ILN_370
912			\|a GBV_ILN_602
912			\|a GBV_ILN_702
912			\|a GBV_ILN_2001
912			\|a GBV_ILN_2003
912			\|a GBV_ILN_2004
912			\|a GBV_ILN_2005
912			\|a GBV_ILN_2006
912			\|a GBV_ILN_2008
912			\|a GBV_ILN_2011
912			\|a GBV_ILN_2014
912			\|a GBV_ILN_2015
912			\|a GBV_ILN_2020
912			\|a GBV_ILN_2021
912			\|a GBV_ILN_2025
912			\|a GBV_ILN_2026
912			\|a GBV_ILN_2027
912			\|a GBV_ILN_2034
912			\|a GBV_ILN_2038
912			\|a GBV_ILN_2044
912			\|a GBV_ILN_2048
912			\|a GBV_ILN_2049
912			\|a GBV_ILN_2050
912			\|a GBV_ILN_2055
912			\|a GBV_ILN_2056
912			\|a GBV_ILN_2059
912			\|a GBV_ILN_2061
912			\|a GBV_ILN_2064
912			\|a GBV_ILN_2065
912			\|a GBV_ILN_2068
912			\|a GBV_ILN_2088
912			\|a GBV_ILN_2111
912			\|a GBV_ILN_2112
912			\|a GBV_ILN_2113
912			\|a GBV_ILN_2118
912			\|a GBV_ILN_2122
912			\|a GBV_ILN_2129
912			\|a GBV_ILN_2143
912			\|a GBV_ILN_2147
912			\|a GBV_ILN_2148
912			\|a GBV_ILN_2152
912			\|a GBV_ILN_2153
912			\|a GBV_ILN_2190
912			\|a GBV_ILN_2232
912			\|a GBV_ILN_2336
912			\|a GBV_ILN_2470
912			\|a GBV_ILN_2507
912			\|a GBV_ILN_2522
912			\|a GBV_ILN_4035
912			\|a GBV_ILN_4037
912			\|a GBV_ILN_4046
912			\|a GBV_ILN_4112
912			\|a GBV_ILN_4125
912			\|a GBV_ILN_4126
912			\|a GBV_ILN_4242
912			\|a GBV_ILN_4251
912			\|a GBV_ILN_4305
912			\|a GBV_ILN_4307
912			\|a GBV_ILN_4313
912			\|a GBV_ILN_4322
912			\|a GBV_ILN_4323
912			\|a GBV_ILN_4324
912			\|a GBV_ILN_4325
912			\|a GBV_ILN_4326
912			\|a GBV_ILN_4333
912			\|a GBV_ILN_4334
912			\|a GBV_ILN_4335
912			\|a GBV_ILN_4338
912			\|a GBV_ILN_4393
951			\|a AR
952			\|d 22 \|h 133-138

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matchkey_str	article:2588994X:2019----::evcueylevrfeuneegnyeatetsrae
hierarchy_sort_str	2019
publishDate	2019
allfields	10.1016/j.auec.2019.05.001 doi (DE-627)ELV002802368 (ELSEVIER)S2588-994X(19)30039-9 DE-627 ger DE-627 rda eng 610 DE-600 Berry, D. verfasserin aut Service use by older very frequent emergency department users: A retrospective cohort study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Frequent Emergency Department (ED) attendance is a common occurrence, across all patient age groups. Older frequent users of ED are an at-risk group who often have complex, chronic health needs with many requiring out-of-hospital services to support their care.Methods: A retrospective cohort study, at three Australian EDs, comparing first and last ED attendances, by older people (≥65 years) with frequent ED use (≥8 attendances/year).Results: There were 1387 ED attendances in 12 months by 115 patients (median=11). The median age-adjusted Charlson comorbidity score increased between attendances (5 vs 6, p <0.001). From first to last visit, hospital stays exceeding 7 days increased (12% vs 20%, p =0.013), while both ED re-attendances within 28 days (58% vs 20%, p ≤0.001) and hospital readmissions within 30 days (39% vs 23%, p =0.016) decreased. In-patient mortality was 11% (n =10/88). There was no change in out-of-hospital services in place at both ED attendances (55% vs 61%, p =0.185).Conclusions: Out-of-hospital service use did not change despite frequent ED attendance. Older very frequent ED users had increasing co-morbidities over time and often required hospital admission. Aged Emergency service Hospital Emergency medical services Health services Health services accessibility Street, M. verfasserin aut Considine, J. verfasserin aut Enthalten in Australasian emergency care Amsterdam : Elsevier, 2018 22, Seite 133-138 Online-Ressource (DE-627)101529197X (DE-600)2922090-7 (DE-576)500431779 2588-994X nnns volume:22 pages:133-138 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 22 133-138
spelling	10.1016/j.auec.2019.05.001 doi (DE-627)ELV002802368 (ELSEVIER)S2588-994X(19)30039-9 DE-627 ger DE-627 rda eng 610 DE-600 Berry, D. verfasserin aut Service use by older very frequent emergency department users: A retrospective cohort study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Frequent Emergency Department (ED) attendance is a common occurrence, across all patient age groups. Older frequent users of ED are an at-risk group who often have complex, chronic health needs with many requiring out-of-hospital services to support their care.Methods: A retrospective cohort study, at three Australian EDs, comparing first and last ED attendances, by older people (≥65 years) with frequent ED use (≥8 attendances/year).Results: There were 1387 ED attendances in 12 months by 115 patients (median=11). The median age-adjusted Charlson comorbidity score increased between attendances (5 vs 6, p <0.001). From first to last visit, hospital stays exceeding 7 days increased (12% vs 20%, p =0.013), while both ED re-attendances within 28 days (58% vs 20%, p ≤0.001) and hospital readmissions within 30 days (39% vs 23%, p =0.016) decreased. In-patient mortality was 11% (n =10/88). There was no change in out-of-hospital services in place at both ED attendances (55% vs 61%, p =0.185).Conclusions: Out-of-hospital service use did not change despite frequent ED attendance. Older very frequent ED users had increasing co-morbidities over time and often required hospital admission. Aged Emergency service Hospital Emergency medical services Health services Health services accessibility Street, M. verfasserin aut Considine, J. verfasserin aut Enthalten in Australasian emergency care Amsterdam : Elsevier, 2018 22, Seite 133-138 Online-Ressource (DE-627)101529197X (DE-600)2922090-7 (DE-576)500431779 2588-994X nnns volume:22 pages:133-138 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 22 133-138
allfields_unstemmed	10.1016/j.auec.2019.05.001 doi (DE-627)ELV002802368 (ELSEVIER)S2588-994X(19)30039-9 DE-627 ger DE-627 rda eng 610 DE-600 Berry, D. verfasserin aut Service use by older very frequent emergency department users: A retrospective cohort study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Frequent Emergency Department (ED) attendance is a common occurrence, across all patient age groups. Older frequent users of ED are an at-risk group who often have complex, chronic health needs with many requiring out-of-hospital services to support their care.Methods: A retrospective cohort study, at three Australian EDs, comparing first and last ED attendances, by older people (≥65 years) with frequent ED use (≥8 attendances/year).Results: There were 1387 ED attendances in 12 months by 115 patients (median=11). The median age-adjusted Charlson comorbidity score increased between attendances (5 vs 6, p <0.001). From first to last visit, hospital stays exceeding 7 days increased (12% vs 20%, p =0.013), while both ED re-attendances within 28 days (58% vs 20%, p ≤0.001) and hospital readmissions within 30 days (39% vs 23%, p =0.016) decreased. In-patient mortality was 11% (n =10/88). There was no change in out-of-hospital services in place at both ED attendances (55% vs 61%, p =0.185).Conclusions: Out-of-hospital service use did not change despite frequent ED attendance. Older very frequent ED users had increasing co-morbidities over time and often required hospital admission. Aged Emergency service Hospital Emergency medical services Health services Health services accessibility Street, M. verfasserin aut Considine, J. verfasserin aut Enthalten in Australasian emergency care Amsterdam : Elsevier, 2018 22, Seite 133-138 Online-Ressource (DE-627)101529197X (DE-600)2922090-7 (DE-576)500431779 2588-994X nnns volume:22 pages:133-138 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 22 133-138
allfieldsGer	10.1016/j.auec.2019.05.001 doi (DE-627)ELV002802368 (ELSEVIER)S2588-994X(19)30039-9 DE-627 ger DE-627 rda eng 610 DE-600 Berry, D. verfasserin aut Service use by older very frequent emergency department users: A retrospective cohort study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Frequent Emergency Department (ED) attendance is a common occurrence, across all patient age groups. Older frequent users of ED are an at-risk group who often have complex, chronic health needs with many requiring out-of-hospital services to support their care.Methods: A retrospective cohort study, at three Australian EDs, comparing first and last ED attendances, by older people (≥65 years) with frequent ED use (≥8 attendances/year).Results: There were 1387 ED attendances in 12 months by 115 patients (median=11). The median age-adjusted Charlson comorbidity score increased between attendances (5 vs 6, p <0.001). From first to last visit, hospital stays exceeding 7 days increased (12% vs 20%, p =0.013), while both ED re-attendances within 28 days (58% vs 20%, p ≤0.001) and hospital readmissions within 30 days (39% vs 23%, p =0.016) decreased. In-patient mortality was 11% (n =10/88). There was no change in out-of-hospital services in place at both ED attendances (55% vs 61%, p =0.185).Conclusions: Out-of-hospital service use did not change despite frequent ED attendance. Older very frequent ED users had increasing co-morbidities over time and often required hospital admission. Aged Emergency service Hospital Emergency medical services Health services Health services accessibility Street, M. verfasserin aut Considine, J. verfasserin aut Enthalten in Australasian emergency care Amsterdam : Elsevier, 2018 22, Seite 133-138 Online-Ressource (DE-627)101529197X (DE-600)2922090-7 (DE-576)500431779 2588-994X nnns volume:22 pages:133-138 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 22 133-138
allfieldsSound	10.1016/j.auec.2019.05.001 doi (DE-627)ELV002802368 (ELSEVIER)S2588-994X(19)30039-9 DE-627 ger DE-627 rda eng 610 DE-600 Berry, D. verfasserin aut Service use by older very frequent emergency department users: A retrospective cohort study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Frequent Emergency Department (ED) attendance is a common occurrence, across all patient age groups. Older frequent users of ED are an at-risk group who often have complex, chronic health needs with many requiring out-of-hospital services to support their care.Methods: A retrospective cohort study, at three Australian EDs, comparing first and last ED attendances, by older people (≥65 years) with frequent ED use (≥8 attendances/year).Results: There were 1387 ED attendances in 12 months by 115 patients (median=11). The median age-adjusted Charlson comorbidity score increased between attendances (5 vs 6, p <0.001). From first to last visit, hospital stays exceeding 7 days increased (12% vs 20%, p =0.013), while both ED re-attendances within 28 days (58% vs 20%, p ≤0.001) and hospital readmissions within 30 days (39% vs 23%, p =0.016) decreased. In-patient mortality was 11% (n =10/88). There was no change in out-of-hospital services in place at both ED attendances (55% vs 61%, p =0.185).Conclusions: Out-of-hospital service use did not change despite frequent ED attendance. Older very frequent ED users had increasing co-morbidities over time and often required hospital admission. Aged Emergency service Hospital Emergency medical services Health services Health services accessibility Street, M. verfasserin aut Considine, J. verfasserin aut Enthalten in Australasian emergency care Amsterdam : Elsevier, 2018 22, Seite 133-138 Online-Ressource (DE-627)101529197X (DE-600)2922090-7 (DE-576)500431779 2588-994X nnns volume:22 pages:133-138 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 22 133-138
language	English
source	Enthalten in Australasian emergency care 22, Seite 133-138 volume:22 pages:133-138
sourceStr	Enthalten in Australasian emergency care 22, Seite 133-138 volume:22 pages:133-138
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Aged Emergency service Hospital Emergency medical services Health services Health services accessibility
dewey-raw	610
isfreeaccess_bool	false
container_title	Australasian emergency care
authorswithroles_txt_mv	Berry, D. @@aut@@ Street, M. @@aut@@ Considine, J. @@aut@@
publishDateDaySort_date	2019-01-01T00:00:00Z
hierarchy_top_id	101529197X
dewey-sort	3610
id	ELV002802368
language_de	englisch
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author	Berry, D.
spellingShingle	Berry, D. ddc 610 misc Aged misc Emergency service misc Hospital misc Emergency medical services misc Health services misc Health services accessibility Service use by older very frequent emergency department users: A retrospective cohort study
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topic_title	610 DE-600 Service use by older very frequent emergency department users: A retrospective cohort study Aged Emergency service Hospital Emergency medical services Health services Health services accessibility
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title	Service use by older very frequent emergency department users: A retrospective cohort study
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title_full	Service use by older very frequent emergency department users: A retrospective cohort study
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title_sort	service use by older very frequent emergency department users: a retrospective cohort study
title_auth	Service use by older very frequent emergency department users: A retrospective cohort study
abstract	Background: Frequent Emergency Department (ED) attendance is a common occurrence, across all patient age groups. Older frequent users of ED are an at-risk group who often have complex, chronic health needs with many requiring out-of-hospital services to support their care.Methods: A retrospective cohort study, at three Australian EDs, comparing first and last ED attendances, by older people (≥65 years) with frequent ED use (≥8 attendances/year).Results: There were 1387 ED attendances in 12 months by 115 patients (median=11). The median age-adjusted Charlson comorbidity score increased between attendances (5 vs 6, p <0.001). From first to last visit, hospital stays exceeding 7 days increased (12% vs 20%, p =0.013), while both ED re-attendances within 28 days (58% vs 20%, p ≤0.001) and hospital readmissions within 30 days (39% vs 23%, p =0.016) decreased. In-patient mortality was 11% (n =10/88). There was no change in out-of-hospital services in place at both ED attendances (55% vs 61%, p =0.185).Conclusions: Out-of-hospital service use did not change despite frequent ED attendance. Older very frequent ED users had increasing co-morbidities over time and often required hospital admission.
abstractGer	Background: Frequent Emergency Department (ED) attendance is a common occurrence, across all patient age groups. Older frequent users of ED are an at-risk group who often have complex, chronic health needs with many requiring out-of-hospital services to support their care.Methods: A retrospective cohort study, at three Australian EDs, comparing first and last ED attendances, by older people (≥65 years) with frequent ED use (≥8 attendances/year).Results: There were 1387 ED attendances in 12 months by 115 patients (median=11). The median age-adjusted Charlson comorbidity score increased between attendances (5 vs 6, p <0.001). From first to last visit, hospital stays exceeding 7 days increased (12% vs 20%, p =0.013), while both ED re-attendances within 28 days (58% vs 20%, p ≤0.001) and hospital readmissions within 30 days (39% vs 23%, p =0.016) decreased. In-patient mortality was 11% (n =10/88). There was no change in out-of-hospital services in place at both ED attendances (55% vs 61%, p =0.185).Conclusions: Out-of-hospital service use did not change despite frequent ED attendance. Older very frequent ED users had increasing co-morbidities over time and often required hospital admission.
abstract_unstemmed	Background: Frequent Emergency Department (ED) attendance is a common occurrence, across all patient age groups. Older frequent users of ED are an at-risk group who often have complex, chronic health needs with many requiring out-of-hospital services to support their care.Methods: A retrospective cohort study, at three Australian EDs, comparing first and last ED attendances, by older people (≥65 years) with frequent ED use (≥8 attendances/year).Results: There were 1387 ED attendances in 12 months by 115 patients (median=11). The median age-adjusted Charlson comorbidity score increased between attendances (5 vs 6, p <0.001). From first to last visit, hospital stays exceeding 7 days increased (12% vs 20%, p =0.013), while both ED re-attendances within 28 days (58% vs 20%, p ≤0.001) and hospital readmissions within 30 days (39% vs 23%, p =0.016) decreased. In-patient mortality was 11% (n =10/88). There was no change in out-of-hospital services in place at both ED attendances (55% vs 61%, p =0.185).Conclusions: Out-of-hospital service use did not change despite frequent ED attendance. Older very frequent ED users had increasing co-morbidities over time and often required hospital admission.
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title_short	Service use by older very frequent emergency department users: A retrospective cohort study
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up_date	2024-07-06T17:30:05.665Z
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Service use by older very frequent emergency department users: A retrospective cohort study

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