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Naseer, M., Agerholm, J., Fastbom, J., Schön, P., Ehrenberg, A. & Dahlberg, L. (2020). Factors associated with emergency department revisits among older adults in two Swedish regions: A prospective cohort study. Archives of gerontology and geriatrics (Print), 86, Article ID 103960.
Open this publication in new window or tab >>Factors associated with emergency department revisits among older adults in two Swedish regions: A prospective cohort study
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2020 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 86, article id 103960Article in journal (Refereed) Published
Abstract [en]

Objectives

To assess the association between baseline characteristics at an index ED visit and ED revisit within 30 days among adults aged ≥ 65 years in two Swedish regions.

Methods

This was a register-based prospective cohort study. The sample included (N=16 688; N=101 017) older adults who have had an index ED visit in 2014 at hospital based EDs in the regions of Dalarna and Stockholm, Sweden. Several registers were linked to obtain information on sociodemographic factors, living conditions, social care, polypharmacy and health care use. Multivariate logistic regression was used to analyse the data.

Results

Seventeen percent of the study sample in Dalarna and 20.1% in Stockholm revisited ED within 30 days after an index ED visit. In both regions, male gender, being in the last year of life, excessive polypharmacy (≥ 10 drugs), ≥11 primary care visits and ED care utilization were positively associated with ED revisits. In Stockholm, but not in Dalarna, low level of education, polypharmacy, and institutional care was also associated with ED revisits. In contrast, home help was associated with ED revisits in Dalarna but not in Stockholm.

Conclusion

These findings call for further in-depth examinations of variations within single countries. ED revisits among older adults are driven by need of care but also by the social and care situation.

Keywords
Emergency department, Care utilisation, Older adults, Health and social care, Primary care
National Category
Nursing
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-31108 (URN)10.1016/j.archger.2019.103960 (DOI)000496954500020 ()31704624 (PubMedID)2-s2.0-85074431752 (Scopus ID)
Available from: 2019-11-18 Created: 2019-11-18 Last updated: 2019-12-09
Naseer, M., Agerholm, J., Fastbom, J., Schön, P., Ehrenberg, A. & Dahlberg, L. (2020). Factors associated with emergency department revisits among older adults in two Swedish regions: A prospective cohort study. Archives of gerontology and geriatrics (Print), 86, Article ID 103960.
Open this publication in new window or tab >>Factors associated with emergency department revisits among older adults in two Swedish regions: A prospective cohort study
Show others...
2020 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 86, article id 103960Article in journal (Refereed) Epub ahead of print
National Category
Health Sciences
Research subject
Health and Welfare, Varför söker äldre personer akutsjukvård? Orsaker, omständigheter och förklaringar
Identifiers
urn:nbn:se:du-31431 (URN)10.1016/j.archger.2019.103960 (DOI)
Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-01-23Bibliographically approved
Naseer, M., Agerholm, J., Fastbom, J., Schön, P., Ehrenberg, A. & Dahlberg, L. (2019). Emergency department revisits among older adults: A prospective cohort study. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress 2019, 23rd – 25th May 2019, Gothenburg, Sweden.
Open this publication in new window or tab >>Emergency department revisits among older adults: A prospective cohort study
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2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Social Work
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-31161 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress 2019, 23rd – 25th May 2019, Gothenburg, Sweden
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2019-12-05 Created: 2019-12-05 Last updated: 2019-12-06Bibliographically approved
Dahlberg, L., Frank, A., Naseer, M. & McKee, K. (2019). Systematic review of longitudinal risk factors for loneliness among older adults. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER), 23-25 May 2019, Gothenburg.
Open this publication in new window or tab >>Systematic review of longitudinal risk factors for loneliness among older adults
2019 (English)Conference paper, Oral presentation only (Refereed)
National Category
Social Work
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-30228 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER), 23-25 May 2019, Gothenburg
Funder
Nordic Council of Ministers, 18291
Available from: 2019-06-13 Created: 2019-06-13 Last updated: 2019-06-14Bibliographically approved
Naseer, M., Dahlberg, L. & Fagerström, C. (2018). Health related quality of life and emergency department visits in adults of age ≥ 66 years: a prospective cohort study.. Health and Quality of Life Outcomes, 16(1), Article ID 144.
Open this publication in new window or tab >>Health related quality of life and emergency department visits in adults of age ≥ 66 years: a prospective cohort study.
2018 (English)In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 16, no 1, article id 144Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Age increases the risk of emergency department [ED] visits. Health related quality of life (HRQoL) is often estimated as an outcome of ED visits, but it can be a risk factor of ED visits. This study aims to assess the association of HRQoL with time to first ED visit and/or frequent ED use in older adults during four-year period and if this association differs in 66-80 and 80+ age groups.

METHODS: Data from the Swedish National Study on Aging and Care-Blekinge of wave 2007-2009 was used in combination with electronic health records on ED visits. The analytical sample included 673 participants of age 66 years and older with information on HRQoL. Cox proportional hazard model was used to assess the association between HRQoL and time to first ED visit. Logistic regression analysis was performed to estimate the association of HRQoL with frequent ED use.

RESULTS: During the study period, 55.3% of older adults visited the ED and 28.8% had a frequent ED use. Poor physical HRQoL was independently associated with first ED visit both in total sample (p < 0.001) and in 66-80 (p < 0.001) and 80+ (p = 0.038) age groups. Poor mental HRQoL had no significant association with first ED visit and frequent ED use.

CONCLUSION: Findings suggest that poor physical HRQoL is associated with time to first ED visit in older adults. Therefore, physical HRQoL should be considered while planning interventions on the reduction of ED utilisation in older adults. Explanatory factors of frequent ED use may differ in age groups. Further studies are needed to identify associated factors of frequent ED visits in 80+ group.

Keywords
Care utilisation, Emergency visit, Older adults, Quality of life, Subjective health
National Category
Social Work
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-28261 (URN)10.1186/s12955-018-0967-y (DOI)000439735900001 ()30041629 (PubMedID)
Available from: 2018-08-07 Created: 2018-08-07 Last updated: 2018-08-09
Naseer, M., Dahlberg, L. & Fagerström, C. (2018). Poor health related quality of life: A risk factor of emergency visits among older adults. In: : . Paper presented at 24th Nordic Congress in Gerontology, Oslo, 2-4 maj 2018.
Open this publication in new window or tab >>Poor health related quality of life: A risk factor of emergency visits among older adults
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Social Work
Research subject
Health and Welfare, Varför söker äldre personer akutsjukvård? Orsaker, omständigheter och förklaringar
Identifiers
urn:nbn:se:du-28359 (URN)
Conference
24th Nordic Congress in Gerontology, Oslo, 2-4 maj 2018
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00440
Available from: 2018-08-20 Created: 2018-08-20 Last updated: 2018-08-21Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7231-826x

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