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  • 1.
    Dahlberg, Lena
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Frank, Amanda
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Naseer, Mahwish
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Systematic review of longitudinal risk factors for loneliness among older adults2019Conference paper (Refereed)
  • 2.
    Naseer, Mahwish
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Agerholm, Janne
    Fastbom, Johan
    Schön, Pär
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Emergency department revisits among older adults: A prospective cohort study2019Conference paper (Refereed)
  • 3.
    Naseer, Mahwish
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work. Karolinska Institutet; Stockholm University.
    Agerholm, Janne
    Fastbom, Johan
    Schön, Pär
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work. Karolinska Institutet; Stockholm University.
    Factors associated with emergency department revisits among older adults in two Swedish regions: A prospective cohort study2020In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 86, article id 103960Article in journal (Refereed)
    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.

  • 4.
    Naseer, Mahwish
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work. Karolinska Institutet.
    Agerholm, Janne
    Fastbom, Johan
    Schön, Pär
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work. Karolinska Institutet.
    Factors associated with emergency department revisits among older adults in two Swedish regions: A prospective cohort study2020In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 86, article id 103960Article in journal (Refereed)
  • 5.
    Naseer, Mahwish
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work. Aging Research Center, Karolinska Institutet & Stockholm Universit.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work. Aging Research Center, Karolinska Institutet & Stockholm University.
    Fagerström, Cecilia
    Health related quality of life and emergency department visits in adults of age ≥ 66 years: a prospective cohort study.2018In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 16, no 1, article id 144Article in journal (Refereed)
    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.

  • 6.
    Naseer, Mahwish
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Fagerström, Cecilia
    Poor health related quality of life: A risk factor of emergency visits among older adults2018Conference paper (Refereed)
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