Predictors of Emergent Emergency Department Visits and Costs in Community-Dwelling Older Adults

Health Services Insights
Antoinette B CoePaul E Mazmanian

Abstract

The number of yearly emergency department (ED) visits by older adults in the United States has been increasing. The objectives were to (1) describe the demographics, health-related variables, and ED visit characteristics for community-dwelling older adults using an urban, safety-net ED; (2) examine the association between demographics, health-related variables, and ED visit characteristics with emergent vs nonemergent ED visits; and (3) examine the association between demographics, health-related variables, ED visit characteristics, and ED visit costs. A cross-sectional, retrospective analysis of administrative electronic medical record and billing information from 2010 to 2013 ED visits (n = 7805) for community-dwelling older adults (⩾65 years old) from an academic medical center in central Virginia was conducted. Most of the ED visits were by women (62%), African Americans (75%), and approximately 50% of ED visits were nonemergent (n = 3871). Men had 1.2 times the odds of an emergent ED visit (95% confidence interval [CI]: 1.02-1.37). The ED visits by white patients had 1.3 times the odds of an emergent ED visit (95% CI: 1.09-1.57) and 14% higher costs (white race: 95% CI: 1.07-1.21) compared with African American patients. E...Continue Reading

References

May 27, 1999·Journal of Health Economics·D K BloughM C Hornbrook
Mar 24, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J McCuskerE Belzile
Mar 7, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·M N ShahM H Chin
Nov 7, 2002·Archives of Internal Medicine·Jennifer L WolffGerard Anderson
Jun 20, 2006·Annals of Emergency Medicine·Kelly A HuntMichael L Callaham
Dec 11, 2007·Annals of Emergency Medicine·David C RobertsAlison Shaffer
May 5, 2010·Health Affairs·Thomas Bodenheimer, Hoangmai H Pham
Nov 2, 2011·The Journal of Emergency Medicine·Ania WajnbergSamuel Yang
Jan 15, 2013·Journal of the American Geriatrics Society·Jesse M PinesKatalin E Roth
Mar 12, 2013·The Journal of Emergency Medicine·Eduardo J LaCalleNicholas G Genes
Jun 26, 2013·JAMA : the Journal of the American Medical Association·Karen E JoyntAshish K Jha
Oct 18, 2013·Population Health Management·Andrea MillerNadia Ali
Jan 30, 2014·Emergency Medicine Journal : EMJ·Deborah T VintonAdit A Ginde
Sep 7, 2016·The American Journal of Emergency Medicine·Sadaf A MilaniCatherine W Striley
Oct 11, 2017·Journal of Pharmacy Practice·Antoinette B CoePaul E Mazmanian

❮ Previous
Next ❯

Citations

Nov 19, 2020·The Western Journal of Emergency Medicine·Phillip D MagidsonDavid L Roth

❮ Previous
Next ❯

Software Mentioned

SAS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Zachary F MeiselCharles C Branas
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Jin H HanDominik Aronsky
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Paul PukurdpolAdit A Ginde
© 2022 Meta ULC. All rights reserved