Emergency department (ED) utilization of oldest old men in a veterans care home in Taiwan

Chou, Ming Yueh; Chou, Shang Lin; Tzeng, Yuann Meei; Chen, Liang Kung; Oliver, David; Yen, David Hung Tsang; Hwang, Shinn Jang; Huang, Ching-Kuei; Tu, Ming Shium; Lee, Chen Hsen

doi:10.1016/j.archger.2008.02.001

Cited by 17 publications

(14 citation statements)

References 23 publications

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“…Half of residents returned to the LTC facility immediately after the ED visit and slightly fewer were admitted to hospital. These findings are consistent with those reported elsewhere 1,3–5,19,20 …”

Section: Discussionsupporting

confidence: 94%

Frequency and Pattern of Emergency Department Visits by Long‐Term Care Residents—A Population‐Based Study

Gruneir

Bell

Bronskill

et al. 2010

J American Geriatrics Society

187

153

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Section: Discussionsupporting

confidence: 94%

Frequency and Pattern of Emergency Department Visits by Long‐Term Care Residents—A Population‐Based Study

Gruneir

Bell

Bronskill

et al. 2010

J American Geriatrics Society

187

153

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“…The present study analyzed data on ED visits for veterans aged ≥65 years. Most studies have mainly focused on older men . This study showed that the 75–84 years age group had the highest percentage of injuries (47.7%); this age group also had the highest ratio of men to women (3:4).…”

Section: Discussionmentioning

confidence: 71%

“…We reviewed domestic and international studies on veterans and discovered that most studies have focused on specific diseases, such as spinal cord injury, brain injury or post‐traumatic stress syndrome . Two recent studies in Taiwan have investigated the ED visits of older veterans in a home care unit, but information external to home care units is limited . Regarding the mechanism of accidental injury, older veterans living alone experienced illness three times more frequently than the general older population .…”

Section: Introductionmentioning

confidence: 99%

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Injury and medical expenditure in emergency department visits of older veterans

Wang

Chang

Chien

et al. 2015

Geriatrics Gerontology Int

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“…In northern Taiwan, residents of veteran homes were sent to Taipei Veterans General Hospital, a tertiary medical center, for ED services. 15 Therefore, the main purpose of this study was to explore the characteristics of frequent ED visitors among residents in a veteran home to identify those with high risk of frequent ED visits.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for frequent emergency department visits of veterans home residents in Northern Taiwan

Chiang

Chou

et al. 2012

Journal of Clinical Gerontology and Geriatrics

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a b s t r a c tPurpose: The purpose of this study was to evaluate risk factors for frequent emergency department (ED) visits among older Chinese men living in a veterans home in northern Taiwan Methods: In 2006, all residents of Banciao Veterans Home were invited for study. Minimum Data Set Nursing Home 2.1 Chinese version, Chinese version of Geriatric Depression Scale (GDS) short form, minimental status examinations (MMSE), and Charlson Comorbidity Index (CCI) were used for study. ED records of all study participants were obtained from Taipei Veterans General Hospital, and frequent ED visitors were defined as who visited ED for three times or more in 1 year. Results: Overall, 609 residents (mean age ¼ 80.9 AE 5.3 years, all men) were enrolled, and 169 (27.8%) of them visited the ED for at least once. Among all participants, 30 (4.9%) were frequent ED visitors. Frequent ED visitors were significantly older, disabled, cognitively impaired, depressed, urinary incontinent, having poorer social engagement score, and higher Charlson's comorbidity index (CCI). Adjustments for age, activities of daily living, depression, cognitive impairment (adjusted odds ratio: 3.19; 95% confidence interval: 1.37e7.46, p ¼ 0.004) and higher CCI (adjusted odds ratio: 1.69; 95% confidence interval: 1.20e2.39, p ¼ 0.003) were independent risk factors for frequent ED visits. Conclusion: The cumulative incidence of ED visit was 51 visits per 100 person-years, and the prevalence of frequent ED visitors was 4.9% among older veterans living in a Veterans Home. Cognitive impairment and higher Charlson's comorbidity index were independent risk factors for frequent ED visitors. Further study is needed to explore the unmet health-care needs for frequent ED visitors in the veterans home.

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Emergency department (ED) utilization of oldest old men in a veterans care home in Taiwan

Cited by 17 publications

References 23 publications

Frequency and Pattern of Emergency Department Visits by Long‐Term Care Residents—A Population‐Based Study

Frequency and Pattern of Emergency Department Visits by Long‐Term Care Residents—A Population‐Based Study

Injury and medical expenditure in emergency department visits of older veterans

Risk factors for frequent emergency department visits of veterans home residents in Northern Taiwan

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