2020
DOI: 10.1016/j.archger.2019.103960
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Factors associated with emergency department revisits among older adults in two Swedish regions: A prospective cohort study

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Cited by 22 publications
(33 citation statements)
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“…The same pattern has been reported in previous studies, especially for individuals afflicted with multiple chronic conditions [13]. In the present study, polypharmacy was simultaneously associated to higher risk of readmission (days 31-90), and polypharmacy has been reported to increase the risk for readmission in a similar population [42]. It is feasible to believe that any pharmaceutical interaction effects would come at a later stage and not immediately after discharge.…”
Section: Plos Onesupporting
confidence: 90%
“…The same pattern has been reported in previous studies, especially for individuals afflicted with multiple chronic conditions [13]. In the present study, polypharmacy was simultaneously associated to higher risk of readmission (days 31-90), and polypharmacy has been reported to increase the risk for readmission in a similar population [42]. It is feasible to believe that any pharmaceutical interaction effects would come at a later stage and not immediately after discharge.…”
Section: Plos Onesupporting
confidence: 90%
“…In this study, we evaluated revisits to UrGeriC or admissions to ED within 30 days after the index visit with CGA in UrGeriC. The 30-day revisit rate was 21%, which is in concordance with earlier studies [4,16,17 ] .…”
Section: Discussionsupporting
confidence: 83%
“…ED is attuned to treat emergent medical conditions, and thus is not designed to meet the complex medical and social needs of frail older patients [18,21 ] . The limited access to primary care or selfperceived urgency of the medical or greater con dence in ED services are explanatory factors behind ED attendance [4,17 ] . In Finland, primary health care as well as UrGeriC service is available only during the o ce hours.…”
Section: Discussionmentioning
confidence: 99%
“…To develop a prediction model for risk of revisit, chronic commodities, variables associated with ED revisits, and group of drugs involved in the first episode were included 9,10 : age >80 years, sex, comorbidities (including substance dependence, hypertension, type II diabetes, congestive heart failure [New York Heart Association (NYHA) class II, III, or IV], chronic renal failure [defined in the admission report as grade III to V renal failure based on the National Kidney Foundation guidelines], 11 chronic obstructive pulmonary disease [COPD], atrial fibrillation, dyslipidemia, ischemic heart disease, dementia), the outcome of the patient at discharge, polypharmacy on admission (defined as long-term treatment with more than 5 drugs), 12 high anticholinergic burden from the chronic treatment prescribed (defined as a score of one point or higher according to the Anticholinergic Burden Index scale), 13 visit to an ED in the preceding 3 months, type of DRP (indication, effectiveness, or safety), and therapeutic group involved in the DRP episode.…”
Section: Methodsmentioning
confidence: 99%