You are not logged in.

Emergency department utilisation among older people with acute and/or chronic conditions: a multi-centre retrospective study

Fry, Margaret, Fitzpatrick, Lesley, Considine, Julie, Shaban, Ramon Z and Curtis, Kate 2016, Emergency department utilisation among older people with acute and/or chronic conditions: a multi-centre retrospective study, International Emergency Nursing, pp. 1-5, doi: 10.1016/j.ienj.2016.09.004.

Attached Files
Name Description MIMEType Size Downloads

Title Emergency department utilisation among older people with acute and/or chronic conditions: a multi-centre retrospective study
Author(s) Fry, Margaret
Fitzpatrick, Lesley
Considine, JulieORCID iD for Considine, Julie orcid.org/0000-0003-3801-2456
Shaban, Ramon Z
Curtis, Kate
Journal name International Emergency Nursing
Start page 1
End page 5
Total pages 5
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-10-13
ISSN 0965-2302
1878-013X
Keyword(s) Chronic illness
Emergency Department
Falls
Geriatrics
Older person
Pain
Summary Older persons aged over 65years represent up to 41% of Australian Emergency Department (ED) presentations. Older persons present with acute and/or chronic conditions, have more Emergency Department visits, hospital admissions and readmissions than other age groups. However, little is known about the characteristics and trends of acute illness and chronic presentations and whether frailty changes these dimensions within this cohort. A 12-month retrospective medical record audit of persons over 65years presenting to four EDs. Data from 44,774 (26.6%) patients aged 65years and over were analysed. Patients with acute conditions presented more frequently (n=30,373; 67.8%), received more urgent triage categories (n=13,471; 30.1%) and had higher admission rates (n=18,332; 61%). Chronic conditions presented less frequently (n=14,396; 32.1%) and had higher discharge rates (n=9302; 65%). Patients over 80years were allocated more urgent triage categories and commonly presented with falls (n=3814; 8.5%). Patients between 65 and79years had a higher discharge rate (n=10,397; 46.1%). Older persons with acute illnesses were more likely to be admitted than those with chronic conditions and who were more likely to be discharged home. There is scope for further investigation of new models of care to better manage older persons with chronic conditions and ED discharge practices.
Notes In press
Language eng
DOI 10.1016/j.ienj.2016.09.004
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
1110 Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Elsevier Ltd.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30090982

Document type: Journal Article
Collection: School of Nursing and Midwifery
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 0 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 7 Abstract Views, 3 File Downloads  -  Detailed Statistics
Created: Mon, 03 Apr 2017, 16:06:15 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.