Return to the ED and hospitalisation following minor injuries among older persons treated in the emergency department: predictors among independent seniors within 6 months.
Age Ageing
; 44(4): 624-9, 2015 Jul.
Article
em En
| MEDLINE
| ID: mdl-25944869
ABSTRACT
BACKGROUND:
minor traumatic injuries among independent older people have received little attention to date, but increasingly the impact of such injuries is being recognised.OBJECTIVES:
we assessed the frequency and predictors of acute health care use, defined as return to the emergency department (ED) or hospitalisation. STUDYDESIGN:
national multicentre prospective observational study.SETTING:
eight Canadian teaching EDs between April 2009 and April 2013.PARTICIPANTS:
a total of 1,568 patients aged 65-100 years, independent in basic activities of daily living, discharged from ED following a minor traumatic injury.METHODS:
trained assessors measured baseline data including demographics, functional status, cognition, comorbidities, frailty and injury severity. We then conducted follow-up telephone interviews at 6 months to assess subsequent acute health care use. We used log-binomial regression analyses to identify predictors of acute health care use, and reported relative risks and 95% CIs.RESULTS:
participants' mean age was 77.0, 66.4% female, and their injuries included contusions (43.5%), lacerations (25.1%) and fractures (25.4%). The cumulative rate of acute health care use by 6 months post-injury was 21.5% (95% CI 19.0-24.3%). The strongest predictors of acute health care use within 6 months were cognitive impairment, RR = 1.6 (95% IC 1.2-2.1) and the mechanism of injury including pedestrian struck or recreational injuries, RR = 1.6 (95% CI 1.2-2.2).CONCLUSIONS:
among independent community living older persons with a minor injury, cognitive impairment and mechanism of injury were independent risk factors for acute healthcare use. Future studies should look at whether tailored discharge planning can reduce the need for acute health care use.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Readmissão do Paciente
/
Ferimentos e Lesões
/
Atividades Cotidianas
/
Avaliação Geriátrica
/
Medição de Risco
/
Serviço Hospitalar de Emergência
/
Vida Independente
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Age Ageing
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Canadá