Abstract:
OBJECTIVES:To obtain population-based estimates of emergency department (ED) visits by long-term care (LTC) residents. DESIGN:Retrospective cohort study using administrative data. SETTING:All LTC facilities in Ontario, Canada. PARTICIPANTS:All LTC residents who visited an ED at least once during a 6-month period. MEASUREMENTS:All ED visits were described using the National Ambulatory Care Reporting System. Two distinct visit types were defined. Potentially preventable visits were defined as those for any ambulatory care sensitive condition; these are conditions for which exacerbations that result in hospital use suggest lack of access to adequate primary care. Low-acuity visits were defined as those triaged as non-urgent at ED registration and ended with return to the LTC facility without hospital admission. RESULTS:Nearly one-quarter of LTC residents visited the ED at least once in 6 months. Of all visits, 24.6% were for a potentially preventable reason, most commonly pneumonia, urinary tract infection, and congestive heart failure. These visits had a high frequency of ambulance transport (90.4%), emergent triage (35.3%), hospital admission (62.4%), and death within 30 days (23.6%). Of all visits, 11.0% were low acuity. Fall-related injury was the most common cause. Low-acuity visits were the shortest (mean length 4.5 +/- 4.0 hours) and had the lowest frequency of death within 30 days (4.3%). CONCLUSION:LTC residents made frequent visits to the ED. The visit types showed distinct patterns that suggest a need for better access to medical care for common conditions and a greater emphasis on fall prevention in LTC.
journal_name
J Am Geriatr Socjournal_title
Journal of the American Geriatrics Societyauthors
Gruneir A,Bell CM,Bronskill SE,Schull M,Anderson GM,Rochon PAdoi
10.1111/j.1532-5415.2010.02736.xsubject
Has Abstractpub_date
2010-03-01 00:00:00pages
510-7issue
3eissn
0002-8614issn
1532-5415pii
JGS2736journal_volume
58pub_type
杂志文章abstract:OBJECTIVES:To determine whether there may be a common mechanism resulting in global sensory impairment of the five classical senses (vision, smell, hearing, touch, and taste) in older adults. DESIGN:Representative, population-based study. SETTING:National Social Life, Health, and Aging Project. PARTICIPANTS:Communit...
journal_title:Journal of the American Geriatrics Society
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abstract:OBJECTIVES:To examine the influence of age on the value of four techniques for diagnosing Alzheimer's disease (AD). DESIGN:Observational cohort study. SETTING:Alzheimer's Disease Neuroimaging Initiative. PARTICIPANTS:Individuals with mild cognitive impairment (MCI; n = 179), individuals with AD (n = 91), and normal ...
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更新日期:2011-02-01 00:00:00
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更新日期:2006-12-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2003-03-01 00:00:00
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journal_title:Journal of the American Geriatrics Society
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更新日期:1987-03-01 00:00:00
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journal_title:Journal of the American Geriatrics Society
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更新日期:2019-01-01 00:00:00
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更新日期:2012-01-01 00:00:00
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更新日期:2014-01-01 00:00:00
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更新日期:2018-10-01 00:00:00
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journal_title:Journal of the American Geriatrics Society
pub_type: 杂志文章
doi:10.1111/j.1532-5415.1985.tb01777.x
更新日期:1985-10-01 00:00:00
abstract:BACKGROUND/OBJECTIVES:Recently revised vaccination recommendations for US adults, aged 65 years and older, include both 23-valent pneumococcal polysaccharide vaccine (PPSV23) and 13-valent pneumococcal conjugate vaccine (PCV13), with PCV13 now recommended for immunocompetent older people based on shared decision making...
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doi:10.1111/jgs.16373
更新日期:2020-06-01 00:00:00