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Predictors of admission after emergency department discharge in older adults.


ABSTRACT: To identify predictors of hospital inpatient admission of older Medicare beneficiaries after discharge from the emergency department (ED).Retrospective cohort study.Nonfederal California hospitals (n = 284).Visits of Medicare beneficiaries aged 65 and older discharged from California EDs in 2007 (n = 505,315).Using the California Office of Statewide Health Planning and Development files, predictors of hospital inpatient admission within 7 days of ED discharge in older adults (?65) with Medicare were evaluated.Hospital inpatient admissions within 7 days of ED discharge occurred in 23,340 (4.6%) visits and were associated with older age (70-74: adjusted odds ratio (AOR) = 1.12, 95% confidence interval (CI) = 1.07-1.17; 75-79: AOR = 1.18, 95% CI = 1.13-1.23; ?80: AOR = 1.4, 95% CI = 1.35-1.46), skilled nursing facility use (AOR = 1.82, 95% CI = 1.72-1.94), leaving the ED against medical advice (AOR = 1.82, 95% CI = 1.67-1.98), and the following diagnoses with the highest odds of admission: end-stage renal disease (AOR = 3.83, 95% CI = 2.42-6.08), chronic renal disease (AOR = 3.19, 95% CI = 2.26-4.49), and congestive heart failure (AOR = 3.01, 95% CI = 2.59-3.50).Five percent of older Medicare beneficiaries have a hospital inpatient admission after discharge from the ED. Chronic conditions such as renal disease and heart failure were associated with the greatest odds of admission.

SUBMITTER: Gabayan GZ 

PROVIDER: S-EPMC5117639 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature

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Predictors of admission after emergency department discharge in older adults.

Gabayan Gelareh Z GZ   Sarkisian Catherine A CA   Liang Li-Jung LJ   Sun Benjamin C BC  

Journal of the American Geriatrics Society 20141223 1


<h4>Objectives</h4>To identify predictors of hospital inpatient admission of older Medicare beneficiaries after discharge from the emergency department (ED).<h4>Design</h4>Retrospective cohort study.<h4>Setting</h4>Nonfederal California hospitals (n = 284).<h4>Participants</h4>Visits of Medicare beneficiaries aged 65 and older discharged from California EDs in 2007 (n = 505,315).<h4>Measurements</h4>Using the California Office of Statewide Health Planning and Development files, predictors of hos  ...[more]

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