Frequency and predictors of adverse health outcomes in older medicare beneficiaries discharged from the emergency department

Medical Care

Volumn 46, Issue 8, 2008, Pages 771-777

  Hastings, S Nicole ^a,b,c,d,f   Oddone, Eugene Z ^d,e   Fillenbaum, Gerda ^b,c   Sloane, Richard J ^b   Schmader, Kenneth E ^a,b,c  

^a Department of Medicine   (United States)

^b DUKE UNIVERSITY   (United States)

^c Education   (United States)

^d Center for Health Services Research in Primary Care   (United States)

^e DURHAM VA MEDICAL CENTER   (United States)

^f DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Adverse outcomes; Emergency department; Health services utilization for the aged

Indexed keywords

ADVERSE OUTCOME; AGED; ARTICLE; CHRONIC PATIENT; COMMUNITY SAMPLE; DEATH; ELDERLY CARE; EMERGENCY WARD; FEMALE; HEALTH SURVEY; HIGH RISK POPULATION; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAID; MEDICARE; NURSING HOME; OUTPATIENT DEPARTMENT; RISK FACTOR; SECONDARY ANALYSIS; COMORBIDITY; EMERGENCY HEALTH SERVICE; HEALTH STATUS; OUTCOME ASSESSMENT; PROPORTIONAL HAZARDS MODEL; RISK ASSESSMENT; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

AGED; COMORBIDITY; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH SERVICES FOR THE AGED; HEALTH STATUS; HUMANS; MALE; MEDICARE; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT DISCHARGE; PROPORTIONAL HAZARDS MODELS; RISK ASSESSMENT; UNITED STATES;

EID: 49649120453     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3181791a2d     Document Type: Article

References (30)

1. Wilber ST, Gerson LW, Terrell KM, et al. Geriatric emergency medicine and the 2006 Institute of Medicine reports from the Committee on the Future of Emergency Care in the US Health System. Acad Emerg Med. 2006;13:1345-1351
2. Aminzadeh F, Dalziel WB. Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med. 2002;39:238-247
3. Mion L, Odegard PS, Resnick B, et al. Interdisciplinary care for older adults with complex needs: American Geriatrics Society position statement. J Am GeriatrSoc. 2006;54:849-852
4. Coleman EA. Falling through the cracks: challenges and opportunities for improving transitional care for persons with continuous complex care. J Am Geriatr Soc. 2003;51:549-555
5. Caplan GA, Brown A, Croker WD, et al. Risk of admission within 4 weeks of discharge of elderly patients from the emergency department- the DEED study. Discharge of elderly from emergency department. Age Ageing. 1998;27:697-702
6. Friedmann PD, Jin L, Karrison TG, et al. Early revisit, hospitalization, or death among older persons discharged from the ED. Am J Emerg Med. 2001;19:125-129
7. McCusker J, Cardin S, Bellavance F, et al. Return to the emergency department among elders: patterns and predictors. Acad Emerg Med. 2000;7:249-259
8. Meldon SW, Mion LM, Palmer RM, et al. A brief risk-stratification tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department. Acad Emerg Med. 2003;10:224-232
9. Hastings SN, Schmader KE, Sloane RJ, et al. Adverse health outcomes after discharge from the emergency department-incidence and risk factors in a veteran population. J Gen Intern Med. 2007;22:1527-1531
10. McCusker J, Healey E, Bellavance F, et al. Predictors of repeat emergency department visits by elders. Acad Emerg Med. 1997;4:581-588
11. Adler GS. A profile of the Medicare Current Beneficiary Survey. Health Care Financ Rev. 1994;15:153-163
12. Medicare: The official U.S. Government website for people with Medicare. Available at: http://www.medicare.gov/MedicareEligibility. Accessed October 17, 2007
13. National Center for Health Statistics Data on Aging. Available at: http://0-www.cdc.gov.mill1.sjlibrary.org/nchs/data/factsheets/agingfactsheet. pdf Accessed October 15, 2007
14. Medicare managed care enrollees and the Medicare utilization files. Available at: http://www.resdac.umn.edu/Tools/TBs/TN-009-2.pdf. Accessed October 10, 2007
15. How to identify emergency room services in the Medicare claims data, technical note: TN-003. Available at: http://www.resdac.umn.edu/Tools/TBs/TN- 003.asp. Accessed April 18, 2007
16. Aday LA, Andersen R. A framework for the study of access to medical care. Health Serv Res. 1974;9:208-220
17. Andersen RM. Revisiting the behavioral model and access to medical are: does it matter? J Health Soc Behav. 1995;36:1-10
18. Medicare: The official U.S. Government website for people with Medicare. http://www.medicare.gov/Glossary/Search.asp?SelectAlphabet=ALL& Language=English. Accessed October 17, 2007
19. Diehr P, Yanez D, Ash A, et al. Methods for analyzing health care utilization and costs. Annu Rev Public Health. 1999;20:125-44
20. Ciol MA, Hoffman JM, Dudgeon BJ, et al. Understanding the use of weights in the analysis of data from multistage surveys. Arch Phys Med Rehabil. 2006;87:299-303
21. Kazis LE, Miller DR, Clark J, et al. Health-related quality of life in patients served by the Department of Veterans Affairs: results from the Veterans Health Study. Arch Intern Med. 1998;158:626-632
22. Agha Z, Lofgren RP, Van Ruiswyk JV, et al. Are patients at Veterans Affairs medical centers sicker? A comparative analysis of health status and medical resource use. Arch Intern Med. 2000;160:3252-3257
23. Mion LC, Palmer RM, Meldon SW, et al. Case finding and referral model for emergency department elders: a randomized clinical trial. Ann Emerg Med. 2003;41:57-68
24. Moon S, Shin J. Health care utilization among Medicare-Medicaid dual eligibles: a count data analysis. BMC Public Health. 2006;6:88
25. Laditka JN, Laditka SB. Insurance status and access to primary health care: disparate outcomes for potentially preventable hospitalization. J Health Soc Policy. 2004;19:81-100
26. Cunningham PJ, Nichols LM. The effects ofmedicaid reimbursement on the access to care of medicaid enrollees: a community perspective. Med Care Res Rev. 2005;62:676-696
27. Pezzin LE, Kasper JD. Medicaid enrollment among elderly medicare beneficiaries: individual determinants, effects of state policy, and impact on service use. Health Serv Res. 2002;37,827-847
28. Oster A, Bindman AB. Emergency department visits for ambulatory care sensitive conditions: insights into preventable hospitalizations. Med Care. 2003;41:198-207
29. Asplin BR, Rhodes KV, Levy H, et al. Insurance status and access to urgent ambulatory care follow-up appointments. J Am Med Assoc. 2005;294:1248-1254
30. O'Day BL, Killeen M, Iezzoni LI. Improving health care experiences of persons who are blind or have low vision: suggestions from focus groups. Am J Med Qual. 2004;19:193-200