A profile of older emergency department attendees: Findings from an Irish study

Journal of Advanced Nursing

Volumn 68, Issue 5, 2012, Pages 1003-1013

  Fealy, Gerard M ^a   Treacy, Margaret ^a   Drennan, Jonathan ^a   Naughton, Corina ^a   Butler, Michelle ^a   Lyons, Imogen ^a  

^a UNIVERSITY COLLEGE DUBLIN   (Ireland)

Author keywords

Emergency department; Ireland; Nursing; Older people

Indexed keywords

AGE DISTRIBUTION; AGED; ARTICLE; CHRONIC DISEASE; DEMOGRAPHY; EMERGENCY HEALTH SERVICE; FEMALE; HEALTH SERVICE; HEALTH STATUS; HOSPITALIZATION; HUMAN; IRELAND; MALE; MORBIDITY; NURSING; PATIENT ATTITUDE; QUESTIONNAIRE; SOCIAL ISOLATION; SOCIOECONOMICS; STATISTICS; UTILIZATION REVIEW;

AGE DISTRIBUTION; AGED; AGED, 80 AND OVER; CHRONIC DISEASE; DEMOGRAPHY; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH STATUS; HOSPITALIZATION; HUMANS; IRELAND; MALE; MORBIDITY; NURSING; PATIENT ACCEPTANCE OF HEALTH CARE; QUESTIONNAIRES; SOCIAL ISOLATION; SOCIOECONOMIC FACTORS; URBAN HEALTH SERVICES;

EID: 84858862337     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/j.1365-2648.2011.05800.x     Document Type: Article

References (54)

1. Aminzadeh F. & Dalziel W.B. (2002) Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Annals of Emergency Medicine 39(3), 238-247.
2. Bentley J. & Meyer J. (2004) Repeat attendance by older people at accident and emergency departments. Journal of Advanced Nursing 48(2), 149-156.
3. Bridges J., Spilsbury K., Meyer J. & Crouch R. (1999) Older people in A & E: literature review and implications for British policy and practice. Reviews in Clinical Gerontology 9, 127-137.
4. Burns E. (2001) Older people in accident and emergency departments. Age and Ageing 30, 3-6.
5. Central Statistics Office (CSO) (2007) Ageing in Ireland 2007. Central Statistics Office, Dublin.
6. Coast J., Peters T.J. & Inglis A. (1996) Factors associated with inappropriate emergency hospital admission in the UK. International Journal of Quality in Health Care 8(1), 31-39.
7. Conforti D., Basic D. & Rowland J. (2004) Emergency department admissions, older people, functional decline, and length of stay in hospital. Australasian Journal on Ageing 23(4), 189-194.
8. Department of Health (2004) Transforming Emergency Care in England: A Report by Professor Sir George Alberti. Department of Health, London.
9. Department of Health & Children (DoHC) (2002) Acute Hospital Bed Capacity. Department of Health & Children, Dublin.
10. Department of Health & Children (DoHC) (2007) Health in Ireland: Key Trends 2007. Department of Health & Children, Dublin.
11. Department of Health & Children (DoHC) (2008) Tackling Chronic Disease: A Policy Framework for the Management of Chronic Diseases. Department of Health & Children, Dublin.
12. Doorley P. (2007) Health Status in Ireland: Challenges for the Future. Health Service Executive, Dublin.
13. Downing A. & Wilson R. (2005) Older people's use of Accident and Emergency services. Age and Ageing 34(1), 24-30.
14. Dunne M.A. (1997) The appropriateness of A&E attendances: a prospective study. Irish Medical Journal 90(7), 268-269.
15. Emergency Department Task Force (EDTF) (2007) Emergency Department Task Force: Report. Health Service Executive, Dublin.
16. English Longitudinal Study of Ageing (2009) English Longitudinal Study of Ageing, Wave 3, 2005/06. Retrieved from on 28 July 2010.
17. Fahey T. & Murray P. (1994) Health and Autonomy among the over 65s in Ireland (Report No. 39). National Council for the Elderly, Dublin.
18. Farrell K., Wicks M.N. & Martin J.C. (2004) Chronic disease self-management improved with enhanced self-efficacy. Clinical Nursing Research 13(4), 289-308.
19. Fealy G.M., McCarron M., O'Neill D., McCallion P., Clarke M., Small V., O'Driscoll A. & Cullen A. (2009) Effectiveness of gerontologically-informed nursing assessment and referral interventions for older persons attending the emergency-department: a systematic review of literature. Journal of Advanced Nursing 65(5), 934-945.
20. Garavan R., Winder R. & McGee H. (2001) Health and Social Services for Older People (HeSSOP) (Report No. 64). National Council on Ageing and Older People, Dublin.
21. George G., Jell C. & Todd B.S. (2006) Effect of population ageing on emergency department speed and efficiency: a historical perspective from a district general hospital in the UK. Emergency Medicine Journal 23, 379-383.
22. Gill J.M., Mainous A.G. III & Nsereko M. (2000) The effect of continuity of care on emergency department use. Archives of Family Medicine 9, 333-338.
23. Hancock K., Chenoweth L. & Chang E. (2003) Challenges in conducting research with acutely ill hospitalized older patients. Nursing and Health Sciences 5, 253-259.
24. Harris R. & Dyson E. (2001) Recruitment of frail older people to research: lessons learnt through experience. Journal of Advanced Nursing 36, 643-651.
25. Hastings S.N. & Heflin M.T. (2005) A systematic review of interventions to improve outcomes for elders discharged from the emergency department. Academic Emergency Medicine 12(10), 78-86.
26. Health Service Executive (HSE) (2006) A&E Departments: Background Briefing. Health Service Executive, Dublin.
27. Health Service Executive (HSE) (2008) National Service Plan 2008. Health Service Executive, Dublin.
28. Hill K., Womer M., Russell M., Blackberry I. & McGann A. (2010) Fear of falling in older fallers presenting at emergency departments. Journal of Advanced Nursing 66(8), 1769-1779.
29. Hunt S.M. & McEwan T. (1980) The development of a subjective health indicator. Sociology of Health and Illness 2, 231-246.
30. Hunt S.M., McEwen J. & McKenna S.P. (1980) Measuring health status: a new tool for clinicians and epidemiologists. Journal of the Royal College of General Practitioners 35(273), 185-188.
31. Hyde M., Wiggins R.D., Higgs P. & Blane D.B. (2003) A measure of quality of life in early old age: the theory, development and properties of a needs satisfaction model (CASP-19). Ageing and Mental Health 7(3), 186-194.
32. Ionescu-Ittu R., McCusker J., Ciampi A., Vadeboncoeur A.M., Roberge D., Larouche D., Verdon J. & Pinealult R. (2007) Continuity of primary care and emergency department utilization among older people. Canadian Medical Association Journal 177(11), 1362-1368.
33. McCusker J., Healey E., Bellavance F. & Connolly B. (1997) Predictors of repeat emergency visits by elders. Academic Emergency Medicine 4(6), 581-588.
34. McCusker J., Verdon J., Tousignant P., de Courval L.P., Denkukuri D. & Belzile E. (2001) Rapid emergency department intervention of older people reduces risk of functional decline: results of a multicenter randomized trial. Journal of the American Geriatrics Society 49(10), 1272-1281.
35. McCusker J., Karp I., Cardin S, Durand P. & Morin J. (2003) Determinants of emergency department visits by older adults: a systematic review. Academic Emergency Medicine 10, 1362-1370.
36. Meyer J. & Bridges J. (1998) An Action Research Study into People in the A&E Department. City University, London.
37. Mion L.C., Palmer R.M., Meldon S.W., Bass D.M., Singer M.E., Payne S.M.C., Lewicki L.J., Drew B.L., Connor J.T., Campbell J.W. & Emerman C. (2003) Case finding and referral model for emergency department elders: a randomized clinical trial. Annals of Emergency Medicine 41, 57-68.
38. National Council on Ageing and Older People (NCAOP) (2005) An Age Friendly Society: A Position Statement. National Council on Ageing and Older People, Dublin.
39. National Disability Authority (NDA) & National Council on Ageing and Older People (NCAOP) (2006) Ageing and Disability: A Discussion Paper. National Disability Authority & National Council on Ageing and Older People, Dublin.
40. Netuveli G., Wiggins R.D., Hildon Z., Montgomery S.M. & Blane D. (2006) Quality of life at older ages: evidence from the English longitudinal study of aging (wave 1). Journal of Epidemiology & Community Health 60, 357-363.
41. Nie J.X., Wang L., Tracy C.S., Moineddin R. & Upshur R.E. (2008) Health care service utilization among the elderly: findings from the study to understand the chronic condition experience of the elderly and the disabled (SUCCEED project). Journal of Evaluation in Clinical Practice 14(6), 1044-1099.
42. Northington W.E., Brice J.H. & Zou B. (2005) Use of an emergency department by non-urgent patients. The American Journal of Emergency Medicine 23, 131-137.
43. Owen S. (2001) The practical, methodological and ethical dilemmas of conducting focus groups with vulnerable clients. Journal of Advanced Nursing 3, 652-658.
44. Rask K.J., Williams M.V., McNagny S.E., Parker R.M. & Baker D.W. (1998) Ambulatory health care use by patients in a public hospital emergency department. Journal of General Internal Medicine 13, 614-620.
45. Smith S. (2007) Characteristics of Emergency Department Attendances in Four Irish Teaching Hospitals. ESRI, ISSC & University of Ulster, Dublin.
46. Spinhoven P.H., Ormel J., Sloekers P.P., Kempen G.I., Speckens A.E. & Van Hemert A.M. (1997) A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychological Medicine 27, 363-370.
47. Steel J. (1995) Inappropriate: the patient or the service? Accident and Emergency Nursing 3, 146-149.
48. Treacy P., Butler M., Byrne A., Drennan J., Fealy G., Frazer K. & Irving K. (2005) Loneliness and Social Isolation Among Older Irish People. National Council on Ageing and Older People, Dublin.
49. Walsh B., Coakley D., Murphy C., Coakley J.D., Boyle E. & Johnson H. (2004) Demographic profile of the elderly population in Dublin accident and emergency hospital catchment areas. Irish Medical Journal 97, 84-86.
50. Weber E.J., Showstack J.A., Hunt K.A., Colby D.C. & Callaham M.L. (2005) Does lack of a usual source of care or health insurance increase the likelihood of an emergency department visit? Results of a national population-based study. Annals of Emergency Medicine 45, 4-12.
51. Wenger G. (1994) Support Networks of Older People: A Guide for Practitioners. CSPRD, University of Wales, Bangor.
52. Wenger G.C. & Burholt V. (2004) Changes in levels of social isolation and loneliness among older people in a rural area: a 20-year longitudinal study. Canadian Journal on Aging 23, 115-127.
53. Wiggins R.D., Higgs P.F.D., Hyde M. & Blane D.B. (2004) Quality of life in the third age: key predictors of the CASP-19 measure. Ageing & Society 24, 693-708.
54. Zigmond A.S. & Snaith R.P. (1983) The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica 67(6), 361-370.