Poor Outcomes after Emergency Department Discharge of the Elderly: A Case-Control Study

Annals of Emergency Medicine

Volumn 68, Issue 1, 2016, Pages 43-51.e2

  Gabayan, Gelareh Z ^a,b   Gould, Michael K ^c   Weiss, Robert E ^d   Patel, Neil ^a,b   Donkor, Kwame A ^a,b   Chiu, Vicki Y ^c   Yiu, Sau C ^c   Jones, Jason P ^e   Hoffman, Jerome R ^a   Sarkisian, Catherine A ^a,b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b VA GREATER LOS ANGELES HEALTHCARE SYSTEM   (United States)

^c Kasier Permanente Southern California ^*  (United States)

^d UNIVERSITY OF CALIFORNIA   (United States)

^e KAISER FOUNDATION HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; COGNITIVE DEFECT; CONTROLLED STUDY; EMERGENCY PHYSICIAN; EMERGENCY WARD; FEMALE; HOSPITAL DISCHARGE; HUMAN; INTEGRATED HEALTH CARE SYSTEM; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; MEDICAL RECORD REVIEW; MULTICENTER STUDY; PRIORITY JOURNAL; PULSE RATE; SYSTOLIC BLOOD PRESSURE; BLOOD PRESSURE; CASE CONTROL STUDY; COGNITIVE DYSFUNCTION; HEART RATE; HOSPITAL EMERGENCY SERVICE; INTENSIVE CARE UNIT; MORTALITY; RETROSPECTIVE STUDY; RISK FACTOR; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA; TREATMENT OUTCOME;

AGED; BLOOD PRESSURE; CASE-CONTROL STUDIES; COGNITIVE DYSFUNCTION; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEART RATE; HUMANS; INTENSIVE CARE UNITS; LOGISTIC MODELS; MALE; MORTALITY; PATIENT DISCHARGE; RETROSPECTIVE STUDIES; RISK FACTORS; TREATMENT OUTCOME;

EID: 84959379009     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2016.01.007     Document Type: Article

References (38)

1. R. Niska, F. Bhuiya, and J. Xu National Hospital Ambulatory Medical Care Survey: 2007 emergency department summary Natl Health Stat Rep 26 2010 1 31
2. G.Z. Gabayan, B.C. Sun, S.M. Asch, and et al. Qualitative factors in patients who die shortly after emergency department discharge Acad Emerg Med 20 2013 778 785
3. G.Z. Gabayan, S.F. Derose, S.M. Asch, and et al. Patterns and predictors of short-term death after emergency department discharge Ann Emerg Med 58 2011 551 558.e552
4. G.Z. Gabayan, C.A. Sarkisian, L.J. Liang, and et al. Predictors of admission after emergency department discharge in older adults J Am Geriatr Soc 63 2015 39 45
5. G.Z. Gabayan, S.M. Asch, R.Y. Hsia, and et al. Factors associated with short-term bounce-back admissions after emergency department discharge Ann Emerg Med 62 2013 136 144
6. M.P. Kefer, S.W. Hargarten, and J. Jentzen Death after discharge from the emergency department Ann Emerg Med 24 1994 1102 1107
7. D.P. Sklar, C.S. Crandall, E. Loeliger, and et al. Unanticipated death after discharge home from the emergency department Ann Emerg Med 49 2007 735 745
8. O.S. Gunnarsdottir, and V. Rafnsson Death within 8 days after discharge to home from the emergency department Eur J Public Health 18 2008 522 526
9. A. Guttmann, M.J. Schull, M.J. Vermeulen, and et al. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada BMJ 342 2011 d2983
10. J.C. Gower A comparison of some methods of cluster analysis Biometrics 23 1967 623 637
11. R.C. Wuerz, L.W. Milne, D.R. Eitel, and et al. Reliability and validity of a new five-level triage instrument Acad Emerg Med 7 2000 236 242
12. M.E. Charlson, P. Pompei, K.L. Ales, and et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation J Chronic Dis 40 1987 373 383
13. K.M. Mehta, K. Yaffe, and K.E. Covinsky Cognitive impairment, depressive symptoms, and functional decline in older people J Am Geriatr Soc 50 2002 1045 1050
14. R.S. Tilvis, M.H. Kahonen-Vare, J. Jolkkonen, and et al. Predictors of cognitive decline and mortality of aged people over a 10-year period J Gerontol A Biol Sci Med Sci 59 2004 268 274
15. F.M. Hustey, S.W. Meldon, M.D. Smith, and et al. The effect of mental status screening on the care of elderly emergency department patients Ann Emerg Med 41 2003 678 684
16. C. Beach, P. Croskerry, and M. Shapiro Profiles in patient safety: emergency care transitions Acad Emerg Med 10 2003 364 367
17. J. Cohen A coefficient of agreement for nominal scales Educ Psychol Measurement 20 1960 37 46
18. M. Maclure, and W.C. Willett Misinterpretation and misuse of the kappa statistic Am J Epidemiol 126 1987 161 169
19. E.H. Gilbert, S.R. Lowenstein, J. Koziol-McLain, and et al. Chart reviews in emergency medicine research: where are the methods? Ann Emerg Med 27 1996 305 308
20. G.Z. Gabayan, S.F. Derose, S.M. Asch, and et al. Patterns and predictors of short-term death after emergency department discharge Ann Emerg Med 58 2011 551 558
21. S. Nunez, A. Hexdall, and A. Aguirre-Jaime Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care 15 2006 102 108
22. C. Koebnick, A.M. Langer-Gould, M.K. Gould, and et al. Sociodemographic characteristics of members of a large, integrated health care system: comparison with US Census Bureau data Perm J 16 2012 37 41
23. G.Z. Gabayan, R.Y. Hsia, D. Zingmond, and et al. Factors associated with short-term bounce-back admissions following emergency department discharge Ann Emerg Med 62 2013 136 144
24. R. Ding, J.J. Jung, T.D. Kirsch, and et al. Uncompleted emergency department care: patients who leave against medical advice Acad Emerg Med 14 2007 870 876
25. V.L. Henson, and D.S. Vickery Patient self discharge from the emergency department: who is at risk? Emerg Med J 22 2005 499 501
26. A.G. Pennycook, G. McNaughton, and F. Hogg Irregular discharge against medical advice from the accident and emergency department - a cause for concern Arch Emerg Med 9 1992 230 238
27. A.L. White, P.A. Armstrong, and S. Thakore Impact of senior clinical review on patient disposition from the emergency department Emerg Med J 27 2010 262 265 296
28. H.R. Guly Diagnostic errors in an accident and emergency department Emerg Med J 18 2001 263 269
29. R.S. Lee, R. Woods, M. Bullard, and et al. Consultations in the emergency department: a systematic review of the literature Emerg Med J 25 2008 4 9
30. J.M. Cortazzo, A.T. Guertler, and M.M. Rice Consultation and referral patterns from a teaching hospital emergency department Am J Emerg Med 11 1993 456 459
31. F.M. Hustey, and S.W. Meldon The prevalence and documentation of impaired mental status in elderly emergency department patients Ann Emerg Med 39 2002 248 253
32. S.T. Wilber, S.D. Lofgren, T.G. Mager, and et al. An evaluation of two screening tools for cognitive impairment in older emergency department patients Acad Emerg Med 12 2005 612 616
33. C.M. Callahan, F.W. Unverzagt, S.L. Hui, and et al. Six-Item Screener to identify cognitive impairment among potential subjects for clinical research Med Care 40 2002 771 781
34. L. Duran, K. Balci, C. Kati, and et al. Has admission blood pressure any prognostic value in patients with subarachnoid hemorrhage? an emergency department experience J Clin Hypertens (Greenwich) 15 2013 737 741
35. F. Lalezarzadeh, P. Wisniewski, K. Huynh, and et al. Evaluation of prehospital and emergency department systolic blood pressure as a predictor of in-hospital mortality Am Surg 75 2009 1009 1014
36. A.M. Lipsky, M. Gausche-Hill, P.L. Henneman, and et al. Prehospital hypotension is a predictor of the need for an emergent, therapeutic operation in trauma patients with normal systolic blood pressure in the emergency department J Trauma 61 2006 1228 1233
37. J. Hsia, J.C. Larson, J.K. Ockene, and et al. Resting heart rate as a low tech predictor of coronary events in women: prospective cohort study BMJ 338 2009 b219
38. J.E. Ho, V. Bittner, D.A. Demicco, and et al. Usefulness of heart rate at rest as a predictor of mortality, hospitalization for heart failure, myocardial infarction, and stroke in patients with stable coronary heart disease (data from the Treating to New Targets [TNT] trial) Am J Cardiol 105 2010 905 911