Variations in elderly peoples’ visits to the emergency departments in Iceland: A five-year population study

2.50
Hdl Handle:
http://hdl.handle.net/2336/620557
Title:
Variations in elderly peoples’ visits to the emergency departments in Iceland: A five-year population study
Authors:
Gudmundsdottir, Elisabet; Masdottir, Helga Rosa; Gudmundsdottir, Hlif; Jonsdottir, Lovisa Agnes; Sigurthorsdottir, Ingibjörg; Skuladottir, Sigrun Sunna; Lund, Sigrun Helga; Thorsteinsdottir, Thordis
Citation:
Variations in elderly peoples’ visits to the emergency departments in Iceland: A five-year population study 2018, 37:6 International Emergency Nursing
Issue Date:
Mar-2018
Abstract:
INTRODUCTION: Elderly people visiting emergency departments (ED) are a non-homogenous group. Gender and other socio-demographic variations in emergency care might be present. However, gender-specific ED-data is scarce. METHODS: We retrieved retrospective data on all ED-visits, by 67years and older from 2008 to 2012, and calculated incidence of visits applying population registries. The relationship of age-categories, marital status, health and residence with outcomes were analyzed descriptively by Chi-square tests. Regression models were built to analyze gender-specific variations. RESULTS: Of the total ED-visits, 20% were from the elderly population (n=66,141), at a mean 3.1 visits per individual. Men (n=30.269) had higher incidence of visits in all age-categories. They were mostly married (69%) and women widowed (43%), although the incidence of partnered visitors underrepresented population-data while widowed and single living overrepresented. Women had more often co-morbidities, their most common causes of visits were musculoskeletal (20%) and men circulatory causes (14%). Men were more likely to be admitted (OR: 1.23; 95% CI 1.16-1.30) and had more unplanned ED-revisits (HR: 1.20; 95% CI 1.06-1.35) within 30 days. DISCUSSION: Elderly men visiting the ED were more often married than women. Gender differences were found in causes of visits and outcomes. In clinical practice, gender may be considered when identifying risk and planning adequate care related elderly ED-visits.
Description:
To access publisher's full text version of this article click on the hyperlink below
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S1755599X17301532
Rights:
Archived with thanks to International Emergency Nursing

Full metadata record

DC FieldValue Language
dc.contributor.authorGudmundsdottir, Elisabeten
dc.contributor.authorMasdottir, Helga Rosaen
dc.contributor.authorGudmundsdottir, Hlifen
dc.contributor.authorJonsdottir, Lovisa Agnesen
dc.contributor.authorSigurthorsdottir, Ingibjörgen
dc.contributor.authorSkuladottir, Sigrun Sunnaen
dc.contributor.authorLund, Sigrun Helgaen
dc.contributor.authorThorsteinsdottir, Thordisen
dc.date.accessioned2018-05-07T15:21:04Z-
dc.date.available2018-05-07T15:21:04Z-
dc.date.issued2018-03-
dc.date.submitted2018-
dc.identifier.citationVariations in elderly peoples’ visits to the emergency departments in Iceland: A five-year population study 2018, 37:6 International Emergency Nursingen
dc.identifier.issn1755599X-
dc.identifier.doi10.1016/j.ienj.2017.09.010-
dc.identifier.urihttp://hdl.handle.net/2336/620557-
dc.descriptionTo access publisher's full text version of this article click on the hyperlink belowen
dc.description.abstractINTRODUCTION: Elderly people visiting emergency departments (ED) are a non-homogenous group. Gender and other socio-demographic variations in emergency care might be present. However, gender-specific ED-data is scarce. METHODS: We retrieved retrospective data on all ED-visits, by 67years and older from 2008 to 2012, and calculated incidence of visits applying population registries. The relationship of age-categories, marital status, health and residence with outcomes were analyzed descriptively by Chi-square tests. Regression models were built to analyze gender-specific variations. RESULTS: Of the total ED-visits, 20% were from the elderly population (n=66,141), at a mean 3.1 visits per individual. Men (n=30.269) had higher incidence of visits in all age-categories. They were mostly married (69%) and women widowed (43%), although the incidence of partnered visitors underrepresented population-data while widowed and single living overrepresented. Women had more often co-morbidities, their most common causes of visits were musculoskeletal (20%) and men circulatory causes (14%). Men were more likely to be admitted (OR: 1.23; 95% CI 1.16-1.30) and had more unplanned ED-revisits (HR: 1.20; 95% CI 1.06-1.35) within 30 days. DISCUSSION: Elderly men visiting the ED were more often married than women. Gender differences were found in causes of visits and outcomes. In clinical practice, gender may be considered when identifying risk and planning adequate care related elderly ED-visits.en
dc.description.sponsorshipNursing Association Research fund Landspitali University Hospital Science Fund Icelandic Geriatric Association Research Funden
dc.language.isoenen
dc.publisherElsevier Science Ltd.en
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S1755599X17301532en
dc.rightsArchived with thanks to International Emergency Nursingen
dc.subjectBráðamóttakaen
dc.subjectBráðahjúkrunen
dc.subjectAldraðiren
dc.subjectEAN12en
dc.subjectOLD12en
dc.subjectNAA12en
dc.subject.meshEmergency Nursingen
dc.subject.meshAgeden
dc.subject.meshEmergency Service, Hospitalen
dc.titleVariations in elderly peoples’ visits to the emergency departments in Iceland: A five-year population studyen
dc.typeArticleen
dc.contributor.department1 ] Landspitali Natl Univ Hosp Iceland, Div Finance & Informat, Reykjavik, Iceland [ 2 ] Landspitali Natl Univ Hosp Iceland, Res Inst Emergency Care, Reykjavik, Iceland [ 3 ] Landspitali Natl Univ Hosp Iceland, Div Emergency Geriatr & Rehabil Serv, Reykjavik, Iceland Show more [ 4 ] Univ Iceland, Dept Publ Hlth Sci, Reykjavik, Iceland Show more [ 5 ] Univ Iceland, Sch Hlth Sci, Fac Nursing, Reykjavik, Icelanden
dc.identifier.journalInternational Emergency Nursingen
dc.rights.accessNational Consortium - Landsaðganguren
dc.departmentcodeEAN12, OLD12, NAA12-
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