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September 27, 2025Journal of Applied GerontologyOpen Access

Ambulatory Care Follow-Up and Fragmentation After Emergency Department Visits Among Older Adults

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Authors

CGCameron J. GettelYSYuxiao SongTLT. Lee

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Overview

Retrospective cohort analysis revealed low follow-up rates among older adults post-ED, suggesting care fragmentation concerns.

Key Points

  • Follow-up occurred in only 22.9% within 7 days, and 44.2% within 30 days, indicating inadequate follow-up care.
  • Care fragmentation happened in 4.6% of cases within 7 days, and 25.3% within 30 days, revealing issues with continuity.
  • Dementia was linked to lower follow-up odds (OR 0.74), whereas multiple chronic conditions increased follow-up likelihood (OR 1.27).
  • Interventions are essential to address the imbalance between access to care and fragmentation to enhance patient outcomes.

Cite This Study

Gettel et al. (2025) studied this question.

synapsesocial.com/papers/68d7b3e9eebfec0fc5236edfhttps://doi.org/10.1177/07334648251383345
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Emergency department‐to‐community care transition barriers: A qualitative study of older adults2022 · 45 citations
  2. 2Continuity of Care and the Risk of Preventable Hospitalization in Older Adults2013 · 351 citations
  3. 3Identification of Emergency Department Visits in Medicare Administrative Claims: Approaches and Implications2016 · 89 citations
  4. 4Emergency Department Use Among Older Adults With Dementia2015 · 249 citations
  5. 5Care Fragmentation, Care Continuity, and Care Coordination—How They Differ and Why It Matters2024 · 112 citations