Key result
Frequent ED attendance by older adults was associated with higher in-hospital mortality (7.0% vs 3.2%, P<0.001) and hospital admission (69.2% vs 67.2%, P=0.004) than non-frequent attendance.
Why the study?
Do older frequent ED attenders have worse clinical outcomes and higher healthcare utilization compared to non-frequent attenders?
Population
People aged ≥65 years attending the ED in financial year 2013/2014 (n=21,073)
Comparison
Frequent ED attenders vs Non-frequent ED attenders
Design
Cohort
Follow-up
12 months
Authors
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Frequent older ED attenders warrant clinical attention for mortality risk; leaves open whether targeted coordination improves outcomes.
Cohort (n=21,073)
Yes
Do older frequent ED attenders have worse clinical outcomes and higher healthcare utilization compared to non-frequent attenders?
Older frequent ED attenders have significantly higher in-hospital mortality and longer hospital stays compared to non-frequent attenders, highlighting the need for better care coordination.
Street et al. (2018) conducted a cohort in Emergency department attendance (n=21,073). Frequent ED attendance (≥4 ED attendances in 12 months) vs. Non-frequent ED attenders was evaluated on frequent ED use. Frequent ED attendance by older adults was associated with higher in-hospital mortality (7.0% vs 3.2%, P<0.001) and hospital admission (69.2% vs 67.2%, P=0.004) than non-frequent attendance.
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