TY - ABST
AU - McCusker, Jane
AU - Roberge, Danièle
AU - Ciampi, Antonio
AU - Silva, Roxane Borges Da
AU - Vadeboncoeur, Alain
AU - Larouche, Danielle
AU - Lévesque, Jean‐Frédéric
AU - Belzile, Eric
TI - Outcomes of Community‐dwelling Seniors Vary by Type of Emergency Department
JO - Academic Emergency Medicine
PY - 2012-03-01T00:00:00///
VL - 19
IS - 3
SP - 304
EP - 312
ACADEMIC EMERGENCY MEDICINE 2012; 19:304–312 © 2012 by the Society for Academic Emergency Medicine Abstract
specific objectives were: 1) to compare the characteristics and 6‐month outcomes of community‐dwelling seniors in Quebec, Canada, who visited three different emergency department (ED) types and 2) to explore whether the differences in outcomes by ED type were seen among subgroups
Methods: The three types of ED were most specialized, less community‐oriented (n = 12); moderately specialized, less community‐oriented (n = 28); and least specialized, more community‐oriented (n = 28).
Administrative databases were used to create a cohort of 223,120 seniors who visited these 68 EDs during a 14‐month period. Using a multilevel approach, the following patient characteristics were compared across ED types: sociodemographic (age, sex, urban vs. rural residence, proximity
to ED); medical diagnoses and comorbidity burden; and utilization of hospital and physician services during the 16 months before the index ED visit. Cox regression analysis was used to model the relationships between ED type and two 6‐month outcomes, adjusting for patient characteristics:
1) serious outcomes (death, acute or long term‐care admission) among all individuals who made an index visit and 2) outpatient ED visits (without hospital admission) among those discharged either from the ED or hospital. Interactions between ED type and patient age, sex, urban–rural
residence, and comorbidity burden were explored.
Results: Compared to patients treated at the least specialized EDs, those at the most specialized EDs were more often urban‐dwelling, resided outside the health service area of the ED, and had the highest disease burden
and prior specialist utilization. Those treated at the moderately specialized EDs were intermediate between these two groups. During the 6 months after the ED visit, the rate of serious outcomes was higher and the rate of outpatient ED visits was lower for the most specialized compared
to the least specialized EDs, even after adjustment for patient characteristics. The differences in these outcomes by ED type were attenuated among older patients and those with greater comorbidity.
Conclusions: More vulnerable community‐dwelling seniors tend to be treated
in more specialized EDs, which have worse linkages to community services. Improved linkages between more specialized EDs and the community (physicians, home care, and other services) and increased access to community services may improve outcomes in this population. Seniors treated at more
specialized EDs were more likely to experience serious outcomes, but were less likely to make a return outpatient ED visit.
UR - http://www.ingentaconnect.com/content/bpl/aem/2012/00000019/00000003/art00010
M3 - doi:10.1111/j.1553-2712.2012.01295.x
UR - http://dx.doi.org/10.1111/j.1553-2712.2012.01295.x