Characteristics of frequent users of emergency departments living with major neurocognitive disorders: a cohort study
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| Format: | Artículo científico |
| Language: | en |
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Sociedade Brasileira de Geriatria e Gerontologia
2022
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| _version_ | 1876435084585730048 |
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| author | Isabelle Dufour |
| author_facet | Isabelle Dufour |
| contents | Characteristics of frequent users of emergency departments living with major neurocognitive disorders: a cohort study Isabelle Dufour Nicole Dubuc Maud-Christine Chouinard Catherine Hudon Multidisciplinaria (Ciencias Naturales y Exactas) Aged dementia emergency medical service Objective: This study aimed to describe and compare the characteristics of community-dwelling older adults living with or without major neurocognitive disorders who made frequent use of emergency departments. Methods: This is a retrospective cohort study based on a secondary analysis of provincial health administrative data in Quebec, Canada. We included community-dwelling older adults from Quebec who were considered frequent emergency department users (a minimum of 4 visits in the year following an index emergency department visit chosen randomly between January 1, 2012, and December 31, 2013) and who had been diagnosed with at least one chronic condition. We compared characteristics of frequent users living with or without major neurocognitive disorders using chi-square and Kruskal-Wallis tests. Results: The study cohort consisted of 21 393 frequent emergency department users, of which 3051 (14.26%) were identified as having a major neurocognitive disorder. The results highlight a higher burden of chronic conditions, polypharmacy, antipsychotic use, and past use of healthcare services among these individuals. The results also reveal a higher proportion of conditions associated with geriatric syndromes such as trauma and injury, malnutrition, orthostatic hypertension, and gait disorders. Conclusion: Frequent emergency department users living with major neurocognitive disorders represent a complex population. Our results highlight the importance of systematically addressing their needs in appropriate settings and through customized interventions. 2022 otro 2447-2115 https://www.redalyc.org/articulo.oa?id=739780783029 en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Num.1 Vol.16 |
| format | Artículo científico |
| id | redalyc_739780783029 |
| institution | Redalyc |
| language | en |
| publishDate | 2022 |
| publisher | Sociedade Brasileira de Geriatria e Gerontologia |
| spellingShingle | Characteristics of frequent users of emergency departments living with major neurocognitive disorders: a cohort study Isabelle Dufour Multidisciplinaria (Ciencias Naturales y Exactas) Aged dementia emergency medical service Characteristics of frequent users of emergency departments living with major neurocognitive disorders: a cohort study Isabelle Dufour Nicole Dubuc Maud-Christine Chouinard Catherine Hudon Multidisciplinaria (Ciencias Naturales y Exactas) Aged dementia emergency medical service Objective: This study aimed to describe and compare the characteristics of community-dwelling older adults living with or without major neurocognitive disorders who made frequent use of emergency departments. Methods: This is a retrospective cohort study based on a secondary analysis of provincial health administrative data in Quebec, Canada. We included community-dwelling older adults from Quebec who were considered frequent emergency department users (a minimum of 4 visits in the year following an index emergency department visit chosen randomly between January 1, 2012, and December 31, 2013) and who had been diagnosed with at least one chronic condition. We compared characteristics of frequent users living with or without major neurocognitive disorders using chi-square and Kruskal-Wallis tests. Results: The study cohort consisted of 21 393 frequent emergency department users, of which 3051 (14.26%) were identified as having a major neurocognitive disorder. The results highlight a higher burden of chronic conditions, polypharmacy, antipsychotic use, and past use of healthcare services among these individuals. The results also reveal a higher proportion of conditions associated with geriatric syndromes such as trauma and injury, malnutrition, orthostatic hypertension, and gait disorders. Conclusion: Frequent emergency department users living with major neurocognitive disorders represent a complex population. Our results highlight the importance of systematically addressing their needs in appropriate settings and through customized interventions. 2022 otro 2447-2115 https://www.redalyc.org/articulo.oa?id=739780783029 en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Num.1 Vol.16 |
| title | Characteristics of frequent users of emergency departments living with major neurocognitive disorders: a cohort study |
| topic | Multidisciplinaria (Ciencias Naturales y Exactas) Aged dementia emergency medical service |
| url | https://www.redalyc.org/articulo.oa?id=739780783029 |