PMID- 36331669
OWN - NLM
STAT- MEDLINE
DCOM- 20230131
LR  - 20230805
IS  - 1970-9366 (Electronic)
IS  - 1828-0447 (Linking)
VI  - 18
IP  - 1
DP  - 2023 Jan
TI  - Potentially avoidable hospitalizations for older patients transferred from 
      long-term care hospitals: a nationwide cross-sectional analysis of potential 
      healthcare consequences.
PG  - 169-176
LID - 10.1007/s11739-022-03146-y [doi]
AB  - Multiple chronic disorders and disabilities among older patients in long term 
      care hospitals (LTCH) tends to increase the healthcare burden by causing 
      overcrowding, particularly in emergency departments. Therefore, access to timely 
      and adequate healthcare for LTCH patients is an increasingly important issue, and 
      potentially avoidable hospitalizations (PAHs) and hospitalizations during 
      non-office hours can result as indicators of emergency department overcrowding. 
      The study aimed to evaluate PAHs and hospitalizations during non-office hours in 
      emergency departments for older patients transferred from LTCH compared to 
      patients living at home. We performed a cross-sectional study using the National 
      Emergency Department Information System database from January 2018 to December 
      2019, in South Korea, with older patients (>/= 65 years) who visited nationwide 
      emergency departments. Adjusted odds ratio (aOR) and 95% confidence interval (CI) 
      for indicators of overcrowding as PAHs and hospitalizations during non-office 
      hours were calculated by logistic regression. Among the 2,177,663 older patients 
      who visited the emergency departments, 98,434 patients were living in LTCH and 
      2,079,229 patients were living at home. The older patients living in LTCH was 
      associated with PAHs (aOR: 1.90, 95% CI 1.87-1.94) and hospitalizations during 
      non-office hours (aOR: 1.76, 95% CI 1.73-1.78). LTCH patients showed more 
      hospital visits, extended stay in the emergency department, greater prevalence of 
      chronic diseases, greater rates of transfer as well as higher admission rates and 
      mortality as compared to the patients living at home. The LTCH older patients 
      were associated with the indicators of emergency department overcrowding, which 
      impacts health care quality in hospitals. Introduction of policy and training 
      programs for LTCH staff are recommended to manage vulnerable groups in advance.
CI  - (c) 2022. The Author(s), under exclusive licence to Societa Italiana di Medicina 
      Interna (SIMI).
FAU - Kim, Seonji
AU  - Kim S
AUID- ORCID: 0000-0002-4993-7537
AD  - Department of Biomedical Systems Informatics, Yonsei University College of 
      Medicine, Seoul, South Korea.
FAU - Ko, Sung-Keun
AU  - Ko SK
AUID- ORCID: 0000-0002-0549-2388
AD  - National Emergency Medical Center, National Medical Center, 245 Eulji-ro, 
      Jung-gu, Seoul, 04564, South Korea.
FAU - Lee, Tae Young
AU  - Lee TY
AUID- ORCID: 0000-0003-4570-5867
AD  - National Emergency Medical Center, National Medical Center, 245 Eulji-ro, 
      Jung-gu, Seoul, 04564, South Korea.
FAU - Lee, Jin-Hee
AU  - Lee JH
AUID- ORCID: 0000-0002-2556-5484
AD  - National Emergency Medical Center, National Medical Center, 245 Eulji-ro, 
      Jung-gu, Seoul, 04564, South Korea. jhlee@nmc.or.kr.
LA  - eng
PT  - Journal Article
DEP - 20221104
PL  - Italy
TA  - Intern Emerg Med
JT  - Internal and emergency medicine
JID - 101263418
SB  - IM
MH  - Humans
MH  - Cross-Sectional Studies
MH  - *Long-Term Care
MH  - *Hospitalization
MH  - Hospitals
MH  - Emergency Service, Hospital
MH  - Delivery of Health Care
OTO - NOTNLM
OT  - Ambulatory care sensitive conditions
OT  - Emergency departments
OT  - Long-term care hospital
OT  - Older patients
OT  - Overcrowding
EDAT- 2022/11/05 06:00
MHDA- 2023/02/01 06:00
CRDT- 2022/11/04 12:17
PHST- 2022/07/28 00:00 [received]
PHST- 2022/10/24 00:00 [accepted]
PHST- 2022/11/05 06:00 [pubmed]
PHST- 2023/02/01 06:00 [medline]
PHST- 2022/11/04 12:17 [entrez]
AID - 10.1007/s11739-022-03146-y [pii]
AID - 10.1007/s11739-022-03146-y [doi]
PST - ppublish
SO  - Intern Emerg Med. 2023 Jan;18(1):169-176. doi: 10.1007/s11739-022-03146-y. Epub 
      2022 Nov 4.