alexa Continuity of Care in Emergency Department and Elderly
ISSN: 2165-7548

Emergency Medicine: Open Access
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Mini Review

Continuity of Care in Emergency Department and Elderly

Gonçalo S1*, Seabra FL2, Rafaela V3 and Agripino O4

1Department of Internal Medicine, Hospital Center of Vila Nova de Gaia, Portugal

2Department of Medicine, University of Santiago de Compostela, Portugal

3Department of Medicine, University of Porto, Portugal

4Department of Medicine, Coimbra University, Portugal

*Corresponding Author:
Gonçalo S
Department of Internal Medicine
Hospital Center of Vila Nova de Gaia
Rua Esteves 322, Gondomar
Porto 4435-233, Portugal
Tel: 351963047331
E-mail: [email protected]

Received Date: October 31, 2016; Accepted Date: November 20, 2016; Published Date: November 29, 2016

Citation: Gonçalo S, Seabra FL, Rafaela V, Agripino O (2016) Continuity of Care in Emergency Department and Elderly. Emerg Med (Los Angel) 6: 341. doi:10.4172/2165-7548.1000341

Copyright: © 2016 Gonçalo S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License; which permits unrestricted use; distribution; and reproduction in any medium; provided the original author and source are credited.

 

Abstract

Background: Numerous studies have suggested that better continuity of care (COC) can lead to fewer emergency department (ED) visits. The loss of information is a constant demand for unnecessary services. This study aimed to determine the patterns of informational COC in ED utilization and increased health care utilization may be apparent in a health care system that lacks a referral system. Materials and methods: In a study conducted in November 2015 were evaluated episodes of ED, setting as lack of continuity of care episodes with discharged to home. The variables analyzed were: sex, age, the color of Manchester Triage (MTS), COC, diagnosis by ICD9, destination, and readmission. We used descriptive statistics and chi-square were used for a p-value <0.05. Results: The number of older episodes was 34% (2729/8037). The most common profile was women with 54 years old, which diagnosis was injury and poisoning, screened with yellow color and discharged to home. COC represented 56.9% of the episodes. The readmission to the ED was 12.8%. Determinants associated with episodes without COC were young patients (RR=1.13, CI=1.10 to 1.17), with a low priority of MTS (RR 1.46, 95% CI 1.35-1.57) and no readmission to ED (RR 1.94, 95% CI 1.70-2.21) Conclusions: In conclusion, the ward admission rate of elderly patients who visited the ED was higher than the younger adult patients. Our analysis showed a higher level of continuity with an increased rate of hospitalization, after adjustment for the patient's age group. The determinants associated with episodes without COC were young patients, with a low priority of MTS and no readmission to ED.

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords