TY  - JOUR
PY  - 2015//
TI  - Return to the ED and hospitalisation following minor injuries among older persons treated in the emergency department: predictors among independent seniors within 6 months
JO  - Age and ageing
A1  - Lee, Jacques
A1  - Sirois, Marie-Josée
A1  - Moore, Lynne
A1  - Perry, Jeffrey
A1  - Daoust, Raoul
A1  - Griffith, Lauren
A1  - Worster, Andrew
A1  - Lang, Eddy
A1  - Emond, Marcel
SP  - 624
EP  - 629
VL  - 44
IS  - 4
N2  - BACKGROUND: minor traumatic injuries among independent older people have received little attention to date, but increasingly the impact of such injuries is being recognised. <br><br>OBJECTIVES: we assessed the frequency and predictors of acute health care use, defined as return to the emergency department (ED) or hospitalisation. STUDY DESIGN: national multicentre prospective observational study. SETTING: eight Canadian teaching EDs between April 2009 and April 2013. PARTICIPANTS: a total of 1,568 patients aged 65-100 years, independent in basic activities of daily living, discharged from ED following a minor traumatic injury. <br><br>METHODS: trained assessors measured baseline data including demographics, functional status, cognition, comorbidities, frailty and injury severity. We then conducted follow-up telephone interviews at 6 months to assess subsequent acute health care use. We used log-binomial regression analyses to identify predictors of acute health care use, and reported relative risks and 95% CIs. <br><br>RESULTS: participants' mean age was 77.0, 66.4% female, and their injuries included contusions (43.5%), lacerations (25.1%) and fractures (25.4%). The cumulative rate of acute health care use by 6 months post-injury was 21.5% (95% CI: 19.0-24.3%). The strongest predictors of acute health care use within 6 months were cognitive impairment, RR = 1.6 (95% IC: 1.2-2.1) and the mechanism of injury including pedestrian struck or recreational injuries, RR = 1.6 (95% CI 1.2-2.2). <br><br>CONCLUSIONS: among independent community living older persons with a minor injury, cognitive impairment and mechanism of injury were independent risk factors for acute healthcare use. Future studies should look at whether tailored discharge planning can reduce the need for acute health care use.<p />  <p>Language: en</p>
LA  - en
SN  - 0002-0729
UR  - http://dx.doi.org/10.1093/ageing/afv054
ID  - ref1
ER  -