Factors associated with frequent use of emergency-department services in a geriatric population: a systematic review
Open accessAbstract
BACKGROUND: Frequent geriatric users of emergency departments (EDs) constitute a small group of individuals accounting for a disproportionately high number of ED visits. In addition to overcrowding, this situation might result in a less appropriate response to health needs and negative health impacts. Geriatric patients turn to EDs for a variety of reasons. A better understanding of the variables associated with frequent ED use will help implement interventions best suited for their needs. OBJECTIVE: This review aimed at identifying variables associated with frequent ED use by older adults. METHODS: For this systematic review, we searched Medline, CINAHL, Healthstar, and PsyINFO (before June 2018). Articles written in English or French meeting these criteria were included: targeting a population aged 65 years or older, reporting on frequent ED use, using an observational study design and multivariate regression analysis. The search was supplemented by manually examining the reference lists of relevant studies. Independent reviewers identified articles for inclusion, extracted data, and assessed quality with the JBI Critical Appraisal Checklist for Studies Reporting Prevalence. A narrative synthesis was done to combine the study results. A sensitivity analysis was performed to evaluate the effect of removing the studies not meeting the quality criteria. RESULTS: Out of 5096 references, 8 met our inclusion criteria. A high number of past hospital and ED admissions, living in a rural area adjacent to an urban center, low income, a high number of prescribed drugs, and a history of heart disease were associated with frequent ED use among older adults. In addition, having a principal-care physician and living in a remote rural area were associated with fewer ED visits. Some variables recognized in the literature as influencing ED use among older adults received scant consideration, such as comorbidity, dementia, and considerations related to primary-care and community settings. CONCLUSION: Further studies should bridge the gap in understanding and give a more global portrait by adding important personal variables such as dementia, organizational variables such as use of community and primary care, and contextual variables such as social and economic frailty.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
History of emergency department use has not consistently been identified as the strongest risk factor in existing literature.
“However, history of ED use has not consistently been identified as the strongest risk factor.35”
From Factors associated with recurrent emergency department visits among people living with dementia: A retrospective cohort study (2023) · cites this paper as [35]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823 · see citing works
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & the PRISMA Group* (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00135 · Cited by 37,554 · see citing works
Wang, G., Ma, R., Qiao, G., Wada, K., Aizawa, Y., & Satoh, T. (2015) · Integrative Medicine International · doi:10.1159/000368408 · Cited by 18,759 · see citing works
What is polypharmacy? A systematic review of definitions
Masnoon, N., Shakib, S., Ellett, L. M. K., & Caughey, G. E. (2017) · BMC Geriatrics · doi:10.1186/s12877-017-0621-2 · Cited by 3,444 · see citing works
Aminzadeh, F., & Dalziel, W. B. (2002) · Annals of Emergency Medicine · doi:10.1067/mem.2002.121523 · Cited by 1,119 · see citing works
Babitsch, B., Gohl, D., & Von Lengerke, T. (2012) · German Medical Science GMS Publishing House · doi:10.3205/psm000089 · Cited by 1,011 · see citing works
Guidance on the conduct of narrative synthesis in sytematic reviews
Popay, J., Roberts, H. M., Sowden, A. J., Petticrew, M. P., Arai, L., Rodgers, M., & Britten, N. (2006) · Cited by 690 · see citing works
Frequent Users of Emergency Departments: The Myths, the Data, and the Policy Implications
LaCalle, E., & Rabin, E. (2010) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2010.01.032 · Cited by 648 · see citing works
Characteristics of Frequent Users of Emergency Departments
Hunt, K. A., Weber, E. J., Showstack, J. A., Colby, D. C., & Callaham, M. L. (2006) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2005.12.030 · Cited by 558 · see citing works
Allin, S. M., Grignon, M., & Grand, J. L. (2009) · Social Science & Medicine · doi:10.1016/j.socscimed.2009.10.027 · Cited by 417 · see citing works
Carpenter, C. R., Shelton, E., Fowler, S. A., Suffoletto, B. P., Platts‐Mills, T. F., Rothman, R. E., & Hogan, T. M. (2015) · Academic Emergency Medicine · doi:10.1111/acem.12569 · Cited by 347 · see citing works
Gruneir, A., Silver, M., & Rochon, P. A. (2010) · Medical Care Research and Review · doi:10.1177/1077558710379422 · Cited by 286 · see citing works
Return to the Emergency Department among Elders: Patterns And Predictors
McCusker, J., Cardin, S., Bellavance, F., & Belzile, É. (2000) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2000.tb01070.x · Cited by 266 · see citing works
Doupe, M. B., Palatnick, W., Day, S., Chateau, D., Soodeen, R.-A., Burchill, C., & Derksen, S. (2012) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2011.11.036 · Cited by 253 · see citing works
Carroll, C., Booth, A., & Lloyd-Jones, M. (2012) · Qualitative Health Research · doi:10.1177/1049732312452937 · Cited by 248 · see citing works
Frequent Users of Emergency Department Services: Gaps in Knowledge and a Proposed Research Agenda
Pines, J. M., Asplin, B. R., Kaji, A. H., Lowe, R. A., Magid, D. J., Raven, M. C., Weber, E. J., & Yealy, D. M. (2011) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2011.01086.x · Cited by 221 · see citing works
Defining frequent use of an urban emergency department
Locker, T. E., Baston, S., Mason, S. M., & Nicholl, J. P. (2007) · Emergency Medicine Journal · doi:10.1136/emj.2006.043844 · Cited by 221 · see citing works
Herr, M., Robine, J., Pinot, J., Arvieu, J., & Ankri, J. (2015) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.3772 · Cited by 216 · see citing works
Determinants of Emergency Department Visits by Older Adults: A Systematic Review
McCusker, J., Karp, I., Cardin, S., Durand, P. J., & Morin, J. (2003) · Academic Emergency Medicine · doi:10.1197/s1069-6563(03)00539-6 · Cited by 207 · see citing works
Individual predictors of frequent emergency department use: a scoping review
Krieg, C., Hudon, C., Chouinard, M., & Dufour, I. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1852-1 · Cited by 194 · see citing works
Self-citationChapter 5: Systematic reviews of prevalence and incidence
Munn, Z., Moola, S., Lisy, K., Riitano, D., & Tufanaru, C. (2019) · JBI eBooks · doi:10.46658/jbirm-17-05 · Cited by 193 · see citing works
Older Adults’ Social Relationships and Health Care Utilization: A Systematic Review
Valtorta, N., Moore, D. C., Barron, L., Stow, D., & Hanratty, B. (2018) · American Journal of Public Health · doi:10.2105/ajph.2017.304256 · Cited by 191 · see citing works
Mondor, L., Maxwell, C. J., Hogan, D. B., Bronskill, S. E., Gruneir, A., Lane, N. E., & Wodchis, W. P. (2017) · PLOS Medicine · doi:10.1371/journal.pmed.1002249 · Cited by 173 · see citing works
Chapter 5: Systematic reviews of prevalence and incidence
(2020) · JBI eBooks · doi:10.46658/jbimes-20-06 · Cited by 172 · see citing works
Predictors of Repeat Emergency Department Visits by Elders
McCusker, J., Healey, E., Bellavance, F., & Connolly, B. (1997) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.1997.tb03582.x · Cited by 168 · see citing works
Soril, L. J. J., Leggett, L. E., Lorenzetti, D., Noseworthy, T., & Clement, F. M. (2016) · Health Policy · doi:10.1016/j.healthpol.2016.02.006 · Cited by 140 · see citing works
Bo, M., Fonte, G., Pivaro, F., Bonetto, M., Comi, C., Giorgis, V. D., Marchese, L., Isaia, G., Maggiani, G. S. G., Furno, E., et al. (2015) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/ggi.12471 · Cited by 139 · see citing works
Katikireddi, S. V., Egan, M., & Petticrew, M. (2015) · Journal of Epidemiology and Community Health · doi:10.1136/jech-2014-204711 · Cited by 126 · see citing works
Legramante, J. M., Morciano, L., Lucaroni, F., Gilardi, F., Caredda, E., Pesaresi, A., Coscia, M., Orlando, S., Brandi, A., Giovagnoli, G., et al. (2016) · PLoS ONE · doi:10.1371/journal.pone.0165939 · Cited by 126 · see citing works
Adverse events in patients with return emergency department visits
Calder, L., Pozgay, A., Riff, S., Rothwell, D., Youngson, E. R. E., Mojaverian, N., Cwinn, A. A., & Forster, A. J. (2014) · BMJ Quality & Safety · doi:10.1136/bmjqs-2014-003194 · Cited by 120 · see citing works
Hullick, C., Conway, J., Higgins, I. J., Hewitt, J., Dilworth, S., Holliday, E. G., & Attia, J. (2016) · BMC Geriatrics · doi:10.1186/s12877-016-0279-1 · Cited by 117 · see citing works
Functional Decline in Hospitalized Older Adults: Can Nursing Make a Difference?
Boltz, M. P., Resnick, B. M., Capezuti, E., Shuluk, J., & Secic, M. (2012) · Geriatric Nursing · doi:10.1016/j.gerinurse.2012.01.008 · Cited by 103 · see citing works
The effect of the doctor-patient relationship on emergency department use among the elderly
Rosenblatt, R. A., Wright, G. E., Baldwin, L., Chan, L. E., Clitherow, P., Chen, F. M., & Hart, L. G. (2000) · American Journal of Public Health · doi:10.2105/ajph.90.1.97 · Cited by 101 · see citing works
Laflamme, L., Monárrez‐Espino, J., Johnell, K., Elling, B. F., & Möller, J. (2015) · PLoS ONE · doi:10.1371/journal.pone.0123390 · Cited by 96 · see citing works
The heaviest repeat users of an inner city emergency department are not general practice patients
Dent, A. W., Phillips, G. A., Chenhall, A. J., & McGregor, L. R. (2003) · Emergency Medicine Australasia · doi:10.1046/j.1442-2026.2003.00470.x · Cited by 90 · see citing works
Ruiz, S., Snyder, L. P., Rotondo, C., Cross‐Barnet, C., Colligan, E. M., & Giuriceo, K. D. (2017) · Health Affairs · doi:10.1377/hlthaff.2016.1305 · Cited by 82 · see citing works
Emergency Department Visits and Primary Care Among Adults With Chronic Conditions
McCusker, J., Roberge, D., Lévesque, J.-F., Ciampi, A., Vadeboncoeur, A., Larouche, D., & Sanche, S. (2010) · Medical Care · doi:10.1097/mlr.0b013e3181eaf86d · Cited by 75 · see citing works
Older people in the emergency department: a literature review
Šteinmiller, J., Routasalo, P. E., & Suominen, T. (2015) · International Journal of Older People Nursing · doi:10.1111/opn.12090 · Cited by 72 · see citing works
Parboosingh, E. J., & Larsen, D. E. (1987) · Medical Care · doi:10.1097/00005650-198712000-00003 · Cited by 71 · see citing works
Hossain, M. M., & Laditka, J. N. (2009) · International Journal of Health Geographics · doi:10.1186/1476-072x-8-51 · Cited by 70 · see citing works
Hunt, L. J., Coombs, L. A., & Stephens, C. E. (2018) · Journal of Gerontological Nursing · doi:10.3928/00989134-20171206-01 · Cited by 56 · see citing works
(1951) · Postgraduate Medical Journal · doi:10.1136/pgmj.27.308.314-a · Cited by 54 · see citing works
Naughton, C., Drennan, J., Treacy, P., Fealy, G., Kilkenny, M., Johnson, F., & Butler, M. (2010) · Emergency Medicine Journal · doi:10.1136/emj.2009.077917 · Cited by 52 · see citing works
Emergency department use by the rural elderly
Lishner, D. M., Rosenblatt, R. A., Baldwin, L., & Hart, L. G. (2000) · Journal of Emergency Medicine · doi:10.1016/s0736-4679(99)00217-6 · Cited by 48 · see citing works
Determinants of recourse to hospital treatment in the elderly
Sona, A., Maggiani, G. S. G., Astengo, M. A., Comba, M., Chiusano, V., Isaia, G., Merlo, C., Pricop, L., Quagliotti, E., Moiraghi, C., et al. (2011) · European Journal of Public Health · doi:10.1093/eurpub/ckr008 · Cited by 40 · see citing works
Multimorbidity patterns of and use of health services by Swedish 85-year-olds: an exploratory study
Dong, H., Wressle, E., & Marcusson, J. O. (2013) · BMC Geriatrics · doi:10.1186/1471-2318-13-120 · Cited by 37 · see citing works
Atenstaedt, R. L., Gregory, J., Price-Jones, C., Newman, J., Roberts, L., & Turner, J. (2014) · European Journal of Emergency Medicine · doi:10.1097/mej.0000000000000224 · Cited by 36 · see citing works
Schamess, A., Foraker, R. E., Kretovics, M., Barnes, K. D., Beatty, S. J., Bose‐Brill, S., & Tayal, N. H. (2016) · Disability and health journal · doi:10.1016/j.dhjo.2016.10.004 · Cited by 31 · see citing works
Franchi, C., Cartabia, M., Santalucia, P., Baviera, M., Mannucci, P. M., Fortino, I., Bortolotti, A., Merlino, L. G., Monzani, V., Clavenna, A., et al. (2016) · Aging Clinical and Experimental Research · doi:10.1007/s40520-016-0550-5 · Cited by 30 · see citing works
Primary Care Availability and Emergency Department Use by Older Adults: A Population‐Based Analysis
Hunold, K. M., Richmond, N. L., Waller, A. E., Cutchin, M. P., Voss, P. R., & Platts‐Mills, T. F. (2014) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12984 · Cited by 23 · see citing works
Health care utilization before and after an outpatient ED visit in older people
Horney, C., Schmader, K., Sanders, L. L., Heflin, M., Ragsdale, L., McConnell, E., Hocker, M., & Hastings, S. N. (2012) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2010.10.036 · Cited by 21 · see citing works
Pinsonnault, E., Dubuc, N., Desrosiers, J., Delli-Colli, N., & Hébert, R. (2007) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2007.10.001 · Cited by 21 · see citing works
Self-citationFrequency and costs of hospital transfers for ambulatory care-sensitive conditions.
Axon, R. N., Gebregziabher, M., Craig, J. B., Zhang, J., Mauldin, P. D., & Moran, W. P. (2015) · PubMed · Cited by 19 · see citing works
Flagged first, then by citations
1 of the 55 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Discrimination and Medical Mistrust in a Racially and Ethnically Diverse Sample of California Adults
Bazargan, M., Cobb, S., & Assari, S. (2021) · The Annals of Family Medicine · doi:10.1370/afm.2632 · Cited by 408 · see citing works
Arsenault‐Lapierre, G., Bui, T., Berre, M. L., Bergman, H., & Vedel, I. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-09100-8 · Cited by 83 · see citing works
Prospective Evaluation of Delirium in Geriatric Patients Undergoing Emergency General Surgery
Saljuqi, A. T., Hanna, K., Asmar, S., Tang, A. L., Zeeshan, M., Gries, L. M., Ditillo, M. F., Kulvatunyou, N., Castañón, L., & Joseph, B. A. (2020) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2020.01.029 · Cited by 51 · see citing works
Conneely, M., Leahy, S., Dore, L., Trépel, D., Robinson, K., Jordan, F., & Galvin, R. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-03007-5 · Cited by 49 · see citing works
Dufour, I., Chiu, Y. M., Courteau, J., Chouinard, M., Dubuc, N., & Hudon, C. (2020) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/ggi.13875 · Cited by 36 · see citing works
Self-citationMemedovich, A., Asante, B. O., Khan, M., Eze, N., Holroyd, B. R., Lang, E., Kashuba, S., & Clement, F. M. (2024) · International Journal of Emergency Medicine · doi:10.1186/s12245-024-00584-7 · Cited by 38 · see citing works
Jones, A., Bronskill, S. E., Seow, H., Junek, M., Feeny, D., & Costa, A. P. (2020) · PLoS ONE · doi:10.1371/journal.pone.0234205 · Cited by 37 · see citing works
Freak‐Poli, R., Hu, J., Phyo, A. Z. Z., & Barker, F. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20064853 · Cited by 36 · see citing works
Moe, J., O’Sullivan, F., McGregor, M. J., Schull, M. J., Dong, K. A., Holroyd, B. R., Grafstein, E., Hohl, C. M., Trimble, J., & McGrail, K. M. (2021) · CMAJ Open · doi:10.9778/cmajo.20200168 · Cited by 34 · see citing works
Ng, C., Chien, L., Huang, C., Chaou, C., Gao, S.-Y., Sherry, Y.-H. C., Hsu, K., & Chien, C. (2023) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2023.01.002 · Cited by 34 · see citing works
Predictors of Emergency Room Access and Not Urgent Emergency Room Access by the Frail Older Adults
Gentili, S., Gialloreti, L. E., Riccardi, F., Scarcella, P., & Liotta, G. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.721634 · Cited by 25 · see citing works
Appropriateness of frequent use of emergency departments: A retrospective analysis in Rome, Italy
Furia, G., Vinci, A., Colamesta, V., Papini, P., Grossi, A., Cammalleri, V., Chierchini, P., Maurici, M., Damiani, G., & Vito, C. D. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1150511 · Cited by 24 · see citing works
High‐need high‐cost patients: A Concept Analysis
Bilazarian, A. (2020) · Nursing Forum · doi:10.1111/nuf.12500 · Cited by 22 · see citing works
Nishioka, D., Saito, J., Ueno, K., & Kondo, N. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-038663 · Cited by 21 · see citing works
Shaban, M., Ramadan, O. M. E., Zaky, M. E., Abdallah, H. M. M., Mohammed, H. H., & Abdelgawad, M. E. (2024) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2024.105323 · Cited by 19 · see citing works
Mota‐Romero, E., Tallón-Martín, B., García-Ruiz, M. P., Puente‐Fernández, D., García‐Caro, M. P., & Montoya‐Juárez, R. (2021) · Medicina · doi:10.3390/medicina57010070 · Cited by 19 · see citing works
Profiles of Frequent Geriatric Users of Emergency Departments: A Latent Class Analysis
Dufour, I., Dubuc, N., Chouinard, M., Chiu, Y. M., Courteau, J., & Hudon, C. (2020) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16921 · Cited by 17 · see citing works
Self-citationKayser, J., Morrow-Howell, N. L., Rosen, T., Skees, S., Doering, M. M., Clark, S., Hurka-Richardson, K., Shams, R. B., Ringer, T. J., Hwang, U., et al. (2021) · Journal of Elder Abuse & Neglect · doi:10.1080/08946566.2021.1904313 · Cited by 17 · see citing works
Predictors of return visits to the emergency department among different age groups of older adults
Oliveira J. e Silva, L., Jeffery, M. M., Campbell, R. L., Mullan, A. F., Takahashi, P. Y., & Bellolio, F. (2021) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2020.07.042 · Cited by 16 · see citing works
Franz, K., Deutschbein, J., Riedlinger, D., Pigorsch, M., Schenk, L., Lindner, T., Möckel, M. M., Norman, K., & Müller‐Werdan, U. (2023) · Frontiers in Medicine · doi:10.3389/fmed.2023.1173528 · Cited by 16 · see citing works
Recruiting patients for falls prevention in the emergency department – worth the challenge
Stuckenschneider, T., Schmidt, L., Speckmann, E.-M., Koschate, J., & Zieschang, T. (2023) · BMC Geriatrics · doi:10.1186/s12877-023-04607-5 · Cited by 16 · see citing works
Hu, Z., Siddiqui, F. J., Fan, Q., Lian, S., Liu, N., & Ong, M. E. H. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-07309-z · Cited by 13 · see citing works
Klunder, J. H., Bordonis, V., Heymans, M. W., van der Roest, H. G., Declercq, A., Smit, J. H., Garms-Homolová, V., Jónsson, P. V., Finne‐Soveri, H., Onder, G., et al. (2021) · BMC Geriatrics · doi:10.1186/s12877-021-02521-2 · Cited by 12 · see citing works
Conneely, M., Leahy, A. M., O’Connor, M., Barry, L. A., Corey, G., Griffin, A., O’Shaughnessy, Í., O’Carroll, I., Leahy, S., Trépel, D., et al. (2022) · Pilot and Feasibility Studies · doi:10.1186/s40814-021-00954-5 · Cited by 12 · see citing works
Melchiorre, M. G., D’Amen, B., Quattrini, S., Lamura, G., & Socci, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214775 · Cited by 12 · see citing works
de Luca, K. E., McLachlan, A. J., Maher, C. G., & Machado, G. C. (2023) · BMC Emergency Medicine · doi:10.1186/s12873-023-00789-8 · Cited by 12 · see citing works
(2022) · Archives of Academic Emergency Medicine · doi:10.22037/aaem.v10i1.1545 · Cited by 11 · see citing works
Disparities in outcomes of COVID-19 hospitalizations in native American individuals
Bime, C., Wang, Y., Carr, G. E., Swearingen, D., Kou, S., Thompson, P., Kusupati, V., & Parthasarathy, S. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1220582 · Cited by 10 · see citing works
Conneely, M., Robinson, K., Leahy, S., Trépel, D., Jordan, F., & Galvin, R. (2021) · HRB Open Research · doi:10.12688/hrbopenres.13027.2 · Cited by 9 · see citing works
Emergency Department Use Among Adults Receiving Dialysis
Ronksley, P. E., Scory, T. D., McRae, A. D., MacRae, J. M., Manns, B., Lang, E., Donald, M., Hemmelgarn, B. R., & Elliott, M. J. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.13754 · Cited by 10 · see citing works
Pietrantonio, F., Florczak, M., Kühn, S., Karberg, K., Leung, T. I., Said-Criado, I., Sikorski, S., Ruggeri, M., Signorini, A., Rosiello, F., et al. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1370555 · Cited by 11 · see citing works
Deutschbein, J., Wagenknecht, A., Gilles, G., Möckel, M. M., & Schenk, L. (2024) · BMC Geriatrics · doi:10.1186/s12877-024-05429-9 · Cited by 9 · see citing works
Jones, A., Watt, J. A., Maclagan, L. C., Swayze, S., Jaakkimainen, L., Schull, M. J., & Bronskill, S. E. (2023) · Journal of the American Geriatrics Society · doi:10.1111/jgs.18457 · Cited by 8 · see citing works
Jehloh, L., Songwathana, P., & Sae‐Sia, W. (2022) · Belitung Nursing Journal · doi:10.33546/bnj.2100 · Cited by 8 · see citing works
Characteristics and Resource Utilization Associated with Frequent Users of Emergency Departments
Lee, W.-L., Chen, W., Hsiao, F., Huang, C., & Huang, L. (2022) · Emergency Medicine International · doi:10.1155/2022/8064011 · Cited by 8 · see citing works
Bloomfield, K., Wu, Z., Tatton, A., Calvert, C., Peel, N. M., Hubbard, R. E., Jamieson, H. A., Hikaka, J., Boyd, M. L., Bramley, D. M., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0264715 · Cited by 7 · see citing works
The role of social connections and support in the use of emergency care among older adults
Naseer, M., Dahlberg, L., Ehrenberg, A., Schön, P., & Calderón‐Larrañaga, A. (2023) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2023.105010 · Cited by 6 · see citing works
Lønhaug-Næss, M., Jakobsen, M. D., Blix, B. H., Bergmo, T. S., Hoben, M., & Moholt, J.-M. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-074411 · Cited by 6 · see citing works
Hone, T., Macinko, J. A., Trajman, A., Palladino, R., Coeli, C. M., Saraceni, V., Rasella, D., Durovni, B., & Millett, C. J. (2022) · The Lancet Regional Health - Americas · doi:10.1016/j.lana.2022.100363 · Cited by 6 · see citing works
Nishioka, D., Kino, S., Ueno, K., & Kondo, N. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-054035 · Cited by 6 · see citing works
How socioeconomic status shapes health outcomes following severe falls: a cross-sectional analysis
Speckmann, E.-M., Schwettmann, L., Himmelmann, L., Zieschang, T., & Stuckenschneider, T. (2025) · BMC Geriatrics · doi:10.1186/s12877-025-06198-9 · Cited by 5 · see citing works
Marshall, C. S., Kumar, A., Saraiva, S., West, R. M., Mason, S. M., Burton, C. D., Feltz-Cornelis, C. M. V. D., Lee, W. E., Bojke, C., Mattock, R., et al. (2025) · BMJ Open · doi:10.1136/bmjopen-2025-105840 · Cited by 5 · see citing works
Cetin‐Sahin, D., McCusker, J., Ciampi, A., Cossette, S., Vadeboncœur, A., Vu, T. T. M., Veillette, N., Ducharme, F., Belzile, É., Lachance, P.-A., et al. (2021) · International Emergency Nursing · doi:10.1016/j.ienj.2021.101049 · Cited by 5 · see citing works
Assessing the reach and safety of an innovative urgent care service tailored to older adults
Greene, L., Crotty, M., Whitehead, C., Rahja, M., Murad, J., Dang, K., Partington, A., & Laver, K. (2024) · Australian Journal on Ageing · doi:10.1111/ajag.13267 · Cited by 5 · see citing works
Phoemlap, P., Vadcharavivad, S., Musikatavorn, K., & Areepium, N. (2024) · BMC Emergency Medicine · doi:10.1186/s12873-024-01102-x · Cited by 5 · see citing works
Beauchet, O., Afilalo, M., Allali, G., Lubov, J., Galéry, K., & Launay, C. P. (2022) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000524533 · Cited by 5 · see citing works
Abraham, S. B., Pulkki, J., Aaltonen, M. S., Jämsen, E., Raitanen, J. A., & Enroth, L. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-12923-2 · Cited by 4 · see citing works
Kurteva, S., Tamblyn, R. M., & Meguerditchian, A. N. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-09854-1 · Cited by 4 · see citing works
Pietrantonio, F., Carrieri, C., Rosiello, F., Spandonaro, F., Vinci, A., & D’Angela, D. (2025) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph22040530 · Cited by 4 · see citing works
Smeekes, O. S., Willems, H. C., Blomberg, I., & Buurman, B. M. (2023) · European Geriatric Medicine · doi:10.1007/s41999-023-00816-8 · Cited by 4 · see citing works
ASA 2022 Data-Driven Decision Making
Edited by: Enrico di Bella, L. F., Fabbris, L., di Bella, E., & Lagazio, C. (2023) · Proceedings e report · doi:10.36253/979-12-215-0106-3 · Cited by 6 · see citing works
Kelekar, U., Abdesslem, A. B., Gupta, D. D., Tran, D., Shepherd, J. G., & Turner, S. C. (2025) · World Medical & Health Policy · doi:10.1002/wmh3.70009 · Cited by 3 · see citing works
Multimorbity in brazilian elderly and the relationship with the use of health services
Bordin, D., Michalski, J., BARBOSA, J. L. I., Bordin, R., Bernartt, M. D. L., & Lima, M. L. (2022) · Sağlık Akademisi Kastamonu · doi:10.25279/sak.1088575 · Cited by 2 · see citing works
Furia, G., Vinci, A., Lombardo, P., Papini, P., Barbará, A., Mataloni, F., Martino, M. D., Davoli, M., Maurici, M., Damiani, G., et al. (2025) · Healthcare · doi:10.3390/healthcare13202609 · Cited by 2 · see citing works
Ohta, R., Tsumura, K., & Sano, C. (2024) · Cureus · doi:10.7759/cureus.65585 · Cited by 2 · see citing works
Kang, H., Fernandes, L., & Riordan, J. P. (2024) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2024.12.010 · Cited by 2 · see citing works
Acute Care Use and Prognosis in Older Adults Presenting to the Emergency Department
Adeyemi, O. J., Hill, J., Siman, N., Goldfeld, K. S., Cuthel, A. M., & Grudzen, C. R. (2025) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2025.01.006 · Cited by 2 · see citing works
Racine-Hemmings, F., Vanasse, A., Lacasse, A., Chiu, Y. M., Courteau, J., Dépelteau, A., & Hudon, C. (2022) · Emergency Medicine Journal · doi:10.1136/emermed-2021-211180 · Cited by 2 · see citing works
Self-citationCetin‐Sahin, D., Ducharme, F., McCusker, J., Magalhaes, M., Veillette, N., Lachance, P.-A., Cossette, S., Vadeboncœur, A., Mah, R., Vu, T. T. M., et al. (2022) · Journal of Geriatric Emergency Medicine · doi:10.17294/2694-4715.1033 · Cited by 2 · see citing works
Hu, Z., Siddiqui, F. J., Fan, Q., Lian, S. W. Q., Liu, N., & Ong, M. E. H. (2021) · Research Square · doi:10.21203/rs.3.rs-571723/v1 · Cited by 2 · see citing works
Kurteva, S., Abrahamowicz, M., Beauchamp, M., & Tamblyn, R. M. (2023) · American Journal of Epidemiology · doi:10.1093/aje/kwad115 · Cited by 1 · see citing works
Hoitinga, G., Vroomen, J. L. M., Kolk, D., Rijkenberg, S., Melkert, K., & Buurman, B. M. (2024) · Journal of Advanced Nursing · doi:10.1111/jan.16658 · Cited by 1 · see citing works
Yap, C. Y. L., Haywood, C. J., Amadoru, S., Yates, P. A., Ho, L., Murray, M., Lee, K., Wong, L. Y., Osman, A. D., & Braitberg, G. (2025) · European Geriatric Medicine · doi:10.1007/s41999-025-01394-7 · Cited by 1 · see citing works
Janerka, C., Nosaka, K., Alejandro, A. L., Hughes, J., Azlan, N. R., Rashidi, A., Zhao, W., & Saunders, R. (2026) · Australasian Emergency Care · doi:10.1016/j.auec.2025.12.001 · Cited by 1 · see citing works
Social risks of geriatric patients presenting to the emergency department
Stillman, K., Dahlke, L., Aharonyan, L., Lauzon, M., Lawton, A., Stang, C., Geiderman, J. M., Rosen, S. L., & Torbati, S. S. (2026) · BMC Geriatrics · doi:10.1186/s12877-026-07186-3 · Cited by 1 · see citing works
Stuckenschneider, T., Oswald, F., Grenz, A., Himmelmann, L., Schmidt, N. M., Speckmann, E.-M., Zieschang, T., & Boerner, K. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1839024 · Cited by 1 · see citing works
Factors associated with healthcare utilization and trajectories in retirement village residents
Bloomfield, K., Wu, Z., Broad, J., Tatton, A., Calvert, C., Hikaka, J., Boyd, M. L., Peri, K., Bramley, D. M., Higgins, A., et al. (2021) · Journal of the American Geriatrics Society · doi:10.1111/jgs.17602 · Cited by 1 · see citing works
Chiu, W., Yeh, T., & Yang, C.-C. (2023) · International Journal of Health Policy and Management · doi:10.34172/ijhpm.2023.7377 · Cited by 1 · see citing works
Moholt, J.-M., Arntzen, C., Høyem, A., & Blix, B. H. (2025) · BMC Geriatrics · doi:10.1186/s12877-025-06279-9 · Cited by 1 · see citing works
Gomes, I. D., & Almeida, A. S. (2021) · New Trends in Qualitative Research · doi:10.36367/ntqr.8.2021.600-605 · Cited by 1 · see citing works
Conneely, M., Robinson, K., Leahy, S., Trépel, D., Jordan, F., & Galvin, R. (2020) · HRB Open Research · doi:10.12688/hrbopenres.13027.1 · Cited by 1 · see citing works
Isemann, C. R., Righi, L., Trapassi, S., & Maggesi, A. (2021) · Italian Journal of Emergency Medicine · doi:10.23736/s2532-1285.20.00043-9
Os motivos que levam as pessoas idosas a recorrer frequentemente ao serviço de urgência
Almeida, A. S., & Gomes, I. D. (2021) · Revista Brasileira em Promoção da saúde · doi:10.5020/18061230.2021.13428
Klunder, J. H., Bordonis, V., Heymans, M. W., van der Roest, H. G., Declercq, A., Smit, J. H., Garms-Homolová, V., Jónsson, P. V., Finne‐Soveri, H., Onder, G., et al. (2021) · Research Square · doi:10.21203/rs.3.rs-443202/v1
Kearney, G. D., Hylock, R. H., Park, Y. M., Jones, K. T., Wall, B., Howard, R., Iyer, P., Clay, M. C., Endres‐Dighe, S. M., Stoner, M. C. D., et al. (2023) · North Carolina Medical Journal · doi:10.18043/001c.67819
Mendonça, S. M. S., Nogueira, M. J., & Ramos, A. F. (2023) · Lecture notes in bioengineering · doi:10.1007/978-3-031-29067-1_34
Dufour, I., Dubuc, N., Chouinard, M., & Hudon, C. (2022) · Geriatrics Gerontology and Aging · doi:10.53886/gga.e0220040
Self-citationEmergency Imaging of At-Risk Patients: General Principles
Hames, K., & Patlas, M. N. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-87661-2.00001-4
Marino, A., Pesce, M., & Succi, R. (2023) · Proceedings e report · doi:10.36253/979-12-215-0106-3.24
Hoitinga, G., Kolk, D., Vroomen, J. L. M., Rijkenberg, S., Melkert, K., & Buurman, B. M. (2023) · Research Square · doi:10.21203/rs.3.rs-3266237/v1
Evaluation of a Community Based Teaching Hospital’s Geriatric Emergency Medicine Initiative
Hartnett, J., Muronzi-Belfon, I., & Rose, S. J. (2023) · Journal of Geriatric Emergency Medicine · doi:10.17294/2694-4715.1065
Ling, T., Basic, D., Tcharkhedian, E., Campisi, J., Pringle, B., & Khoo, A. (2024) · Australian Journal on Ageing · doi:10.1111/ajag.13356
Polymyalgia Rheumatica Complicated by Nephrotic Syndrome in a Nonagenarian: A Case Report
Nakagawa, A., Yamamoto, N., Sano, C., & Ohta, R. (2024) · Cureus · doi:10.7759/cureus.66592
Tanaka, Y., Ohta, R., & Sano, C. (2024) · Cureus · doi:10.7759/cureus.71168
Predictors, Diagnoses, and Costs of Emergency Department Visits among Home Care Clients
Björkstedt, E., Voutilainen, A., Hyttinen, V., Jyrkkä, J., Mäntyselkä, P. T., & Lönnroos, E. (2024) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2024.105308
Aljawder, N., Sinan, I., Qureshi, F., Bucheer, E., & Aljawder, A. (2024) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2024.07.003
The vital link between long-term care and health care systems
World Health Organization (2025) · World Health Organization eBooks · doi:10.2471/b09379
Swann‐Thomsen, H. E., Young, A., Hobbs, M. M., Flint, H. A., & Anderson, D. (2025) · Journal for Healthcare Quality · doi:10.1097/jhq.0000000000000482
Predicting risk of hospitalization among adult home care clients: An international perspective
Morris, J. N., Howard, E., Schachter, E., Burney, S. N., Laytham, A., Fialová, D., & Pešić, V. (2025) · Geriatric Nursing · doi:10.1016/j.gerinurse.2025.103418
Impacts of Residential Segregation and Comorbidity on Racial Disparities in Acute Care Utilization
Zeng, C., Lessani, M. N., Liu, J. B., Jarman, M. P., Ufere, N. N., Lau‐Min, K. S., Meyers, P. M., Qiao, S., Bryant, A., Kaur, M. N., et al. (2025) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-025-02574-8
Trajectories of Frequent Short-Term Emergency Department Visits Among Older Adults
Mah, R., McCusker, J., Belzile, É., Dorr, D. A., Cetin‐Sahin, D., & Chabot, J. ‐. (2025) · Cureus · doi:10.7759/cureus.93495
Yap, C. Y. L., Haywood, C. J., Amadoru, S., Yates, P. A., Ho, L., Murray, M. D., Lee, K. A., Wong, L. Y., Osman, A. D., & Braitberg, G. (2025) · Research Square · doi:10.21203/rs.3.rs-8051688/v1
Klunder, J. H., Bordonis, V., Heymans, M. W., van der Roest, H. G., Declercq, A., Smit, J. H., Garms-Homolová, V., Jónsson, P. V., Finne-Soveri, H., Onder, G., et al. (2021) · Figshare · doi:10.6084/m9.figshare.16815656
Conneely, M., Leahy, S., Dore, L., Trépel, D., Robinson, K., Jordan, F., & Galvin, R. (2022) · Figshare · doi:10.6084/m9.figshare.19918927
Klunder, J. H., Bordonis, V., Heymans, M. W., van der Roest, H. G., Declercq, A., Smit, J. H., Garms-Homolová, V., Jónsson, P. V., Finne-Soveri, H., Onder, G., et al. (2021) · Figshare · doi:10.6084/m9.figshare.16815650
Klunder, J. H., Bordonis, V., Heymans, M. W., van der Roest, H. G., Declercq, A., Smit, J. H., Garms-Homolová, V., Jónsson, P. V., Finne-Soveri, H., Onder, G., et al. (2021) · Figshare · doi:10.6084/m9.figshare.16815653
Klunder, J. H., Bordonis, V., Heymans, M. W., van der Roest, H. G., Declercq, A., Smit, J. H., Garms-Homolová, V., Jónsson, P. V., Finne-Soveri, H., Onder, G., et al. (2021) · Figshare · doi:10.6084/m9.figshare.16815638
Arsenault‐Lapierre, G., Bui, T., Berre, M. L., Bergman, H., & Vedel, I. (2024) · Figshare · doi:10.6084/m9.figshare.26565216
Arsenault‐Lapierre, G., Bui, T., Berre, M. L., Bergman, H., & Vedel, I. (2024) · Figshare · doi:10.6084/m9.figshare.26565222
- Authors
- Dufour, I., Chouinard, M.-C., Dubuc, N., Beaudin, J., Lafontaine, S., & Hudon, C.
- Affiliations
- Université de Sherbrooke (CA)
- Université du Québec à Chicoutimi (CA)
- Corresponding author
- Dufour, Isabelle
- ORCID
- Venue
- BMC Geriatrics
- Published
- 2019-07-05
- Volume
- 19
- Issue
- 1
- Pages
- 185-185
- ISSN
- 1471-2318 (ISSN-L)
- PMC
- PMC6610907
- OpenAlex
- W2953854953
- Cited by
- 128
- References
- 55
- Citations by year
- 2026: 11 · 2025: 15 · 2024: 27 · 2023: 23 · 2022: 21 · 2021: 22 · 2020: 9
- FWCI
- 3.34
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Geriatrics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Constellation (Université du Québec à Chicoutimi) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Keywords
- emergency department utilization, older adults, elderly patients, risk factors, hospitalization, rural residence, low income, polypharmacy, heart disease, primary care, community-based care, comorbidities, dementia, frailty
- MeSH terms
- Aged, Aged, 80 and over, Emergency Medical Services, Emergency Service, Hospital, Female, Geriatrics, Hospitalization, Humans, Male, Population Surveillance, Primary Health Care, Risk Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review