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Article: Utilization of emergency room and hospitalization by chinese nursing home residents: A cross-sectional study

TitleUtilization of emergency room and hospitalization by chinese nursing home residents: A cross-sectional study
Authors
KeywordsChinese
Emergency room
Hospitalization
Nursing home
Issue Date2010
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jmda
Citation
Journal Of The American Medical Directors Association, 2010, v. 11 n. 5, p. 325-332 How to Cite?
Abstract
Objectives: This study determined factors associated with increased use of emergency room (ER) and hospitalization of Chinese nursing home residents. Design: A cross-sectional study. Setting: The setting was 14 nursing homes in Hong Kong. Participants: Participants were 1820 Chinese nursing home residents. Measurements: Data on facility factors and resident factors were collected. Resident factors were mainly collected by the Minimum Data Set-Resident Assessment Instrument 2.0 (MDS-RAI 2.0). Results: Residing in a for-profit home (OR=6.51), having less than one third of time spent in activities (OR=1.84), having had recent fall (OR=3.81), having renal failure (OR=3.17), having had recent initiation of new medications (OR=1.42), and having had recent physician visit (OR=1.67) were factors associated with increased use of ER. Male gender (OR=1.49), having a body mass index (BMI) less than 18.5kg/m2 (OR=1.51), being more functionally dependent (OR=1.18 per 1-point increment in the ADL Hierarchy Scale), having higher burden of illness (OR=1.29 per 1-point increment in the CHESS score), having a feeding tube (OR=3.07), having an indwelling urinary catheter (OR=2.75), having had recent fall (OR=1.94), having respiratory tract infection (OR=2.05), having Parkinson's disease (OR=1.55), having anemia (OR=1.70), having had recent initiation of new medications (OR=2.08), and having had recent physician visit (OR=1.83) were factors associated with increased risk of hospitalization. Conclusions: Although some of the associated factors reflect frailty characteristics of residents, differences in association between for-profit and not-for-profit institutions provide evidence of overreliance on the ER, perhaps as a result of inadequate primary care support. © 2010 American Medical Directors Association.
Persistent Identifierhttp://hdl.handle.net/10722/130082
ISSN
2013 Impact Factor: 4.781
2013 SCImago Journal Rankings: 1.229
ISI Accession Number ID
Funding AgencyGrant Number
S. K. Yee Medical Foundation
Funding Information:

This study was supported by the S. K. Yee Medical Foundation.

References

 

DC FieldValueLanguage
dc.contributor.authorTang, Men_HK
dc.contributor.authorWoo, Jen_HK
dc.contributor.authorHui, Een_HK
dc.contributor.authorChan, Fen_HK
dc.contributor.authorLee, Jen_HK
dc.contributor.authorSham, Aen_HK
dc.contributor.authorChau, PHen_HK
dc.date.accessioned2010-12-23T08:46:38Z-
dc.date.available2010-12-23T08:46:38Z-
dc.date.issued2010en_HK
dc.identifier.citationJournal Of The American Medical Directors Association, 2010, v. 11 n. 5, p. 325-332en_HK
dc.identifier.issn1525-8610en_HK
dc.identifier.urihttp://hdl.handle.net/10722/130082-
dc.description.abstractObjectives: This study determined factors associated with increased use of emergency room (ER) and hospitalization of Chinese nursing home residents. Design: A cross-sectional study. Setting: The setting was 14 nursing homes in Hong Kong. Participants: Participants were 1820 Chinese nursing home residents. Measurements: Data on facility factors and resident factors were collected. Resident factors were mainly collected by the Minimum Data Set-Resident Assessment Instrument 2.0 (MDS-RAI 2.0). Results: Residing in a for-profit home (OR=6.51), having less than one third of time spent in activities (OR=1.84), having had recent fall (OR=3.81), having renal failure (OR=3.17), having had recent initiation of new medications (OR=1.42), and having had recent physician visit (OR=1.67) were factors associated with increased use of ER. Male gender (OR=1.49), having a body mass index (BMI) less than 18.5kg/m2 (OR=1.51), being more functionally dependent (OR=1.18 per 1-point increment in the ADL Hierarchy Scale), having higher burden of illness (OR=1.29 per 1-point increment in the CHESS score), having a feeding tube (OR=3.07), having an indwelling urinary catheter (OR=2.75), having had recent fall (OR=1.94), having respiratory tract infection (OR=2.05), having Parkinson's disease (OR=1.55), having anemia (OR=1.70), having had recent initiation of new medications (OR=2.08), and having had recent physician visit (OR=1.83) were factors associated with increased risk of hospitalization. Conclusions: Although some of the associated factors reflect frailty characteristics of residents, differences in association between for-profit and not-for-profit institutions provide evidence of overreliance on the ER, perhaps as a result of inadequate primary care support. © 2010 American Medical Directors Association.en_HK
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jmdaen_HK
dc.relation.ispartofJournal of the American Medical Directors Associationen_HK
dc.subjectChineseen_HK
dc.subjectEmergency roomen_HK
dc.subjectHospitalizationen_HK
dc.subjectNursing homeen_HK
dc.titleUtilization of emergency room and hospitalization by chinese nursing home residents: A cross-sectional studyen_HK
dc.typeArticleen_HK
dc.identifier.emailChau, PH: phpchau@hku.hken_HK
dc.identifier.authorityChau, PH=rp00574en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jamda.2009.10.003en_HK
dc.identifier.pmid20511099en_HK
dc.identifier.scopuseid_2-s2.0-77953349001en_HK
dc.identifier.hkuros177122en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77953349001&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume11en_HK
dc.identifier.issue5en_HK
dc.identifier.spage325en_HK
dc.identifier.epage332en_HK
dc.identifier.isiWOS:000279028200007-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridTang, M=36107171200en_HK
dc.identifier.scopusauthoridWoo, J=36040369400en_HK
dc.identifier.scopusauthoridHui, E=15123893300en_HK
dc.identifier.scopusauthoridChan, F=14059603800en_HK
dc.identifier.scopusauthoridLee, J=14028651000en_HK
dc.identifier.scopusauthoridSham, A=7004122137en_HK
dc.identifier.scopusauthoridChau, PH=7102266397en_HK

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