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Article: Utilization of emergency room and hospitalization by chinese nursing home residents: A cross-sectional study
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TitleUtilization of emergency room and hospitalization by chinese nursing home residents: A cross-sectional study
 
AuthorsTang, M3
Woo, J3 3
Hui, E3
Chan, F2
Lee, J3
Sham, A3
Chau, PH1
 
KeywordsChinese
Emergency room
Hospitalization
Nursing home
 
Issue Date2010
 
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jmda
 
CitationJournal Of The American Medical Directors Association, 2010, v. 11 n. 5, p. 325-332 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.jamda.2009.10.003
 
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.
 
ISSN1525-8610
2012 Impact Factor: 5.302
2012 SCImago Journal Rankings: 0.841
 
DOIhttp://dx.doi.org/10.1016/j.jamda.2009.10.003
 
ISI Accession Number IDWOS:000279028200007
Funding AgencyGrant Number
S. K. Yee Medical Foundation
Funding Information:

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

 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorTang, M
 
dc.contributor.authorWoo, J
 
dc.contributor.authorHui, E
 
dc.contributor.authorChan, F
 
dc.contributor.authorLee, J
 
dc.contributor.authorSham, A
 
dc.contributor.authorChau, PH
 
dc.date.accessioned2010-12-23T08:46:38Z
 
dc.date.available2010-12-23T08:46:38Z
 
dc.date.issued2010
 
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.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationJournal Of The American Medical Directors Association, 2010, v. 11 n. 5, p. 325-332 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.jamda.2009.10.003
 
dc.identifier.doihttp://dx.doi.org/10.1016/j.jamda.2009.10.003
 
dc.identifier.epage332
 
dc.identifier.hkuros177122
 
dc.identifier.isiWOS:000279028200007
Funding AgencyGrant Number
S. K. Yee Medical Foundation
Funding Information:

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

 
dc.identifier.issn1525-8610
2012 Impact Factor: 5.302
2012 SCImago Journal Rankings: 0.841
 
dc.identifier.issue5
 
dc.identifier.pmid20511099
 
dc.identifier.scopuseid_2-s2.0-77953349001
 
dc.identifier.spage325
 
dc.identifier.urihttp://hdl.handle.net/10722/130082
 
dc.identifier.volume11
 
dc.languageeng
 
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jmda
 
dc.publisher.placeUnited States
 
dc.relation.ispartofJournal of the American Medical Directors Association
 
dc.relation.referencesReferences in Scopus
 
dc.subjectChinese
 
dc.subjectEmergency room
 
dc.subjectHospitalization
 
dc.subjectNursing home
 
dc.titleUtilization of emergency room and hospitalization by chinese nursing home residents: A cross-sectional study
 
dc.typeArticle
 
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<contributor.author>Woo, J</contributor.author>
<contributor.author>Hui, E</contributor.author>
<contributor.author>Chan, F</contributor.author>
<contributor.author>Lee, J</contributor.author>
<contributor.author>Sham, A</contributor.author>
<contributor.author>Chau, PH</contributor.author>
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Author Affiliations
  1. The University of Hong Kong
  2. Fung Yiu King Hospital
  3. Chinese University of Hong Kong