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http://dx.doi.org/10.22156/CS4SMB.2021.11.06.154

Comparison of the Presence of Multiple Chronic Diseases Older Adults Transferred from Long-term Care Hospitals to Emergency Departments  

Huh, Young-Jin (National Emergency Medical Center, National Medical Center)
Kim, Ji-Yeon (National Emergency Medical Center, National Medical Center)
Lee, Myoung-Hwa (National Emergency Medical Center, National Medical Center)
Oh, Mi-Ra (National Emergency Medical Center, National Medical Center)
Publication Information
Journal of Convergence for Information Technology / v.11, no.6, 2021 , pp. 154-161 More about this Journal
Abstract
This study analyzed the characteristics of the presence of multiple chronic diseases (MCDs) in older adults who transferred from long-term care hospitals (LTCHs) to emergency departments (EDs). According to the data from the national emergency department information system from January 1, to December 31, 2019, the number of older adults transferred from LTCHs to the ED due to chronic diseases was 13,608. Among those who MCDs, 79.9% were over 75 years old, and 74.0% were hospitalized for MCDs. The length of stay in the ED differed according to the presence of MCDs (P<0.001). As for the prevalence of MCDs, the odds ratio (OR) of the ED and in the hospitalized patients was high in Gwangju (OR 8.899 vs. 8.142) and Jeonbuk (OR 13.865 vs. 10.676). As described above, the characteristics of patients regarding the presence of MCDs varied according to age and region.
Keywords
Older adult; Long-term care hospital; Emergency department; Multiple chronic disease; Transferred;
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1 S. H. Lee et al. (2018). Effectiveness analysis and suggestion for management of multiple chronic diseases pilot project. Gyeonggi-do : NHIS Ilsan Hospital Imstitute of Health Insurance & Clinical Research.
2 K. Kim & D. H. Lee & H. Y. Yune & J. H. Wee. (2019). Identifying potentially avoidable emergency department visits of long-term care hospital residents in Korea: A multicenter retrospective cohort study. BioMed Research International, 2019(1), 1-7. DOI : 10.1155/2019/7041607   DOI
3 J. S. Kim & Y. J. Han. (2017). The Effect of Household Type on the Medical Burden of the Elderly Living in a Local Government that has Entered a Super-aged Society. The Korea Contents Association, 17(7), 610-621. DOI: 10.5392/JKCA.2017.17.07.610   DOI
4 S. M. Kim & Y. I. Kim. (2020.10.). 2019 National Health Insurance Statistical Yearbook. Gangwon-do : Health Insurance Review & Assessment Service.
5 J. H. Hwang & S. R. Kim & M. H. Won & D. K. Heo & J. H. Ann & D. S. Shin. (2019). Factors of Revisit of older adult that emergency departments, Journal of Digital Contents Society, 20(12), 2555-2563. DOI : 10.1016/j.archger.2019.103960   DOI
6 H. J. Cho et al. (2011). Analysis of Emergency Department Patients Transferred from Geriatric Hospitals - Case Series Descriptive Study. Journal of the Korean society of emergency medicine, 22(5), 531-535. DOI : 10.5392/JKCA.2017.17.07.610   DOI
7 L. L. Low et al. (2019). Epidemiologic characteristics of multimorbidity and sociodemographic factors associated with multimorbidity in a rapidly aging Asian country. JAMA Network Open, 2(11). DOI : 10.1001/jamanetworkopen.2019.15245   DOI
8 M. H. Lee & J. Y. Kim & Y. J. Huh & M. R. Oh. (2021). Trend of Emergency Department Visits for Elderly Patients with Chronic Diseases : 2014-2019. Journal of Convergence for Information Technology, 11(1), 183-190. DOI : 10.22156/CS4SMB.2021.11.01.183   DOI
9 T. Xia & J. Enticott & C. Pearce & D. Mazza & L. R. Turner. (2020). Predictors of ED attendance in older patients with chronic disease: a data linkage study. Australian Health Review, 44(4), 550-556. DOI : 10.1071/AH19169   DOI
10 A. A. Uijen & E. H. Lisdonk. (2009). Multimorbidity in primary care: Prevalence and trend over the last 20 years. European Journal of General Practice, 14(1), 28-32. DOI : 10.1080/13814780802436093   DOI
11 https://data.oecd.org/pop/elderly-population.htm
12 K. W. Kim & S. N. Jang. (2016). Characteristics and mortality risk factors in geriatric hospital patients visiting one region-wide emergency department. Korean Academy of Community Health Nursing, 27(40), 327-336. DOI : 10.12799/jkachn.2016.27.4.327   DOI
13 H. Ga. (2017). Establishing the role of nursing hospitals and nursing facilities. Seoul : Research Institute for Health Policy
14 N. S. Kim et al. (2018). A Report on the Korea health panel survey of 2016: Chronic disease, morbidity, health behaviour and health status. Sejong : Korea Institute for Health and Social Affairs.
15 M. P. Powell & X. Yu & O. Isehunwa & C. F. Chang. (2017). National trends in hospital emergency department visits among those with and without multiple chronic conditions, 2007-2012. Hospital topics, 96(10), 1-8. DOI : 10.1080/00185868.2017.1349523   DOI
16 E. G. Marshall & B. Clarke & F. Burge & N. Varatharasan & G. Archibald & M. K. Andrew. (2019). Improving continuity of care reduces emergency department visits by long-term care residents. The Journal of the American Board of Family Medicine, 29(2), 201-208. DOI : 10.3122/jabfm.2016.12.150309   DOI
17 S. E. Lemoyne & H. H. Herbots & D. D. Blick & R. Remmen & K. G. Monsieurs & P. V. Bogaert. (2019). Appropriateness of transferring nursing home residents to emergency departments: a systematic review. BMC Geriatrics, 19(1). DOI : 10.1186/s12877-019-1028-z.   DOI
18 A. Cassell et al. (2018). The epidemiology of multimorbidity in primary care: a retrospective cohort study. British Journal of General Practice, 68(669), 245-251. DOI : 10.3399/bjgp18X695465   DOI
19 D. C. Roberts & M. P. McKay & A. Shaffer. (2008). Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003. Annals of Emergency Medicine, 51(6), 769-774. DOI: 10.1016/j.annemergmed.2007.09.011   DOI
20 J. P. Stuttard & M. Ezzati & E. W. Gregg. (2019). Multimorbidity-a defining challenge for health systems. The Lancet Public Health, 4(12), 599-600. DOI : 10.1016/S2468-2667(19)30222-1   DOI
21 Statistics Korea. (2020). 2020 Statistics on the Aged (Online). http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=385322
22 Y. K. Lee. (2018). Health and Care of Older Adults in Korea. Health and Welfare Policy Forum, 264, 19-30.
23 https://www.nia.nih.gov/health/supporting-older-patients-chronic-conditions
24 M. E. Salive. (2013). Multimorbidity in order adults. Epidemiologic Reviews, 35(1), 75-83. DOI : 10.1093/epirev/mxs009   DOI