Dissertation/Thesis Abstract

Descriptive Study of Frequent Geriatric Emergency Department Patients Presenting to a Tertiary Care Academic Medical Center: Characteristics and Emergency Department Utilization Patterns of Frequent Users
by Abraham, Gallane Dabela, M.S., Icahn School of Medicine at Mount Sinai, 2014, 31; 1603988
Abstract (Summary)

Objective: To describe the characteristics of frequent geriatric users of Mount Sinai’ Emergency Department (ED). Methods: Patients aged ≥65 yo with >1 ED visit between February-April 2012 were included. Data was analyzed for demographics, disposition, revisit frequency, primary care provider, and insurance. This study was approved by the Mount Sinai Institutional Review Board. Results: A total of 95 out of 1,077 were frequent geriatric ED users. These patients demonstrated a lower index visit (30%) and 72 hour (15%), a higher 3-7 day (54%), 8-30 day (40%) and >30 day (65%) admission rate, as well as 67% had a primary care provider and 68% had medical insurance. Conclusions: Frequent geriatric ED users are more likely to be discharged upon index and less than 72 hour ED revisit, have higher admission rates on subsequent visits, have primary care providers and are similarly insured when compared to the geriatric ED patient population.

Indexing (document details)
Advisor: Richardson, Dr. Lynne
Commitee: Baumlin, Dr. Kevin, Grudzen, Dr. Corita, Hwang, Dr. Ula
School: Icahn School of Medicine at Mount Sinai
Department: Clinical Research
School Location: United States -- New York
Source: MAI 55/02M(E), Masters Abstracts International
Subjects: Gerontology, Medicine, Health care management
Keywords: Crowding, Emergency medicine, Emergency service, Geriatrics, Hospital/utilization, Readmission, Utilization
Publication Number: 1603988
ISBN: 978-1-339-25910-9
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