Elderly patients re-transferred from long-term care hospitals to emergency departments within 48 h
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作者:
Lee, Tae Young
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机构:
Natl Med Ctr, Natl Emergency Med Ctr, Seoul, South KoreaNatl Med Ctr, Natl Emergency Med Ctr, Seoul, South Korea
Lee, Tae Young
[1
]
Ko, Sung-keun
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机构:
Natl Med Ctr, Natl Emergency Med Ctr, Seoul, South KoreaNatl Med Ctr, Natl Emergency Med Ctr, Seoul, South Korea
Ko, Sung-keun
[1
]
Kim, Seong Jung
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机构:
Natl Med Ctr, Natl Emergency Med Ctr, Seoul, South Korea
Chosun Univ Hosp, Dept Emergency Med, Gwangju, South KoreaNatl Med Ctr, Natl Emergency Med Ctr, Seoul, South Korea
Kim, Seong Jung
[1
,2
]
Lee, Jin-Hee
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机构:
Natl Med Ctr, Natl Emergency Med Ctr, Seoul, South KoreaNatl Med Ctr, Natl Emergency Med Ctr, Seoul, South Korea
Lee, Jin-Hee
[1
]
机构:
[1] Natl Med Ctr, Natl Emergency Med Ctr, Seoul, South Korea
[2] Chosun Univ Hosp, Dept Emergency Med, Gwangju, South Korea
Background & objectives The increasing proportion of elderly populations has led to a rise in chronic diseases and frequent transfers between long-term care hospitals (LTCHs) and emergency departments (EDs). This study investigates the patterns of risk factors of initial-transfers and subsequent re-transfers among patients aged 65 or older. Specifically, we focus on those re-transferred from LTCHs to EDs within 48 h of discharge, often without adequate treatment. Method This nationwide cross-sectional study used data from South Korea's National Emergency Department Information System (NEDIS) from January 1, 2017, to December 31, 2019. Patients aged 65 or older who were initially transferred from LTCHs to EDs and re-transferred within 48 h, were identified. Logistic regression was employed to analyze risk factors associated with re-transfers. Results 140,282 elderly patients were identified as having been transferred from LTCHs to EDs. Of these, 38,180 patients received emergency care in the EDs and were discharged back to LTCHs. Among them, 679 patients were returned to LTCHs after receiving acute treatment but revisited the EDs within 48 h. Hospital ward admission rates were higher for re-transferred patients (71.3%) compared to initial transfers (42.1%, p < 0.0001). Risk factors for re-transfer included male, nighttime admissions, and longer ED stays (> 6 h). Tertiary hospitals showed higher re-transfer rates to other facilities (13.1%) than general hospitals (2.9%). Conclusion This study reveals that many health outcomes worsen upon re-transfer compared to the initial-transfer. These findings underscore the need for a coordinated healthcare system that ensures elderly patients from long-term care facilities are initially sent to appropriate hospitals during the initial transfer, which could mitigate repeated ED visits and ensure timely care.
机构:
Univ Reims, Fac Med, EA 3797, F-51092 Reims, France
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Drame, Moustapha
Dia, Papa Amadou Jean
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机构:
Ctr Hosp Laon, Serv Med Interne, F-02000 Laon, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Dia, Papa Amadou Jean
Jolly, Damien
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h-index: 0
机构:
CHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Univ Reims, Fac Med, EA 3797, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Jolly, Damien
Lang, Pierre-Olivier
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h-index: 0
机构:
Univ Reims, Fac Med, EA 3797, F-51092 Reims, France
Hop Trois Chenes, Hop Univ Geneve, Dept Rehabil & Geriatrie, CH-1226 Geneva, SwitzerlandCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Lang, Pierre-Olivier
Mahmoudi, Rachid
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h-index: 0
机构:
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Mahmoudi, Rachid
Schwebel, Gautier
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h-index: 0
机构:
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Schwebel, Gautier
Kack, Mylene
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h-index: 0
机构:
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Kack, Mylene
Debart, Anne
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h-index: 0
机构:
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Debart, Anne
Courtaigne, Bruno
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h-index: 0
机构:
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Courtaigne, Bruno
Laniece, Isabelle
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Hosp Univ Grenoble, Hop Michallon, Clin Med Geriatr, F-38700 Grenoble, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Laniece, Isabelle
Blanchard, Francois
论文数: 0引用数: 0
h-index: 0
机构:
Univ Reims, Fac Med, EA 3797, F-51092 Reims, France
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Blanchard, Francois
Novella, Jean-Luc
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h-index: 0
机构:
Univ Reims, Fac Med, EA 3797, F-51092 Reims, France
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
机构:
Klin Innere Med III Kardiol Angiol Internist Inte, Homburg, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Millenaar, Dominic
Schumacher, Helmut
论文数: 0引用数: 0
h-index: 0
机构:
Ingelheim Rhein, Rhineland Palatinate, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Schumacher, Helmut
Brueckmann, Martina
论文数: 0引用数: 0
h-index: 0
机构:
Boehringer Ingelheim Int GmbH, Med CardioMetab & Resp, Binger Str 173, Ingelheim, Rhineland Palat, Germany
Univ Klinikum Mannheim, Med Fak Mannheim, Theodor Kutzer Ufer 1-3, Mannheim, Baden Wurttembe, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Brueckmann, Martina
Eikelboom, John W.
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h-index: 0
机构:
McMaster Univ, Populat Hlth Res Inst, Hamilton, ON, Canada
Hamilton Hlth Sci, Hamilton, ON, CanadaKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Eikelboom, John W.
Ezekowitz, Michael
论文数: 0引用数: 0
h-index: 0
机构:
Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA USA
Lankenau Inst Med Res, Wynnewood, PA USA
Heart Ctr, Wynnewood, PA USAKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Ezekowitz, Michael
Slawik, Jonathan
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h-index: 0
机构:
Klin Innere Med III Kardiol Angiol Internist Inte, Homburg, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Slawik, Jonathan
Ewen, Sebastian
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Klin Innere Med III Kardiol Angiol Internist Inte, Homburg, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Ewen, Sebastian
Ukena, Christian
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机构:
Klin Innere Med III Kardiol Angiol Internist Inte, Homburg, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Ukena, Christian
Wallentin, Lars
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h-index: 0
机构:
Uppsala Univ, Uppsala Clin Res Ctr, Uppsala, Sweden
Uppsala Univ, Dept Med Sci, Cardiol, Uppsala, SwedenKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Wallentin, Lars
Connolly, Stuart
论文数: 0引用数: 0
h-index: 0
机构:
McMaster Univ, Populat Hlth Res Inst, Hamilton, ON, Canada
Hamilton Hlth Sci, Hamilton, ON, CanadaKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Connolly, Stuart
Yusuf, Salim
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h-index: 0
机构:
McMaster Univ, Populat Hlth Res Inst, Hamilton, ON, Canada
Hamilton Hlth Sci, Hamilton, ON, CanadaKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Yusuf, Salim
Bohm, Michael
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h-index: 0
机构:
Klin Innere Med III Kardiol Angiol Internist Inte, Homburg, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
机构:
Univ Reims, Fac Med, EA 3797, F-51092 Reims, France
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Drame, Moustapha
Dia, Papa Amadou Jean
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Hosp Laon, Serv Med Interne, F-02000 Laon, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Dia, Papa Amadou Jean
Jolly, Damien
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h-index: 0
机构:
CHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Univ Reims, Fac Med, EA 3797, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Jolly, Damien
Lang, Pierre-Olivier
论文数: 0引用数: 0
h-index: 0
机构:
Univ Reims, Fac Med, EA 3797, F-51092 Reims, France
Hop Trois Chenes, Hop Univ Geneve, Dept Rehabil & Geriatrie, CH-1226 Geneva, SwitzerlandCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Lang, Pierre-Olivier
Mahmoudi, Rachid
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h-index: 0
机构:
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Mahmoudi, Rachid
Schwebel, Gautier
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h-index: 0
机构:
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Schwebel, Gautier
Kack, Mylene
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h-index: 0
机构:
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Kack, Mylene
Debart, Anne
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机构:
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Debart, Anne
Courtaigne, Bruno
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h-index: 0
机构:
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Courtaigne, Bruno
Laniece, Isabelle
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h-index: 0
机构:
Ctr Hosp Univ Grenoble, Hop Michallon, Clin Med Geriatr, F-38700 Grenoble, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Laniece, Isabelle
Blanchard, Francois
论文数: 0引用数: 0
h-index: 0
机构:
Univ Reims, Fac Med, EA 3797, F-51092 Reims, France
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
Blanchard, Francois
Novella, Jean-Luc
论文数: 0引用数: 0
h-index: 0
机构:
Univ Reims, Fac Med, EA 3797, F-51092 Reims, France
Ctr Hosp Univ Reims, Hop Maison Blanche, Serv Med Interne, F-51092 Reims, France
Gerontol Clin, F-51092 Reims, FranceCHU Reims, Hop Maison Blanche, Unite Coordinat Rech Clin, F-51092 Reims, France
机构:
Klin Innere Med III Kardiol Angiol Internist Inte, Homburg, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Millenaar, Dominic
Schumacher, Helmut
论文数: 0引用数: 0
h-index: 0
机构:
Ingelheim Rhein, Rhineland Palatinate, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Schumacher, Helmut
Brueckmann, Martina
论文数: 0引用数: 0
h-index: 0
机构:
Boehringer Ingelheim Int GmbH, Med CardioMetab & Resp, Binger Str 173, Ingelheim, Rhineland Palat, Germany
Univ Klinikum Mannheim, Med Fak Mannheim, Theodor Kutzer Ufer 1-3, Mannheim, Baden Wurttembe, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Brueckmann, Martina
Eikelboom, John W.
论文数: 0引用数: 0
h-index: 0
机构:
McMaster Univ, Populat Hlth Res Inst, Hamilton, ON, Canada
Hamilton Hlth Sci, Hamilton, ON, CanadaKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Eikelboom, John W.
Ezekowitz, Michael
论文数: 0引用数: 0
h-index: 0
机构:
Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA USA
Lankenau Inst Med Res, Wynnewood, PA USA
Heart Ctr, Wynnewood, PA USAKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Ezekowitz, Michael
Slawik, Jonathan
论文数: 0引用数: 0
h-index: 0
机构:
Klin Innere Med III Kardiol Angiol Internist Inte, Homburg, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Slawik, Jonathan
Ewen, Sebastian
论文数: 0引用数: 0
h-index: 0
机构:
Klin Innere Med III Kardiol Angiol Internist Inte, Homburg, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Ewen, Sebastian
Ukena, Christian
论文数: 0引用数: 0
h-index: 0
机构:
Klin Innere Med III Kardiol Angiol Internist Inte, Homburg, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Ukena, Christian
Wallentin, Lars
论文数: 0引用数: 0
h-index: 0
机构:
Uppsala Univ, Uppsala Clin Res Ctr, Uppsala, Sweden
Uppsala Univ, Dept Med Sci, Cardiol, Uppsala, SwedenKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Wallentin, Lars
Connolly, Stuart
论文数: 0引用数: 0
h-index: 0
机构:
McMaster Univ, Populat Hlth Res Inst, Hamilton, ON, Canada
Hamilton Hlth Sci, Hamilton, ON, CanadaKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Connolly, Stuart
Yusuf, Salim
论文数: 0引用数: 0
h-index: 0
机构:
McMaster Univ, Populat Hlth Res Inst, Hamilton, ON, Canada
Hamilton Hlth Sci, Hamilton, ON, CanadaKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany
Yusuf, Salim
Bohm, Michael
论文数: 0引用数: 0
h-index: 0
机构:
Klin Innere Med III Kardiol Angiol Internist Inte, Homburg, GermanyKlin Innere Med III Kardiol Angiol Internist Inte, Homburg, Germany