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Risk factors for disability after emergency department discharge in older adults

Academic Emergency Medicine Aug 13, 2020

Nagurney JM, Han L, Leo‐Summers L, et al. - Given their prior work demonstrating an increased disability burden within a 6‐month time period after emergency department (ED) discharge among older adults discharged from the ED, researchers here sought the risk factors linked with increased disability burden among this patient population. As part of an ongoing longitudinal study of 754 community‐living persons aged ≥ 70 years, researchers here analyzed 813 ED visits without hospitalization from 430 participants who had at least one visit to an ED during a 14‐year follow‐up period (1998–2012). Findings revealed increased disability burden over the following 6 months among older adults discharged from the ED in correlation with several risk factors, such as age ≥ 85, being unmarried, lower‐extremity weakness, and physical frailty. With an increase in the number of risk factors, increase in the predicted mean disability burden (on a scale of 0 to 13) was observed.

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