Browsing by Subject "Emergency care"

Now showing 1 - 3 of 3
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    Avoidance of Emergency Care in the Southeastern United States During the COVID-19 Pandemic
    (Oxford University Press, 2022-04-08) Gettler, Erin; Stern, Rebecca; Ni, Bin; Munro, Heather M.; Steinwandel, Mark; Aronoff, David M.; Gupta, Deepak K.; Sanderson, Maureen; Shrubsole, Martha J.; Lipworth, Loren; Medicine, School of Medicine
    In a low-income cohort in the Southeastern United States, 5% of participants avoided emergency medical care during the coronavirus disease 2019 pandemic, primarily due to fear and visitor restrictions. Younger age, self-perceived lower health status, lack of a personal doctor, and decreased income were associated with greater likelihood of deferring emergency care.
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    Continuing the Transformation: Charting the Path for the Future Delivery of Veteran Emergency Care
    (Wiley, 2023) Ward, Michael J.; Kessler, Chad; Abel, Erica A.; Ahern, Justin; Bravata, Dawn M.; Medicine, School of Medicine
    Important changes in the delivery of Veteran emergency care in the early 2000s in the Department of Veteran Affairs (VA) emergency departments and urgent care clinics substantially elevated the role of emergency medicine (EM) in Veteran health care. Focused on enhancing the quality of care, emergency care visits in both VA and non-VA (community) care locations have nearly doubled from the 1980s to more than 3 million visits in Fiscal Year 2022. Recognizing the need to plan for continued growth and the opportunity to address key research priorities, the VA Office of Emergency Medicine, together with the VA Health Services Research and Development Service, collaborated to convene a State of the Art Conference on Veteran Emergency Medicine (SAVE) in the winter of 2022. The goal of this conference was to identify research gaps and priorities for implementation of policies for three priority groups: geriatric Veterans, Veterans with mental health and substance use complaints, and Veterans presenting to non-VA (community) emergency care sites. In this article we discuss the rationale for the SAVE conference including a brief history of VA EM and the planning process and conclude with next steps for findings from the conference.
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    Impact of interhospital transfer on patients with Alzheimer's disease and other related dementias
    (Wiley, 2023-09-07) Glober, Nancy; LaShell, Alexandra; Montelauro, Nicholas; Troyer, Lindsay; Supples, Michael; Unroe, Kathleen; Tainter, Christopher; Faris, Greg; Fuchita, Mikita; Boustani, Malaz; Emergency Medicine, School of Medicine
    Older adults are often transferred from one emergency department (ED) to another hospital for speciality care, but little is known about whether those transfers positively impact patients, particularly those with Alzheimer's disease and other related dementias (ADRD). In this study we aimed to describe the impact of interhospital transfer on older adults with and without ADRD. In a retrospective review of electronic medical records, we collected data on demographics, insurance type, initial code status, intensive care, length of stay, specialist consult, procedure within 48 hours, and discharge disposition for older adults (≥65years). We included older adults with at least one ED visit, who were transferred to a tertiary care hospital. With logistic regression, we estimated odds of death, intensive care stay, or procedure within 48 hours by ADRD diagnosis. Patients with ADRD more often received a geriatrics (p < 0.001) or palliative care consult (p = 0.038). They were less likely to be full code at admission (p < 0.001) or to be discharged home (p < 0.001). Patients living with ADRD less often received intensive care or a procedure within 48 hours of transfer (odds ratio [OR] 1.87, 95% confidence interval [CI] 1.22–2.88). Patients with ADRD were less likely to receive intensive care unit admission or specialist procedures after transfer. Further study is indicated to comprehensively understand patient‐centered outcomes.