Factors Associated with Re-attendance at Emergency Departments Among Older Adults: A Cross-Sectional Analytical Study
Emergency department (ED) re-attendance among older adults is an increasing global concern, often reflecting gaps in chronic disease management, discharge planning, and continuity of care. This study aimed to determine the frequency of ED re-attendance and identify associated patient- and system-lev...
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| Language: | English |
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SAGE Publishing
2025-06-01
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| Series: | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| Online Access: | https://doi.org/10.1177/00469580251349652 |
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| author | Saengdao Janda Juree Sansuk |
| author_facet | Saengdao Janda Juree Sansuk |
| author_sort | Saengdao Janda |
| collection | DOAJ |
| description | Emergency department (ED) re-attendance among older adults is an increasing global concern, often reflecting gaps in chronic disease management, discharge planning, and continuity of care. This study aimed to determine the frequency of ED re-attendance and identify associated patient- and system-level factors. A cross-sectional analytical study was conducted between July 2023 and August 2024 across general and community hospitals. A total of 740 participants were selected using multi-stage sampling, comprising 400 older adult patients and 340 healthcare professionals. Data were collected from medical records and structured questionnaires. Descriptive statistics and multiple logistic regression were applied to identify factors linked to ED re-attendance within 60 days. Among older adults, 35% revisited the ED within 60 days post-discharge. Key factors significantly associated with re-attendance included prior ED visits (OR = 3.92; 95% CI: 2.11-7.31), hospitalization within the previous year (OR = 1.97; 95% CI: 1.15-3.38), no follow-up with specialists (OR = 2.27; 95% CI: 1.35-3.83), and treatment at M2-level hospitals (OR = 7.28; 95% CI: 3.62-14.64). Targeted strategies to improve discharge processes, ensure specialist follow-up, and enhance primary care coordination are essential to reduce potentially avoidable ED re-attendance among older adults. |
| format | Article |
| id | doaj-art-9890a4c8098147e2a04fb8db7e27c562 |
| institution | OA Journals |
| issn | 0046-9580 1945-7243 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| spelling | doaj-art-9890a4c8098147e2a04fb8db7e27c5622025-08-20T02:20:55ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432025-06-016210.1177/00469580251349652Factors Associated with Re-attendance at Emergency Departments Among Older Adults: A Cross-Sectional Analytical StudySaengdao Janda0Juree Sansuk1Praboromarajchanok Institute, Khon Kaen, ThailandPraboromarajchanok Institute, Khon Kaen, ThailandEmergency department (ED) re-attendance among older adults is an increasing global concern, often reflecting gaps in chronic disease management, discharge planning, and continuity of care. This study aimed to determine the frequency of ED re-attendance and identify associated patient- and system-level factors. A cross-sectional analytical study was conducted between July 2023 and August 2024 across general and community hospitals. A total of 740 participants were selected using multi-stage sampling, comprising 400 older adult patients and 340 healthcare professionals. Data were collected from medical records and structured questionnaires. Descriptive statistics and multiple logistic regression were applied to identify factors linked to ED re-attendance within 60 days. Among older adults, 35% revisited the ED within 60 days post-discharge. Key factors significantly associated with re-attendance included prior ED visits (OR = 3.92; 95% CI: 2.11-7.31), hospitalization within the previous year (OR = 1.97; 95% CI: 1.15-3.38), no follow-up with specialists (OR = 2.27; 95% CI: 1.35-3.83), and treatment at M2-level hospitals (OR = 7.28; 95% CI: 3.62-14.64). Targeted strategies to improve discharge processes, ensure specialist follow-up, and enhance primary care coordination are essential to reduce potentially avoidable ED re-attendance among older adults.https://doi.org/10.1177/00469580251349652 |
| spellingShingle | Saengdao Janda Juree Sansuk Factors Associated with Re-attendance at Emergency Departments Among Older Adults: A Cross-Sectional Analytical Study Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| title | Factors Associated with Re-attendance at Emergency Departments Among Older Adults: A Cross-Sectional Analytical Study |
| title_full | Factors Associated with Re-attendance at Emergency Departments Among Older Adults: A Cross-Sectional Analytical Study |
| title_fullStr | Factors Associated with Re-attendance at Emergency Departments Among Older Adults: A Cross-Sectional Analytical Study |
| title_full_unstemmed | Factors Associated with Re-attendance at Emergency Departments Among Older Adults: A Cross-Sectional Analytical Study |
| title_short | Factors Associated with Re-attendance at Emergency Departments Among Older Adults: A Cross-Sectional Analytical Study |
| title_sort | factors associated with re attendance at emergency departments among older adults a cross sectional analytical study |
| url | https://doi.org/10.1177/00469580251349652 |
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