National Healthcare Quality and Disparities Report
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- Adverse Events (2)
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- (-) Elderly (6)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 6 of 6 Research Studies DisplayedParedes AZ, Malik AT, Cluse M
Discharge disposition to skilled nursing facility after emergent general surgery predicts a poor prognosis.
Emergency general surgery can have a profound impact on the functional status of even previously independent patients. In this study, the investigators examined the role and influence of discharging a patient to a skilled nursing facility. They concluded that after accounting for patient severity and perioperative course, discharge to a skilled nursing facility was an independent risk factor for death, readmission, and postdischarge complications.
AHRQ-funded; HS022694.
Citation: Paredes AZ, Malik AT, Cluse M .
Discharge disposition to skilled nursing facility after emergent general surgery predicts a poor prognosis.
Surgery 2019 Oct;166(4):489-95. doi: 10.1016/j.surg.2019.04.034..
Keywords: Nursing Homes, Hospital Discharge, Elderly, Ambulatory Care and Surgery, Emergency Department, Outcomes, Hospital Readmissions, Outcomes, Risk
Gillespie SM, Wasserman EB, Wood NE
High-intensity telemedicine reduces emergency department use by older adults with dementia in senior living communities.
Individuals with dementia have high rates of emergency department (ED) use for acute illnesses. In this study, the investigators evaluated the effect of a high-intensity telemedicine program that delivered care for acute illnesses on ED use rates for individuals with dementia residing in senior living communities (SLCs; independent and assisted living).
AHRQ-funded; HS018047.
Citation: Gillespie SM, Wasserman EB, Wood NE .
High-intensity telemedicine reduces emergency department use by older adults with dementia in senior living communities.
J Am Med Dir Assoc 2019 Aug;20(8):942-46. doi: 10.1016/j.jamda.2019.03.024..
Keywords: Elderly, Telehealth, Health Information Technology (HIT), Dementia, Neurological Disorders, Healthcare Delivery, Chronic Conditions, Emergency Department, Healthcare Utilization
Patterson BW, Jacobsohn GC, Shah MN
Development and validation of a pragmatic natural language processing approach to identifying falls in older adults in the emergency department.
This study examined development and validation of a pragmatic natural language processing (NLP) approach to identify fall risk in older adults after emergency department (ED) visits. A single center retrospective review using data from 500 emergency department provider notes on older adults age 65 and older were random selected for analysis. The NLP algorithm successfully identified falls in ED notes with over 90% precision, and looks promising to reduce labor-intensive manual abstraction.
AHRQ-funded; HS024558.
Citation: Patterson BW, Jacobsohn GC, Shah MN .
Development and validation of a pragmatic natural language processing approach to identifying falls in older adults in the emergency department.
BMC Med Inform Decis Mak 2019 Jul 22;19(1):138. doi: 10.1186/s12911-019-0843-7..
Keywords: Adverse Events, Elderly, Emergency Department, Falls, Risk, Patient Safety
Patterson BW, Engstrom CJ, Sah V
Training and interpreting machine learning algorithms to evaluate fall risk after emergency department visits.
This study examined the potential of using machine learning algorithms to evaluate fall risk after an emergency department (ED) visit. They compared several machine learning methodologies for creation of a risk stratification algorithm to predict the outcome of a return visit for a fall within 6 months of an ED visit.
AHRQ-funded; HS024558; HS024342.
Citation: Patterson BW, Engstrom CJ, Sah V .
Training and interpreting machine learning algorithms to evaluate fall risk after emergency department visits.
Med Care 2019 Jul;57(7):560-66. doi: 10.1097/mlr.0000000000001140..
Keywords: Adverse Events, Elderly, Emergency Department, Falls, Risk, Patient Safety
Meagher AD, Lin A, Mandell SP
A comparison of scoring systems for predicting short- and long-term survival after trauma in older adults.
Researchers conducted a retrospective cohort study to identify injured older adults at highest risk for 30-day mortality. They found that older, injured adults transported by EMS to a large variety of trauma and non-trauma hospitals were more likely to die within 30 days if they required emergent airway management or had a higher comorbidity burden. They concluded that identification of an ideal prognostic tool remains elusive.
AHRQ-funded; HS023796.
Citation: Meagher AD, Lin A, Mandell SP .
A comparison of scoring systems for predicting short- and long-term survival after trauma in older adults.
Acad Emerg Med 2019 Jun;26(6):621-30. doi: 10.1111/acem.13727..
Keywords: Elderly, Trauma, Mortality, Injuries and Wounds, Emergency Department
Burgdorf J, Mulcahy J, Amjad H
Family caregiver factors associated with emergency department utilization among community-living older adults with disabilities.
This study examined characteristics of family caregivers of older community-living adults with disabilities that use emergency departments (EDs). They found in their sample of 2521 community-living older adults that have visited the ED one or more times within 12 months of their interview that the primary caregivers provided greater than 40 hours of care per week, helped with health care tasks, or experienced physical strain.
AHRQ-funded; HS000029.
Citation: Burgdorf J, Mulcahy J, Amjad H .
Family caregiver factors associated with emergency department utilization among community-living older adults with disabilities.
J Prim Care Community Health 2019 Jan-Dec;10:2150132719875636. doi: 10.1177/2150132719875636..
Keywords: Elderly, Emergency Department, Disabilities, Healthcare Utilization, Caregiving