The Association Between Age and Admission to an Inappropriate Ward: A Cross-Sectional Survey in France
Half of elderly patient hospitalizations are preceded by an emergency department (ED) visit. Hospitalization in inappropriate wards (IWs), which is more frequent in case of ED overcrowding and high hospital occupancy, leads to increased morbidity. Elderly individuals are the most exposed to these ne...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-05-01
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| Series: | Health Services Insights |
| Online Access: | https://doi.org/10.1177/11786329231174340 |
| _version_ | 1797827898155991040 |
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| author | Diane Naouri Henri Panjo Laura Moïsi Carlos El Khoury Patrice Serre Jeannot Schmidt Youri Yordanov Nathalie Pelletier-Fleury |
| author_facet | Diane Naouri Henri Panjo Laura Moïsi Carlos El Khoury Patrice Serre Jeannot Schmidt Youri Yordanov Nathalie Pelletier-Fleury |
| author_sort | Diane Naouri |
| collection | DOAJ |
| description | Half of elderly patient hospitalizations are preceded by an emergency department (ED) visit. Hospitalization in inappropriate wards (IWs), which is more frequent in case of ED overcrowding and high hospital occupancy, leads to increased morbidity. Elderly individuals are the most exposed to these negative health care outcomes. Based on a nationwide cross-sectional survey involving all EDs in France, the aim of this study was to explore whether age was associated with admission to an IW after visiting an ED. Among the 4384 patients admitted in a medical ward, 4065 were admitted in the same hospital where the ED was located, among which 17.7% were admitted to an IW. Older age was associated with an increased likelihood of being admitted to an IW (OR = 1.39; 95% CI = 1.02-1.90 for patients aged 85 years and older and OR = 1.40; 95% CI = 1.02-1.91 for patients aged 75-84 years, compared with those under 45 years). ED visits during peak periods and cardio-pulmonary presenting complaint were also associated with an increased likelihood of admission to an IW. Despite their higher vulnerability, elderly patients are more likely to be admitted to an IW than younger patients. This result reinforces the need for special attention to be given to the hospitalization of this fragile population. |
| first_indexed | 2024-04-09T12:55:45Z |
| format | Article |
| id | doaj.art-3184836de5914ddc853ee8d8e6129cf5 |
| institution | Directory Open Access Journal |
| issn | 1178-6329 |
| language | English |
| last_indexed | 2024-04-09T12:55:45Z |
| publishDate | 2023-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Health Services Insights |
| spelling | doaj.art-3184836de5914ddc853ee8d8e6129cf52023-05-13T12:33:19ZengSAGE PublishingHealth Services Insights1178-63292023-05-011610.1177/11786329231174340The Association Between Age and Admission to an Inappropriate Ward: A Cross-Sectional Survey in FranceDiane Naouri0Henri Panjo1Laura Moïsi2Carlos El Khoury3Patrice Serre4Jeannot Schmidt5Youri Yordanov6Nathalie Pelletier-Fleury7Centre for Research in Epidemiology and Population Health, French National Institute of Health and Medical Research (INSERM U1018), Université Paris-Saclay, Université Paris-Sud, UVSQ, Villejuif, FranceCentre for Research in Epidemiology and Population Health, French National Institute of Health and Medical Research (INSERM U1018), Université Paris-Saclay, Université Paris-Sud, UVSQ, Villejuif, FranceSorbonne Université, AP-HP, Hôpital Saint Antoine, Unité de Gériatrie Aigue, Paris, FranceFrench Society of Emergency Medicine (SFMU), Paris, FranceFrench Society of Emergency Medicine (SFMU), Paris, FranceFrench Society of Emergency Medicine (SFMU), Paris, FranceFrench Society of Emergency Medicine (SFMU), Paris, FranceCentre for Research in Epidemiology and Population Health, French National Institute of Health and Medical Research (INSERM U1018), Université Paris-Saclay, Université Paris-Sud, UVSQ, Villejuif, FranceHalf of elderly patient hospitalizations are preceded by an emergency department (ED) visit. Hospitalization in inappropriate wards (IWs), which is more frequent in case of ED overcrowding and high hospital occupancy, leads to increased morbidity. Elderly individuals are the most exposed to these negative health care outcomes. Based on a nationwide cross-sectional survey involving all EDs in France, the aim of this study was to explore whether age was associated with admission to an IW after visiting an ED. Among the 4384 patients admitted in a medical ward, 4065 were admitted in the same hospital where the ED was located, among which 17.7% were admitted to an IW. Older age was associated with an increased likelihood of being admitted to an IW (OR = 1.39; 95% CI = 1.02-1.90 for patients aged 85 years and older and OR = 1.40; 95% CI = 1.02-1.91 for patients aged 75-84 years, compared with those under 45 years). ED visits during peak periods and cardio-pulmonary presenting complaint were also associated with an increased likelihood of admission to an IW. Despite their higher vulnerability, elderly patients are more likely to be admitted to an IW than younger patients. This result reinforces the need for special attention to be given to the hospitalization of this fragile population.https://doi.org/10.1177/11786329231174340 |
| spellingShingle | Diane Naouri Henri Panjo Laura Moïsi Carlos El Khoury Patrice Serre Jeannot Schmidt Youri Yordanov Nathalie Pelletier-Fleury The Association Between Age and Admission to an Inappropriate Ward: A Cross-Sectional Survey in France Health Services Insights |
| title | The Association Between Age and Admission to an Inappropriate Ward: A Cross-Sectional Survey in France |
| title_full | The Association Between Age and Admission to an Inappropriate Ward: A Cross-Sectional Survey in France |
| title_fullStr | The Association Between Age and Admission to an Inappropriate Ward: A Cross-Sectional Survey in France |
| title_full_unstemmed | The Association Between Age and Admission to an Inappropriate Ward: A Cross-Sectional Survey in France |
| title_short | The Association Between Age and Admission to an Inappropriate Ward: A Cross-Sectional Survey in France |
| title_sort | association between age and admission to an inappropriate ward a cross sectional survey in france |
| url | https://doi.org/10.1177/11786329231174340 |
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