Annals of Emergency Medicine
Volume 51, Issue 6 , Pages 769-774 , June 2008

Increasing Rates of Emergency Department Visits for Elderly Patients in the United States, 1993 to 2003

Presented at the Research Forum of the American College of Emergency Physicians, September 2006, New Orleans, LA.

  • David C. Roberts, PhD, MPH

      Affiliations

    • Department of Epidemiology and Biostatistics, The George Washington University School of Public Health and Health Services, Washington, DC
    • ,
  • Mary Pat McKay, MD, MPH

      Affiliations

    • Department of Emergency Medicine, The George Washington University Medical Center, Washington, DC.
    • Corresponding Author InformationAddress for correspondence: Mary Pat McKay, MD, MPH, Center for Injury Prevention and Control, Department of Emergency Medicine, The George Washington University, 2150 Pennsylvania Ave NW, Suite 2B, Washington, DC 20037; 202-741-2911
    • ,
  • Alison Shaffer, MS

      Affiliations

    • Department of Community Health and Prevention, The George Washington University School of Public Health and Health Services, Washington, DC

Received 15 May 2007 ,Revised 28 August 2007 ,Accepted 17 September 2007.

References 

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  2. Committee on Pediatric Emergency Medicine. Crowding crisis in our nation's emergency departments: is our safety net unraveling?. Pediatrics. 2004;114:878–888
  3. Institute of Medicine. Hospital-Based Emergency Care: At the Breaking Point. Report of the Institute of Medicine's Committee on the Future of Emergency Care in the United States Health System. Washington, DC: National Academies Press; 2006;
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  5. Grief LC. Pattern of ED use and perceptions of the elderly regarding their emergency care: a synthesis of recent research. J Emerg Nurs. 2003;29:122–126
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  7. National Center for Health Statistics. NHAMCS scope and sample design. http://www.cdc.gov/nchs/about/major/ahcd/sampham.htmAccessed September 18, 2006
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  10. Gardocki GJ, Pokras R. Utilization of short-stay hospitals by persons with heart disease and malignant neoplasms: National Hospital Discharge Survey, United States, 1977 (Vital and Health Statistics, Series 13: Data from the National Health Survey; 1981;52:1-34. DHHS Publication No. 81-1713). http://www.cdc.gov/nchs/data/series/sr_13/sr13_052.pdfAccessed July 7, 2007.
  11. Bhandari S. Health status, health insurance, and health services utilization, 2001. Current population reports. US Census Bureau. P70-106. 2006;1-14. http://www.census.gov/prod/2006pubs/p70-106.pdf. Accessed April 3, 2007.
  12. Kaiser Family Foundation. Health Insurance Coverage in America: 2003 Data Update. Publication No. 7153. Dec. 8, 2004. Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, Washington, DC. Available at: http://www.kff.org/uninsured/upload/Health-Insurance-Coverage-in-America-2003-Data-Update-Report.pdf. Accessed July 13, 2006.
  13. Kelley E, Moy E, Stryer D, et al. The national healthcare quality and disparities reports: an overview. Med Care. 2005;43:3–8
  14. O'Malley AS, Forrest CB. Immunization disparities in older Americans: determinants and future research needs. Am J Prev Med. 2006;31:150–158
  15. Shi L, Singh D. Delivering Health Care in America: A Systems Approach. 3rd ed.. Sudbury, MA: Jones and Bartlett; 2004;203
  16. US Census Bureau. Projection data (Calculated for 65-74 in 2013). http://www.census.gov/ipc/www/usinterimproj/usproj2000-2050.xlsAccessed April 3, 2007

 Supervising editor: Rita K. Cydulka, MD, MS

 Author contributions: DR obtained the data, performed the statistical analysis, and drafted the article. MPM supervised the project from the beginning, including conceptualization, and edited the article through several revisions. AS was integral in the writing and interpretation of the final product. MPM takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that may create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement.

 Publication dates: Available online December 11, 2007.

 Reprints not available from the authors.

PII: S0196-0644(07)01548-X

doi: 10.1016/j.annemergmed.2007.09.011

Annals of Emergency Medicine
Volume 51, Issue 6 , Pages 769-774 , June 2008

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