Annals of Emergency Medicine
Volume 56, Issue 3 , Pages 253-257 , September 2010

Postdischarge Adverse Events for 1-Day Hospital Admissions in Older Adults Admitted From the Emergency Department

Presented at the Society for Academic Emergency Medicine Conference, Washington, DC, May 2008.

  • Jesse M. Pines, MD, MBA, MSCE

      Affiliations

    • Department of Emergency Medicine, George Washington University School of Medicine, Washington, DC
    • Department of Health Policy, George Washington University School of Public Health and Health Services, Washington, DC
    • Corresponding Author InformationAddress for reprints: Jesse M. Pines, MD, MBA, MSCE, George Washington University School of Public Health and Health Services, Department of Health Policy, 2121 K St, NW, Ste 200, Washington, DC 20037-1830; 202-994-4128
    • ,
  • Jillian Mongelluzzo, MD

      Affiliations

    • Department of Emergency Medicine, University of California at San Francisco, San Francisco, CA
    • ,
  • Joshua A. Hilton, MD

      Affiliations

    • Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA
    • ,
  • Judd E. Hollander, MD

      Affiliations

    • Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA
    • ,
  • Frances S. Shofer, PhD

      Affiliations

    • Department of Emergency Medicine, University of North Carolina, Durham, NC
    • ,
  • Jeremy Souder, MD

      Affiliations

    • Department of Internal Medicine, Pennsylvania Presbyterian Medical Center, Philadelphia, PA
    • ,
  • Marie Synnestvedt, PhD

      Affiliations

    • Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA
    • ,
  • Mark G. Weiner, MD

      Affiliations

    • Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA
    • ,
  • Elizabeth M. Datner, MD

      Affiliations

    • Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA

Received 26 October 2009 ,Revised 21 January 2010 ,Accepted 29 January 2010.

References 

  1. HCUPnet. Healthcare Cost and Utlization Project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality; 2006;http://hcupnet.ahrq.gov/Accessed February 15, 2010
  2. Helderman M, Kraemer YL, Dyer J, et al. Reducing unnecessary admissions related to 1-day stays: a collaborative effort. Prof Case Manag. 2008;13:318–328
  3. Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342:1163–1170
  4. White AA, Wright SW, Blanco R, et al. Cause-and-effect analysis of risk management files to assess patient care in the emergency department. Acad Emerg Med. 2004;11:1035–1041
  5. de Torbal A, Boersma E, Kors JA, et al. Incidence of recognized and unrecognized myocardial infarction in men and women aged 55 and older: the Rotterdam Study. Eur Heart J. 2006;27:729–736
  6. Brown CJ, Friedkin RJ, Inouye SK. Prevalence and outcomes of low mobility in hospitalized older patients. J Am Geriatr Soc. 2004;52:1263–1270
  7. Gilbert EH, Lowenstein SR, Koziol-McLain J, et al. Chart reviews in emergency medicine research: where are the methods?. Ann Emerg Med. 1996;27:305–308
  8. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360:1418–1428
  9. Koehler BE, Richter KM, Youngblood L, et al. Reduction of 30-day postdischarge hospital readmission or emergency department (ED) visit rates in high-risk elderly medical patients through delivery of a targeted care bundle. J Hosp Med. 2009;4:211–218

 Supervising editors: Rita K. Cydulka, MD, MS; Michael L. Callaham, MD

 Author contributions: JMP, JM, JEH, and EMD conceived the study. JMP, JM, and FSS designed the study. JM, MS, and MGW abstracted the data. JMP, FSS, MS, and MGW analyzed the data. JMP, JM, JAH, JEH, FSS, JS, and EMD drafted the article, and all authors contributed substantially to its revision. JMP, FSS, MS, and MGW had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. JMP 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 might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. This study was funded by the Institute on Aging at the University of Pennsylvania.

 Publication date: Available online February 26, 2010.

 Please see page 254 for the Editor's Capsule Summary of this article.

PII: S0196-0644(10)00104-6

doi: 10.1016/j.annemergmed.2010.01.031

Annals of Emergency Medicine
Volume 56, Issue 3 , Pages 253-257 , September 2010

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