Hospitalizations, Emergency Department Visits, and Home Health Use Among Older Adults With Sensory Loss.

IF 2.2 3区医学 Q2 GERONTOLOGY

Journal of Aging and Health Pub Date : 2024-01-01 Epub Date: 2023-05-19 DOI:10.1177/08982643231176669

Laura G Wallace, Karen B Hirschman, Liming Huang, Pamela Z Cacchione, Mary D Naylor

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引用次数: 0

Abstract

Objectives: This study examines healthcare resource use (hospitalizations, emergency department [ED] visits, and home health episodes) among adults 65 and older diagnosed with hearing, vision, or dual sensory loss (SL) seen in the primary care setting of an academic health system. Methods: Multivariable logistic regression models were used to examine the relationship between SL (identified using ICD-10 codes) and healthcare resource use for 45,000 primary care patients. Results: The sample included 5.5% (N = 2479) with hearing loss, 10.4% (N = 4697) with vision loss, and 1.0% with dual SL (N = 469). Hearing loss increased the likelihood of having an ED visit (OR = 1.22, CI: 1.07-1.39), and home health services (OR = 1.27, CI: 1.07-1.51) compared to older adults without any SL. Vision loss reduced the likelihood of having a hospitalization (OR = .81, CI: .73-.91). Discussion: Findings support research into the drivers of healthcare use among older adults with sensory loss.

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感觉丧失老年人的住院、急诊和家庭保健使用

目的:本研究调查了在学术卫生系统的初级保健环境中诊断为听力、视力或双重感觉丧失(SL)的65岁及以上成年人的医疗资源使用情况(住院、急诊[ED]就诊和家庭健康事件)。方法:采用多变量logistic回归模型对45,000名初级保健患者的SL(使用ICD-10代码识别)与医疗资源使用之间的关系进行检验。结果:听力损失5.5% (N = 2479)，视力损失10.4% (N = 4697)，双SL 1.0% (N = 469)。与没有任何SL的老年人相比，听力损失增加了急诊科就诊的可能性(OR = 1.22, CI: 1.07-1.39)和家庭健康服务(OR = 1.27, CI: 1.07-1.51)。视力损失降低了住院的可能性(OR = 0.81, CI: 0.73 - 0.91)。讨论:研究结果支持对感觉丧失老年人医疗保健使用驱动因素的研究。

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来源期刊

Journal of Aging and Health Multiple-

CiteScore

5.60

自引率

3.60%

发文量

113

期刊介绍： The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.