Characteristics of the Spanish Older People in the Use of Accidents and Emergency Unit Services (2014-2017). (May 2021)

• Record Type: Journal Article
• Authors: López-Soto, Pablo J.; Morales-Cané, Ignacio; Fabbian, Fabio; Manfredini, Roberto; Dios-Guerra, Caridad; Carmona-Torres, Juan Manuel; Rodríguez-Borrego, María Aurora
• Is Part Of: Clinical nursing research. Volume 30:Number 4(2021)
• Page Start: 406
• Page End: 414
• Publication Date: 2021-05
• Subjects: accident and emergency unit -- emergency department visit -- aged -- predictors -- community health nursing practice; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Clinical medicine -- Research -- Periodicals; 610.73
• DOI: 10.1177/1054773819843627
• Languages: English
• ISSNs: 1054-7738

Abstract

The aim of this study was to determine which factors are related to Accidents and Emergency Unit (AEU) use by the elderly Spanish population. Observational analysis of the 2014 European Survey of Health in Spain (ESHS-2014; N = 6, 520) and the 2017 Spanish Health Survey (SHS-2017; N = 7, 024) was employed. About one third (4, 095, 30.2%) of the sample used the AEU, and they were primarily women (32.6%). Comorbidity ( p = .01), presence of physical limitation in the prior 6 months to the survey, and a history of several diseases ( p < .001)—as in diabetes ( p < .001), osteoarthritis ( p < .001), and chronic bronchitis, emphysema, or chronic obstructive pulmonary disease ( p < .001)—were associated with AEU visits in both surveys. Female sex and several cardiovascular diseases were only significant in the ESHS-2014. In the SHS-2017, depressive status was an independent risk factor. This epidemiological data allow a better understanding of the use of AEU, suggesting indications for the care process.