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Emergency department utilisation among older adults—Protocol for a systematic review of determinants and conceptual frameworks

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Listed:
  • Xuan Rong Tang
  • Faraz Zarisfi
  • Pin Pin Pek
  • Fahad Javaid Siddiqui
  • Rahul Malhotra
  • Yu Heng Kwan
  • Tiah Ling
  • Andrew Fu Wah Ho
  • Marcus Eng Hock Ong

Abstract

Background: Older adults aged 65 years and above have a disproportionately higher utilization of emergency healthcare, of which Emergency Department (ED) visits are a key component. They experience higher degree of multimorbidity and mobility issues compared to younger patients, and are consequently more likely to experience a health event which requires an ED visit. During their visit, older adults tend to require more extensive workup, therefore spending a greater amount of time in the ED. Compared to the younger population, older adults are more susceptible to adverse events following discharge. Considering these factors, investigating the determinants of ED utilisation would be valuable. In this paper, we present a protocol for a systematic review of the determinants of ED utilisation among communitydwelling older adults aged 65 years and above, applying Andersen and Newman’s model of healthcare utilisation. Furthermore, we aim to present other conceptual frameworks for healthcare utilisation and propose a holistic approach for understanding the determinants of ED utilisation by older persons. Methods: The protocol is developed in accordance with the standards of Campbell Collaboration guidelines for systematic reviews, with reference to the Cochrane Handbook for Systematic Review of Interventions. Medline, Embase and Scopus will be searched for studies published from 2000 to 2020. Studies evaluating more than one determinant for ED utilisation among older adults aged 65 years and above will be included. Search process and selection of studies will be presented in a PRISMA flow chart. Statistically significant (p

Suggested Citation

  • Xuan Rong Tang & Faraz Zarisfi & Pin Pin Pek & Fahad Javaid Siddiqui & Rahul Malhotra & Yu Heng Kwan & Tiah Ling & Andrew Fu Wah Ho & Marcus Eng Hock Ong, 2022. "Emergency department utilisation among older adults—Protocol for a systematic review of determinants and conceptual frameworks," PLOS ONE, Public Library of Science, vol. 17(6), pages 1-9, June.
    • Handle: RePEc:plo:pone00:0265423
    DOI: 10.1371/journal.pone.0265423
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    References listed on IDEAS

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    1. Jin-young Min & Hye-Jin Kim & Chungsik Yoon & Kiyoung Lee & Myoungsouk Yeo & Kyoung-bok Min, 2018. "Hospital-Acquired Pneumonia among Inpatients via the Emergency Department: A Propensity-Score Matched Analysis," IJERPH, MDPI, vol. 15(6), pages 1-6, June.
    2. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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