{"id":"https://openalex.org/W2012217303","doi":"https://doi.org/10.5770/cgj.17.108","title":"Emergency Department Utilization by Older Adults: a Descriptive Study","display_name":"Emergency Department Utilization by Older Adults: a Descriptive Study","publication_year":2014,"publication_date":"2014-10-02","ids":{"openalex":"https://openalex.org/W2012217303","doi":"https://doi.org/10.5770/cgj.17.108","mag":"2012217303","pmid":"https://pubmed.ncbi.nlm.nih.gov/25452824","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4244125"},"language":"en","primary_location":{"id":"doi:10.5770/cgj.17.108","doi":"https://doi.org/10.5770/cgj.17.108","is_oa":true,"landing_page_url":"https://doi.org/10.5770/cgj.17.108","pdf_url":"https://cgjonline.ca/index.php/cgj/article/download/108/208","source":{"id":"https://openalex.org/S2764639322","display_name":"Canadian Geriatrics Journal","issn_l":"1925-8348","issn":["1925-8348"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/I4405266720","host_organization_name":"Canadian Geriatrics Society","host_organization_lineage":["https://openalex.org/I4405266720"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Canadian Geriatrics Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://cgjonline.ca/index.php/cgj/article/download/108/208","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070847450","display_name":"Lesley P. Latham","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I129902397","display_name":"Dalhousie University","ror":"https://ror.org/01e6qks80","country_code":"CA","type":"education","lineage":["https://openalex.org/I129902397"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Lesley P. Latham","raw_affiliation_strings":["Department of Emergency Medicine, Dalhousie University, Halifax, NS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Dalhousie University, Halifax, NS","institution_ids":["https://openalex.org/I129902397"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5113526266","display_name":"Stacy A. Ackroyd-Stolarz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I129902397","display_name":"Dalhousie University","ror":"https://ror.org/01e6qks80","country_code":"CA","type":"education","lineage":["https://openalex.org/I129902397"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Stacy Ackroyd-Stolarz","raw_affiliation_strings":["Department of Emergency Medicine, Dalhousie University, Halifax, NS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Dalhousie University, Halifax, NS","institution_ids":["https://openalex.org/I129902397"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5070847450"],"corresponding_institution_ids":["https://openalex.org/I129902397"],"apc_list":null,"apc_paid":null,"fwci":9.1957,"has_fulltext":true,"cited_by_count":183,"citation_normalized_percentile":{"value":0.98193837,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":100},"biblio":{"volume":"17","issue":"4","first_page":"118","last_page":"125"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/emergency-department-use","display_name":"emergency department utilization","score":0.9570000171661377},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.9990000128746033},{"id":"https://openalex.org/keywords/emergency-department-visits","display_name":"emergency department visits","score":0.8849999904632568},{"id":"https://openalex.org/keywords/triage-urgency","display_name":"triage urgency","score":0.6700000166893005},{"id":"https://openalex.org/keywords/diagnostic-imaging","display_name":"diagnostic imaging","score":0.6729999780654907},{"id":"https://openalex.org/keywords/laboratory-testing","display_name":"laboratory testing","score":0.9200000166893005},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.5669999718666077},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9829999804496765}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9483977556228638},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7051711678504944},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6860028505325317},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.5747724175453186},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.5390938520431519},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4801435172557831},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.4766567349433899},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.45511654019355774},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.41150689125061035},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3745822310447693},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3742465078830719},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.35823971033096313},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.35035496950149536},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1029636561870575},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.08503356575965881},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.08459749817848206},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.5770/cgj.17.108","doi":"https://doi.org/10.5770/cgj.17.108","is_oa":true,"landing_page_url":"https://doi.org/10.5770/cgj.17.108","pdf_url":"https://cgjonline.ca/index.php/cgj/article/download/108/208","source":{"id":"https://openalex.org/S2764639322","display_name":"Canadian Geriatrics Journal","issn_l":"1925-8348","issn":["1925-8348"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/I4405266720","host_organization_name":"Canadian Geriatrics Society","host_organization_lineage":["https://openalex.org/I4405266720"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Canadian Geriatrics Journal","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:4244125","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4244125","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Can Geriatr J","raw_type":"Text"},{"id":"pmid:25452824","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25452824","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Canadian geriatrics journal : CGJ","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.5770/cgj.17.108","doi":"https://doi.org/10.5770/cgj.17.108","is_oa":true,"landing_page_url":"https://doi.org/10.5770/cgj.17.108","pdf_url":"https://cgjonline.ca/index.php/cgj/article/download/108/208","source":{"id":"https://openalex.org/S2764639322","display_name":"Canadian Geriatrics Journal","issn_l":"1925-8348","issn":["1925-8348"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/I4405266720","host_organization_name":"Canadian Geriatrics Society","host_organization_lineage":["https://openalex.org/I4405266720"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Canadian Geriatrics Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9907000064849854}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320309985","display_name":"Dalhousie Medical Research Foundation","ror":"https://ror.org/01vsjtq46"},{"id":"https://openalex.org/F4320310400","display_name":"Dartmouth College","ror":"https://ror.org/049s0rh22"},{"id":"https://openalex.org/F4320321629","display_name":"Dalhousie University","ror":"https://ror.org/01e6qks80"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2012217303.pdf","grobid_xml":"https://content.openalex.org/works/W2012217303.grobid-xml"},"referenced_works_count":36,"referenced_works":["https://openalex.org/W13712364","https://openalex.org/W1544858266","https://openalex.org/W1553155332","https://openalex.org/W1969986128","https://openalex.org/W1984308861","https://openalex.org/W2002200694","https://openalex.org/W2006150316","https://openalex.org/W2008091281","https://openalex.org/W2025729044","https://openalex.org/W2034981842","https://openalex.org/W2039993310","https://openalex.org/W2045352610","https://openalex.org/W2055116021","https://openalex.org/W2066552230","https://openalex.org/W2069007658","https://openalex.org/W2074480914","https://openalex.org/W2078522710","https://openalex.org/W2088261977","https://openalex.org/W2092287077","https://openalex.org/W2105935672","https://openalex.org/W2110608102","https://openalex.org/W2114702111","https://openalex.org/W2115385268","https://openalex.org/W2124505086","https://openalex.org/W2128085880","https://openalex.org/W2133440648","https://openalex.org/W2136703956","https://openalex.org/W2137785421","https://openalex.org/W2163049037","https://openalex.org/W2166332563","https://openalex.org/W2169297353","https://openalex.org/W2169938548","https://openalex.org/W2313011524","https://openalex.org/W2400561932","https://openalex.org/W4302767823","https://openalex.org/W4388410021"],"related_works":["https://openalex.org/W2955806827","https://openalex.org/W1984308861","https://openalex.org/W1992776762","https://openalex.org/W2045352610","https://openalex.org/W2079174648","https://openalex.org/W2793659929","https://openalex.org/W131255738","https://openalex.org/W2044286296","https://openalex.org/W7096197427","https://openalex.org/W1980074070"],"abstract_inverted_index":{"BACKGROUND:":[0],"Emergency":[1],"Departments":[2],"(EDs)":[3],"are":[4],"playing":[5],"an":[6],"increasingly":[7],"important":[8],"role":[9],"in":[10,162],"the":[11,21,29,79,144],"care":[12,24,201],"of":[13,33,78,90,102,131,146,159,180],"older":[14,59,73,160,203],"adults.":[15,204],"Characterizing":[16],"ED":[17,70,81,121,172,181,183],"usage":[18],"will":[19],"facilitate":[20],"planning":[22],"for":[23,53,76,83,202],"delivery":[25],"more":[26],"suited":[27],"to":[28,168,195],"complex":[30],"health":[31],"needs":[32],"this":[34,38],"population.":[35],"METHODS:":[36],"In":[37],"retrospective":[39],"cross-sectional":[40],"study,":[41],"administrative":[42],"and":[43,111,151],"clinical":[44],"data":[45],"were":[46,60,93,123,166],"extracted":[47],"from":[48],"four":[49],"study":[50,85,164],"sites.":[51],"Visits":[52],"patients":[54],"aged":[55],"65":[56],"years":[57],"or":[58,97,125],"characterized":[61],"using":[62],"standard":[63],"descriptive":[64],"statistics.":[65],"RESULTS:":[66],"We":[67],"analyzed":[68],"34,454":[69],"visits":[71,82,92,103,147],"by":[72],"adults,":[74],"accounting":[75],"21.8%":[77],"total":[80],"our":[84,163],"time":[86],"period.":[87],"Overall,":[88],"74.2%":[89],"patient":[91],"triaged":[94],"as":[95,142],"urgent":[96],"emergent.":[98],"Almost":[99],"half":[100],"(49.8%)":[101],"involved":[104,108,113],"diagnostic":[105,149],"imaging,":[106],"62.1%":[107],"lab":[109],"work,":[110],"30.8%":[112],"consultation":[114,152],"with":[115,134,188],"hospital":[116,169],"services.":[117],"The":[118],"most":[119],"common":[120],"diagnoses":[122],"symptom-":[124],"injury-related":[126],"(25.0%,":[127],"17.1%.":[128],"respectively).":[129],"Length":[130],"stay":[132],"increased":[133],"age":[135],"group":[136],"(Mann-Whitney":[137],"U;":[138],"p":[139,154],"<":[140,155],".0001),":[141],"did":[143],"proportion":[145],"involving":[148,199],"testing":[150],"(\u03c7(2);":[153],".0001).":[156],"Approximately":[157],"20%":[158],"adults":[161,176],"population":[165],"admitted":[167],"following":[170],"their":[171],"visit.":[173],"CONCLUSIONS:":[174],"Older":[175],"have":[177],"distinct":[178],"patterns":[179,191],"use.":[182],"resource":[184],"use":[185],"intensity":[186],"increases":[187],"age.":[189],"These":[190],"may":[192],"be":[193],"used":[194],"target":[196],"future":[197],"interventions":[198],"alternative":[200]},"counts_by_year":[{"year":2026,"cited_by_count":19},{"year":2025,"cited_by_count":13},{"year":2024,"cited_by_count":13},{"year":2023,"cited_by_count":18},{"year":2022,"cited_by_count":11},{"year":2021,"cited_by_count":23},{"year":2020,"cited_by_count":21},{"year":2019,"cited_by_count":20},{"year":2018,"cited_by_count":20},{"year":2017,"cited_by_count":9},{"year":2016,"cited_by_count":12},{"year":2015,"cited_by_count":4}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
