Impact of inter-visit duration on mortality in older adults who use emergency department frequently

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dc.authoridDemir, Mehmet Cihat/0000-0002-0106-3383
dc.contributor.authorDemir, Mehmet C.
dc.contributor.authorSelki, Kudret
dc.contributor.authorSenguldur, Erdinc
dc.date.accessioned2025-10-11T20:47:54Z
dc.date.available2025-10-11T20:47:54Z
dc.date.issued2024
dc.departmentDüzce Üniversitesien_US
dc.description.abstractThe incidence of older adults presenting to the emergency department (ED) is increasing, and assessing their potential mortality risk for those returning frequently to the ED remains important. This study aims to evaluate the effects of frequent ED visits and the interval between these visits on the mortality of older adults.We retrospectively assessed the data of patients aged 65 years and above who frequently visited an academic ED in Turkey in 2021 and divided them into two groups: ED-frequent users (FUs) (4-7 visits) and ED-highly frequent users (HFUs) (>7 > 7 visits), following which we compared their characteristics, inter-visit duration, and 6-month mortality. The results indicated that out of the 2947 ED visits, 516 older adults were identified who visited the ED at least four times, averaging 5.7 visits per patient. HFUs constituted approximately 12% (n = 61)of the cohort. Further analysis revealed a significant increase in mortality associated with shorter inter-visit duration between ED visits (p p < 0.001). Specifically, visiting the ED at intervals shorter than 74 days was associated with a fourfold increase in mortality risk (odds ratio (OR): 3.84; 95% confidence interval (CI): 2.64-5.57; p < 0.001), which escalated to sixfold in patients with a history of recent hospitalization (OR: 5.87; 95% CI: 3.81-9.07; p < 0.001).The data indicated that most older adults with frequent ED visits had multiple comorbidities, and those who did not survive were significantly older. This study highlights the important need to acknowledge the increased mortality risk among older adults with frequent ED visits, with recent hospitalization and short inter- visit duration being contributing factors.en_US
dc.identifier.doi10.22514/sv.2024.112
dc.identifier.endpage71en_US
dc.identifier.issn1334-5605
dc.identifier.issn1845-206X
dc.identifier.issue9en_US
dc.identifier.scopus2-s2.0-85204377103en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage63en_US
dc.identifier.urihttps://doi.org/10.22514/sv.2024.112
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21646
dc.identifier.volume20en_US
dc.identifier.wosWOS:001310317300008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherMre Pressen_US
dc.relation.ispartofSigna Vitaeen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectOlder adultsen_US
dc.subjectElderlyen_US
dc.subjectFrequent useren_US
dc.subjectVisiten_US
dc.subjectEmergency departmenten_US
dc.subjectMortalityen_US
dc.titleImpact of inter-visit duration on mortality in older adults who use emergency department frequentlyen_US
dc.typeArticleen_US

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