Citation

López-Soto PJ, Morales-Cané I, Fabbian F, Manfredini R, Dios-Guerra C, Carmona-Torres JM, Rodríguez-Borrego MA. Clin. Nurs. Res. 2019; ePub(ePub): 1054773819843627.

Affiliation

Reina Sofia University Hospital, Cordoba, Spain.

Copyright

(Copyright © 2019, SAGE Publishing)

DOI

10.1177/1054773819843627

PMID

31007041

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.

Language: en

Keywords

accident and emergency unit; aged; community health nursing practice; emergency department visit; predictors