Rate of Inappropriate Emergency Department Visits: A Growing Concern for Older Adults

The rate of inappropriate emergency department (ED) visits among older adults is a pressing concern in the United States. According to data from the California Office of Statewide Health Planning and Development, frequent ED users - defined as those who make six or more visits in a year - are at risk of return visits within 90 days, functional decline, or mortality after discharge.

In fact, research has shown that early returns (within 30 days of an index visit) and frequent returns (three or more visits within six months) are common among older adults. For example, a study found that nearly 20% of ED patients aged 65 and above return to the emergency department within 30 days of their initial visit.

Moreover, older adults often have multiple comorbid conditions and complex medical histories, which can lead to more expensive and lengthy diagnostic testing in the ED. This not only contributes to ED overutilization but also strains the healthcare system, with estimated annual costs exceeding $38 billion.

So, what are some of the factors that contribute to this phenomenon? Research suggests that poor health literacy, cognitive impairment, and lack of social support may all play a role. Additionally, older adults may have difficulty navigating the healthcare system, leading them to seek emergency care for non-emergency conditions.

It is essential that we develop effective prevention strategies targeting older adults to address ED recidivism. By understanding the factors that lead to repeated visits to the emergency department, we can work to reduce unnecessary testing, overutilization of healthcare resources, and hospital admissions.

In conclusion, the rate of inappropriate ED visits among older adults is a significant concern that requires attention from policymakers, healthcare providers, and researchers alike. By addressing this issue, we can help ensure that our healthcare system provides high-quality, cost-effective care to all individuals, regardless of age.

Rate of inappropriate ed visits