Discharge instruction comprehension by older adults in the emergency department: A systematic review and meta‐analysis DOI
Adrian D. Haimovich,

Sydney Mulqueen,

Jossie Carreras‐Tartak

et al.

Academic Emergency Medicine, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 12, 2024

Abstract Introduction Older adults are at high risk of adverse health outcomes in the post–emergency department (ED) discharge period. Prior work has shown that discharged older have variable understanding their instructions which may contribute to these outcomes. To identify comprehension gaps amenable future interventions, we utilize meta‐analysis determine patient across five domains instructions: diagnosis, medications, self‐care, routine follow‐up, and return precautions. Methods Using Preferred Reporting Items for Systematic Reviews Meta‐Analyses guidelines, two reviewers sourced evidence from databases including Medline (PubMed), EMBASE, Web Science, CINAHL, Google Scholar (for gray literature). Publications or preprints appearing before April 2024 were included if they focused on geriatric ED reported a proportion patients with least one predefined components. Meta‐analysis eligible studies each component was executed using random‐effects modeling describe cases instructions; where appropriate calculated pooled estimates, as percentages 95% confidence interval (CI). Results Of initial records returned ( N = 2898), exclusions based title abstract assessment left 51 full‐text review; these, seven constituted study set. Acceptable heterogeneity absence indication publication bias supported estimates proportions comprehending medications (41%, CI 31%–50%, I 2 43%), self‐care (81%, 76%–85%, follow‐up (76%, 72%–79%, 25%). Key findings marked respect parameters: diagnosis 73%) precautions 95%). Conclusions had greater than about medications. These suggest medication be priority domain interventions.

Language: Английский

Caregivers’ burden of care during emergency department care transitions among older adults: a mixed methods cohort study DOI Creative Commons
Nathalie Germain,

Estephanie Jémus-Gonzalez,

Vanessa Couture

et al.

BMC Geriatrics, Journal Year: 2024, Volume and Issue: 24(1)

Published: Sept. 28, 2024

Language: Английский

Citations

3
Two Decades of Change in Living arrangements and Oldest Old Health in China, 1998-2018 DOI Creative Commons
Li Zhang

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: May 13, 2024

Abstract Living arrangement has been documented to be influential on older adults’ health. However, there is hardly comprehensive temporal model for understanding the effects of time and cohort oldest old’s health in various household contexts. This study intended fill voids prior literature by studying Chinese old through analyzing data from eight (1998, 2000, 2002, 2005, 2008, 2011-12, 2014 2018) waves Longitudinal Healthy Longevity Survey (CLHLS). The results showed changing patterns living arrangements period across birth cohorts. were more inclined live with a spouse or alone. nursing homes was also chosen recent years. Younger cohorts spouse, both adult children/grandchildren alone than Oldest who lived only, those multigenerational families tended have better physical mental Respondents stayed others worst had but suffered loneliness reported subjective wellbeing. Significant variations found when linking Cohort mainly occurred among subgroups alone, staying others. Period prominent effects, especially times economic recessions natural disasters that massive social impacts. emphasized strong highlighted special attention should given vulnerable groups promote their health, including

Language: Английский

Citations

0
Caregivers’ burden of care during emergency department care transitions among older adults: a mixed methods cohort study DOI
Nathalie Germain,

Estephanie Jémus-Gonzalez,

Vanessa Couture

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: July 17, 2024

Abstract Objective Improving care transitions for older adults can reduce emergency department (ED) revisits, and the strain placed upon caregivers. We analyzed whether caregivers felt a change in burden following transition, what may be improved to it. Methods This mixed-methods observational study nested within LEARNING WISDOM included of patients who experienced an ED transition. Burden was collected with brief Zarit Interview (ZBI-12), commented on A qualitative coding scheme patient created reflect themes important Comments were randomly until saturation extracted from data. followed both SRQR STROBE checklists. Results 581 (mean age (SD) 64.5 (12.3), 68% women) caring 77.2 (7.54), 48% analyzed. Caregivers overwhelmingly reported dissatisfaction unmet service expectations, particularly home domestic help. Communication follow-up emerged as area improvement. increased level recipient’s transition had significantly higher ZBI scores than self-reported stable levels, but not levels. Conclusion increasing, stable, levels subjective all areas improvement process. Themes centering capacity live at most frequently represent serious challenges Addressing these could improve caregiver transitions. Key points caregivers’ thoughts about using quantitative tools. expectations care, help, coordinating follow-ups. Variance corresponds (ZBI) scores.

Language: Английский

Citations

0
Discharge instruction comprehension by older adults in the emergency department: A systematic review and meta‐analysis DOI
Adrian D. Haimovich,

Sydney Mulqueen,

Jossie Carreras‐Tartak

et al.

Academic Emergency Medicine, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 12, 2024

Abstract Introduction Older adults are at high risk of adverse health outcomes in the post–emergency department (ED) discharge period. Prior work has shown that discharged older have variable understanding their instructions which may contribute to these outcomes. To identify comprehension gaps amenable future interventions, we utilize meta‐analysis determine patient across five domains instructions: diagnosis, medications, self‐care, routine follow‐up, and return precautions. Methods Using Preferred Reporting Items for Systematic Reviews Meta‐Analyses guidelines, two reviewers sourced evidence from databases including Medline (PubMed), EMBASE, Web Science, CINAHL, Google Scholar (for gray literature). Publications or preprints appearing before April 2024 were included if they focused on geriatric ED reported a proportion patients with least one predefined components. Meta‐analysis eligible studies each component was executed using random‐effects modeling describe cases instructions; where appropriate calculated pooled estimates, as percentages 95% confidence interval (CI). Results Of initial records returned ( N = 2898), exclusions based title abstract assessment left 51 full‐text review; these, seven constituted study set. Acceptable heterogeneity absence indication publication bias supported estimates proportions comprehending medications (41%, CI 31%–50%, I 2 43%), self‐care (81%, 76%–85%, follow‐up (76%, 72%–79%, 25%). Key findings marked respect parameters: diagnosis 73%) precautions 95%). Conclusions had greater than about medications. These suggest medication be priority domain interventions.

Language: Английский

Citations

0