John Libbey Eurotext

Gériatrie et Psychologie Neuropsychiatrie du Vieillissement

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Risk factors of readmission into emergency department in patients aged 75 or older: a systematic review Volume 19, issue 3, Septembre 2021

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Authors
1 Pôle gérontologie, CHU Montpellier, Université de Montpellier, France
2 Service des urgences - SAMU – SMUR, CHU Montpellier, Université de Montpellier, France
3 Service des urgences - SAMU – SMUR, CHU Nîmes, France
4 Service de gérontologie, CHU Nîmes, France
5 CHU de Limoges, Pôle HU gérontologie clinique, Limoges, France, Université de Limoges ; IFR 145 GEIST ; Laboratoire de recherche sur le vieillissement et la santé digitale ; UR Unilim VieSante, Limoges, France
* Correspondance

A systematic review of the literature was carried out to assess the risk factors for readmission to the emergency room in people aged 75 and over. This review shows that some socio-demographic factors (high age, male gender, not being single), some underlying conditions (cardio-respiratory diseases, diabetes, cognitive impairment, cancer, depression), a recent history of falling and an impaired autonomy before admission are risk factors for readmission to the emergency room more than the cause of admission itself or its severity in people aged 75 and over. It remains to determine the best predictive readmission score in the elderly and whether a systematic identification of risk factors associated with specific management in the at-risk oldest reduce their readmission after a first visit to the emergency room.