{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T10:34:05Z","timestamp":1768559645984,"version":"3.49.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Knowing the prevalence of potentially avoidable hospitalizations (PAHs) and the factors associated with them is essential if preventive action is to be taken. Studies on PAHs mainly concern adults, and very few have been carried out in South America. To the best of our knowledge, there has been no study on PAHs in French Guiana, particularly among older adults. This case\u2013control study aimed to estimate the prevalence of PAHs in the Guianese population aged over 65 and to analyze their associated factors. We used the 2017\u20132019 data from the French National Health Service database (Syst\u00e8me National des Donn\u00e9es de Sant\u00e9). The patients were age- and sex-matched 1\u2009:\u20093 with controls without any PAH in 2019. Factors associated with PAHs were investigated through two conditional logistic regression models [one including the Charlson comorbidity index (CCI) and one including each comorbidity of the CCI], with calculation of the adjusted odds ratio (aOR) and 95% confidence interval (CI). The PAH incidence was 17.4 per 1000 inhabitants. PAHs represented 6.6% of all hospitalizations (45.6% related to congestive heart failure or hypertension). A higher CCI was associated with PAHs [aOR 2.2 (95% CI: 1.6, 3.0) and aOR 4.8 (95% CI: 2.4, 9.9) for 1\u20132 and \u22653 comorbidities, respectively, versus 0], as was immigrant health insurance status [aOR 2.3 (95% CI: 1.3, 4.2)]. Connective tissue disease, chronic pulmonary disease, congestive heart failure, diabetes, and peripheral vascular disease were comorbidities associated with an increased risk of PAHs. While the prevention of PAHs among immigrants is probably beyond the reach of the Guianese authorities, primary care and a public health policy geared toward prevention should be put in place for the French Guianese population suffering from cardiovascular disease in order to reduce PAHs.<\/jats:p>","DOI":"10.1093\/intqhc\/mzae083","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T13:03:12Z","timestamp":1723554192000},"source":"Crossref","is-referenced-by-count":2,"title":["Potentially avoidable hospitalizations and associated factors among older people in French Guiana using the French National Health Data System"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8425-5403","authenticated-orcid":false,"given":"Loreinzia","family":"Clarke","sequence":"first","affiliation":[{"name":"Medicine Department, Universit\u00e9 Paul Sabatier Toulouse 3 , 37 All\u00e9es Jules Guesde, Toulouse 31000, France"},{"name":"Observatoire R\u00e9gional de la Sant\u00e9 de Guyane , 771 route de Baduel, Cayenne 97300, French Guiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie Josiane","family":"Castor-Newton","sequence":"additional","affiliation":[{"name":"Observatoire R\u00e9gional de la Sant\u00e9 de Guyane , 771 route de Baduel, Cayenne 97300, French Guiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constanca","family":"Jalles","sequence":"additional","affiliation":[{"name":"Medicine Department, Universit\u00e9 Paul Sabatier Toulouse 3 , 37 All\u00e9es Jules Guesde, Toulouse 31000, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryse","family":"Lapeyre-Mestre","sequence":"additional","affiliation":[{"name":"Medicine Department, Universit\u00e9 Paul Sabatier Toulouse 3 , 37 All\u00e9es Jules Guesde, Toulouse 31000, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginie","family":"Gardette","sequence":"additional","affiliation":[{"name":"Medicine Department, Universit\u00e9 Paul Sabatier Toulouse 3 , 37 All\u00e9es Jules Guesde, Toulouse 31000, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,8,13]]},"reference":[{"key":"2024090416311808000_R1","doi-asserted-by":"publisher","first-page":"695","DOI":"10.3917\/spub.225.0695","article-title":"The elderly in French Guiana: health status and challenges for the Guianese health system","volume":"34","author":"Clarke","year":"2022","journal-title":"Sante Publique"},{"key":"2024090416311808000_R2","doi-asserted-by":"publisher","first-page":"2388","DOI":"10.1001\/jama.1992.03490170060026","article-title":"Rates of avoidable hospitalization by insurance status in Massachusetts and 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