{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T03:21:11Z","timestamp":1792293671124,"version":"4.4.0"},"reference-count":67,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,7,5]],"date-time":"2014-07-05T00:00:00Z","timestamp":1404518400000},"content-version":"vor","delay-in-days":34,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23AG038548"],"award-info":[{"award-number":["K23AG038548"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Health outcomes among older emergency department (<jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>) patients may be influenced by physical, economic, and psychological problems not routinely identified during the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> visit. The objective of this study was to characterize such problems among older adults presenting to the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a prevalence study with enrollment during 4\u2010hour periods randomly selected between 9\u00a0a.m. and 9\u00a0p.m. on random\u00a0days of the week over a period of 8\u00a0weeks at an academic <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> in the southeast United States. Participants were noninstitutionalized, cognitively intact adults aged 65\u00a0years or older without life\u2010threatening illness or injury. Consenting patients were asked about the frequency of 10 prespecified problems during the past year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients (<jats:italic>N<\/jats:italic>\u00a0=\u00a0138) were non\u2010Hispanic white (69%) and female (57%) and almost all had primary providers (95%) and health insurance (98%). Forty percent reported their overall health as fair (21%) or poor (19%). Hazardous drinking habits were reported by 10% of patients. The prevalence of problems occurring either \u201csometimes\u201d or \u201coften\u201d in the past year were pain (60%), difficulty walking (47%), lack of money (32%), isolation and loneliness (14%), lack of transportation (12%), difficulty scheduling a doctor's appointment (4%), difficulty getting prescriptions filled (4%), and lack of dental care (6%). Nine patients (7%) reported experiencing physical or psychological abuse at some point in the past year. Females, minorities, and individuals living in urban areas reported higher rates of most problems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Nonmedical problems are common among cognitively intact, independent living, non\u2013critically ill older patients presenting to an <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> in the southeast United States.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.12395","type":"journal-article","created":{"date-parts":[[2014,7,5]],"date-time":"2014-07-05T19:24:47Z","timestamp":1404588287000},"page":"651-658","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department"],"prefix":"10.1111","volume":"21","author":[{"given":"Tarshona B.","family":"Stevens","sequence":"first","affiliation":[{"name":"The School of Medicine Meharry Medical College Nashville TN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie L.","family":"Richmond","sequence":"additional","affiliation":[{"name":"The Department of History Johns Hopkins University Baltimore MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory F.","family":"Pereira","sequence":"additional","affiliation":[{"name":"The Department of Emergency Medicine University of North Carolina Chapel Hill NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina L.","family":"Shenvi","sequence":"additional","affiliation":[{"name":"The Department of Emergency Medicine University of North Carolina Chapel Hill NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy F.","family":"Platts\u2010Mills","sequence":"additional","affiliation":[{"name":"The Department of Emergency Medicine University of North Carolina Chapel Hill NC"},{"name":"The Department of Anesthesiology University of North Carolina Chapel Hill NC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,7,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12072"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02352.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.02864.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2010.09.007"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.04058.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1999.tb05204.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2001.49254.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52401.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2003.152"},{"key":"e_1_2_7_11_1","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1067\/mem.2002.122273","article-title":"Missed delirium in older emergency department patients: a quality\u2010of\u2010care problem","volume":"39","author":"Sanders AB","year":"2002","journal-title":"Ann Emerg Med"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2013.05.003"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2009.00351.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2002.121523"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/61.1.53"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.04.015"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/089826439801000105"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.03.021"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/52B.5.P197"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/46.2.200"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1197\/S1069-6563(03)00371-3"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2012.02.006"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1197\/aemj.9.6.627"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2013.07.509"},{"key":"e_1_2_7_25_1","volume-title":"Emergency Severity Index, Version 4: Implementation Handbook","author":"Gilboy N","year":"2005"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200209000-00007"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.167.5.589"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.00495.x"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/41.1.82"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4733.2005.04054.x"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1204714"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.23.3095"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.159.15.1701"},{"key":"e_1_2_7_34_1","unstructured":"United States Census Urban and Rural Classification.Available at:http:\/\/www.census.gov\/geo\/reference\/urban-rural.html. Accessed Mar 3 2014."},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.04.017"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280110043942"},{"issue":"40","key":"e_1_2_7_37_1","first-page":"7","article-title":"Chronic pain. Sources of late\u2010life pain and risk factors for disability","volume":"55","author":"Gallagher RM","year":"2000","journal-title":"Geriatrics"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1738"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318133fb82"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2012.09.002"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2010.450"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03318.x"},{"issue":"60","key":"e_1_2_7_43_1","first-page":"616","article-title":"Beers Criteria Update Expert Panel. American Geriatrics Society Updated Beers Criteria for potentially inappropriate medication use in older adults","volume":"2012","author":"American Geriatrics Society","year":"2012","journal-title":"J Am Geriatr Soc"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12212"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(98)00255-3"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52013.x"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.04.023"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280110066235"},{"key":"e_1_2_7_49_1","volume-title":"Income Volatility and Implications for Food Assistance Programs","author":"Haider SJ","year":"2003"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.3141\/1843-12"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.1080\/15389580801895285"},{"key":"e_1_2_7_52_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264305280993"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-647"},{"key":"e_1_2_7_54_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1993.03510100072035"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1992.tb03649.x"},{"key":"e_1_2_7_56_1","doi-asserted-by":"publisher","DOI":"10.3109\/10826089509071053"},{"key":"e_1_2_7_57_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1993.01420200081015"},{"key":"e_1_2_7_58_1","first-page":"378","article-title":"Brief physician advice for alcohol problems in older adults: a randomized community\u2010based trial","volume":"48","author":"Fleming MF","year":"1999","journal-title":"J Fam Pract"},{"key":"e_1_2_7_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2010.03229.x"},{"key":"e_1_2_7_60_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/28.1.51"},{"key":"e_1_2_7_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02221.x"},{"key":"e_1_2_7_62_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afm194"},{"key":"e_1_2_7_63_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.238"},{"key":"e_1_2_7_64_1","volume-title":"Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Panel to Review Risk and Prevalence of Elder Abuse and Neglect","author":"Bonnie RJ","year":"2005"},{"key":"e_1_2_7_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(97)70007-6"},{"key":"e_1_2_7_66_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2010.00670.x"},{"key":"e_1_2_7_67_1","unstructured":"National Center on Elder Abuse.State Resources Page. Available at:http:\/\/www.ncea.aoa.gov\/Stop_Abuse\/Get_Help\/State\/index.aspx. Accessed Feb 22 2014."},{"key":"e_1_2_7_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.06.560"}],"container-title":["Academic Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Facem.12395","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acem.12395","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T04:12:36Z","timestamp":1696479156000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/acem.12395"}},"subtitle":[],"editor":[{"given":"Lowell","family":"Gerson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2014,6]]},"references-count":67,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,6]]}},"alternative-id":["10.1111\/acem.12395"],"URL":"https:\/\/doi.org\/10.1111\/acem.12395","archive":["Portico"],"relation":{},"ISSN":["1069-6563","1553-2712"],"issn-type":[{"value":"1069-6563","type":"print"},{"value":"1553-2712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,6]]},"assertion":[{"value":"2013-11-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-01-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-07-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}