{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:39:53Z","timestamp":1788871193930,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,9,4]],"date-time":"2013-09-04T00:00:00Z","timestamp":1378252800000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"VA Health Services Research and Development Career Development Award","award":["CD 06-019"],"award-info":[{"award-number":["CD 06-019"]}]},{"name":"VA Health Services Research Senior Career Scientist Award","award":["RCS 91-408"],"award-info":[{"award-number":["RCS 91-408"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2013,9]]},"abstract":"\n Objectives<\/jats:title>\n \n To determine predictors of repeat health service use in older veterans treated and released from the emergency department (\n ED<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n \n Veterans Affairs Medical Center (\n VAMC<\/jats:styled-content>\n )\n ED<\/jats:styled-content>\n s.\n <\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Nationally representative sample of veterans aged 65 and older treated and released from one of 102\n VAMC ED<\/jats:styled-content>\n s between October 1, 2007, and June 30, 2008.\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n Logistic regression models were used to examine the association between independent variables and primary outcomes (30\u2010day repeat\n ED<\/jats:styled-content>\n visits and hospital admissions).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In 31,206 older veterans,\n ED<\/jats:styled-content>\n diagnoses were commonly related to chronic conditions (22.5%), injuries and acute musculoskeletal conditions (19%), and infections (13.5%). Within 30\u00a0days, 22% of older veterans had returned to the\n ED<\/jats:styled-content>\n (n\u00a0=\u00a04,779) or been hospitalized (n\u00a0=\u00a02,005). In adjusted models, factors associated with greater odds of repeat\n ED<\/jats:styled-content>\n visits than injury were homelessness (odds ratio (\n OR<\/jats:styled-content>\n )\u00a0=\u00a01.6, 95% confidence interval (\n CI<\/jats:styled-content>\n ) \u00a0=\u00a01.3\u20132.1), previous\n ED<\/jats:styled-content>\n visits (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.7, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.6\u20131.8), previous hospitalization (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.3, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.2\u20131.4), and index\n ED<\/jats:styled-content>\n visit related to infection (1.2, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.1\u20131.3). Odds of subsequent hospital admission were higher in veterans with previous hospitalization (\n OR<\/jats:styled-content>\n \u00a0=\u00a02.5, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a02.2\u20132.8), who were homeless (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.5, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.1\u20132.0), who had aid and attendance benefits (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.5, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.2\u20131.8), who were unmarried (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.2, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.1\u20131.3), and who had an\n ED<\/jats:styled-content>\n visit related to a chronic condition (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.4, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.2\u20131.6) than in those with injury.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n A substantial proportion of older veterans treated and released from a\n VAMC ED<\/jats:styled-content>\n returned to the\n ED<\/jats:styled-content>\n or were hospitalized within 30\u00a0days. Intervening with high\u2010risk older veterans after an\n ED<\/jats:styled-content>\n visit may reduce unscheduled healthcare use.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.12417","type":"journal-article","created":{"date-parts":[[2013,9,4]],"date-time":"2013-09-04T14:54:41Z","timestamp":1378306481000},"page":"1515-1521","source":"Crossref","is-referenced-by-count":15,"title":["Health\n S<\/scp>\n ervices\n U<\/scp>\n se of\n O<\/scp>\n lder\n V<\/scp>\n eterans\n T<\/scp>\n reated and\n R<\/scp>\n eleased from\n V<\/scp>\n eterans\n A<\/scp>\n ffairs\n M<\/scp>\n edical\n C<\/scp>\n enter\n E<\/scp>\n mergency\n D<\/scp>\n epartments"],"prefix":"10.1111","volume":"61","author":[{"given":"Susan Nicole","family":"Hastings","sequence":"first","affiliation":[{"name":"Center for Health Services Research in Primary Care Veterans Affairs Medical Center Durham North Carolina"},{"name":"Geriatrics Research, Education and Clinical Center Veterans Affairs Medical Center Durham North Carolina"},{"name":"Division of Geriatrics Department of Medicine Duke University Durham North Carolina"},{"name":"Center for the Study of Aging and Human Development Duke University Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Center for Health Services Research in Primary Care Veterans Affairs Medical Center Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morris","family":"Weinberger","sequence":"additional","affiliation":[{"name":"Center for Health Services Research in Primary Care Veterans Affairs Medical Center Durham North Carolina"},{"name":"Department of Health Policy and Management University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene Z.","family":"Oddone","sequence":"additional","affiliation":[{"name":"Center for Health Services Research in Primary Care Veterans Affairs Medical Center Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maren K.","family":"Olsen","sequence":"additional","affiliation":[{"name":"Center for Health Services Research in Primary Care Veterans Affairs Medical Center Durham North Carolina"},{"name":"Department of Biostatistics and Bioinformatics Duke University Durham Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth E.","family":"Schmader","sequence":"additional","affiliation":[{"name":"Geriatrics Research, Education and Clinical Center Veterans Affairs Medical Center Durham North Carolina"},{"name":"Division of Geriatrics Department of Medicine Duke University Durham North Carolina"},{"name":"Center for the Study of Aging and Human Development Duke University Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,9,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2009.08.008"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2006.09.050"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2002.121523"},{"key":"e_1_2_6_5_1","first-page":"1","article-title":"National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary","volume":"7","author":"Pitts SR","year":"2008","journal-title":"Natl Health Stat Report"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/27.6.697"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2000.tb01070.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajem.2001.21321"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3181791a2d"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-007-0343-9"},{"key":"e_1_2_6_11_1","unstructured":"ArnoldN SohmM MaynardCet\u00a0al.VIReC technical report 2: VA\u2010NDI mortality data merge project. 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