지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Purpose: The average age of the homeless is increasing as the aging society advances. We analyzed characteristics of older homeless patients who visit the emergency department (ED).
Methods: A retrospective study was conducted in a public hospital between March 2011 and February 2014 from homeless patients who visited the ED. We compared their sex rates, insurance, diagnostic test, medications for discharge, admission rates, cardiopulmonary resuscitation (CPR), length of ED stay, and discharge diagnosis.
Results: A total of 3237 patients were enrolled during the study period; 95.4% were male and mean age was 50.18 years, and 1734 (53.57%) were 50 years and older. The rates of health insurance coverage for these groups are similar but older homeless had more insurance of lower income (10.0% vs 12.9%; p=0.003). Older homeless were admitted to hospital more often (14.0% vs 17.9%; p=0.003) and were received medication less often (43.7% vs 40.2%; p=0.043) than younger homeless. In most cases discharge diagnosis was substance use alcohol related (36.9% vs 34.3%). Older homeless had more discharge diagnoses related to endocrine, urinary, and musculoskeletal and connective tissue, and fewer discharge diagnoses related to digestive and psychiatric. The CPR rate did not differ (1.4% vs 1.5%; p=0.906).
Conclusion: This study suggested that the pattern of ED care for older homeless is different from those of younger homeless. The number of older homeless will increase and lead to admission to the hospital, thus, health care systems should be prepared by characteristics.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Culhane DP / 2013 / The age structure of contemporary homelessness : evidence and implications for public policy / Analyses of Social Issues and Public Policy 13:228~244
Homelessness USICo / Opening Doors: Federal Strategic Plan to Prevent and End Homelessness
Pleis JR / 2009 / Summary health statistics for U.S. adults: National Health Interview Survey, 2009 / Vital Health Stat 10:2010~2011
Inouye SK / 2007 / Geriatric syndromes : clinical, research, and policy implications of a core geriatric concept / J Am Geriatr Soc 55:780~791
Gelberg L / 1990 / Differences in health status between older and younger homeless adults / J Am Geriatr Soc 38:1220~1229
Homelessness USICo / Opening Doors: Federal Strategic Plan to Prevent and End Homelessness
Pleis JR / 2009 / Summary health statistics for U.S. adults: National Health Interview Survey, 2009 / Vital Health Stat 10:2010~2011
Inouye SK / 2007 / Geriatric syndromes : clinical, research, and policy implications of a core geriatric concept / J Am Geriatr Soc 55:780~791
Gelberg L / 1990 / Differences in health status between older and younger homeless adults / J Am Geriatr Soc 38:1220~1229
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