Risk factors of readmission into emergency department in patients aged 75 or older: a systematic review

Camille Cande (1) , Mustapha Sebbane (1, 2) , Xavier Bobbia (3, 4) , Pierre-Géraud Claret (3, 4) , Cédric Le Guillou (3) , Achille Tchalla (5, 6) , Hubert Blain (1)

1 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
2 PhyMedExp - Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046]
3 CHU Nîmes - Centre Hospitalier Universitaire de Nîmes
4 IMAGINE - Initial MAnagement and prevention of acute orGan failures IN critically ill patiEnts
5 UNILIM - Université de Limoges
6 GEIST - Institut Génomique, Environnement, Immunité, Santé, Thérapeutique

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.

Mots clés: Emergency department; Old people; Readmission

Domaines: Psychiatrie et santé mentale; Psychologie et comportements

Camille Cande, Mustapha Sebbane, Xavier Bobbia, Pierre-Géraud Claret, Cédric Le Guillou, et al.. Risk factors of readmission into emergency department in patients aged 75 or older: a systematic review. Psychologie & NeuroPsychiatrie du vieillissement, 2021, 19 (3), pp.253-260. ⟨10.1684/pnv.2021.0950⟩. ⟨hal-03625896⟩