Self-Reports of Unmet Activities of Daily Living Needs Predict Future ED Admissions

April 21, 2017 | Aging Services Risk Management


​Evidence confirms the association between self-reported unmet needs for support with activities of daily living and future emergency department (ED) admissions, especially for falls and injuries, among older adults living in the community, says a study in the April 2017 issue of The Gerontologist. Analyzing data from responses to the 2004 National Long-Term Care Survey and linked Medicare claims data from 2004–2005, the authors found that the annual ED admission rate was 19% higher for those with unmet activities of daily living needs versus those whose needs were met; the rate was even higher for those admitted because of falls and injuries. An individual with unmet assistance needs, the study found, was admitted to the ED an average of 1.19 times per year compared with 0.87 times for those with met needs.

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