Navigation Links
The aging population and emergency departments
Date:7/8/2013

Boston As the population gets older, and the baby boomers begin to enter their 60's and 70's, one might assume that the number of trips to the emergency department will also increase. This is contradicted by new research from Brigham and Women's Hospital (BWH), which shows that population aging will not cause the number of emergency department (ED) visits to increase between now and 2050. However, visits will become longer and hospitalizations will become more frequent. This research will appear in the July issue of Health Affairs.

"With US emergency care characterized as 'at the breaking point', we wanted to study how the aging of the U.S. population would affect the demand for emergency department services and hospitalizations in the coming decades," explained Daniel J. Pallin, MD, MPH, director of research in the Department of Emergency Medicine at BWH and lead author of this study. "We found that demographic change will not cause the number of ED visits to increase, but visits will get longer and there will be more hospitalizations."

To study the effect of aging on demand for ED services, the researchers quantified the number of visits that would occur if the structure of the U.S. population changed, but everything else remained the same. They used 2009 as the baseline to model the expected ED use for each age and race subgroup. They then applied these visit rates to the population the US Census Bureau expects to exist in future years, through 2050. The main outcome measure was the ratio of the rate of increase in ED visits to the rate of increase in total population. Researchers were surprised and reassured to find that the number of ED visits would increase only at the same rate as the population increased. However, they also found that the aggregate amount of time patients spend in EDs nationwide will increase 10 percent faster than population growth, due to longer visits. More worrisome still, they predict that hospital admissions from the ED will increase 23 percent faster than population growth.

"Our analysis predicts that the total amount of time spent by patients in EDs across the country will increase 1.1 times faster than population growth as the population ages," explained Pallin. "This means that the United States will need 10 percent more ED resources per capita than available today." Pallin says the most important take home message for this research is that since the length-of-stay and number of hospitalizations are predicted to increase, the process of moving patients from the ED into the hospital needs to be as efficient as possible.

Researchers note that the principal limitation of this investigation is the scope of the research. The researchers only predicted changes in healthcare based on demographic change, and assumed that all other factors would remain stable (like whether a given person will choose to visit the ED instead of a doctor's office). Also, they did not analyze hospitalizations that come from anywhere else besides the ED; other hospitalizations account for roughly 55 percent of the total.


'/>"/>

Contact: Jessica Maki
jmaki3@partners.org
617-534-1603
Brigham and Women's Hospital
Source:Eurekalert

Related biology news :

1. More effective method of imaging proteins
2. Food science poised to help address needs of aging population
3. High-resolution atomic imaging of specimens in liquid by TEM using graphene liquid cell
4. Researcher awarded $1 million for stress-associated disease and aging research
5. Scientists uncover exciting lead into premature aging and heart disease
6. Scientists discover enzyme that could slow part of the aging process in astronauts -- and the elderly
7. Trial seeks improved lung-cancer screening by combining imaging and biomarkers
8. Radiologists study necessity of additional imaging recommendations in PET/CT oncologic reports
9. Canadian girl, 16, invents disease-fighting, anti-aging compound using tree particles
10. WSU researchers say genes and vascular risk modify effects of aging on brain and cognition
11. Managing biodiversity data from local government
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/23/2017)... N.Y. , June 23, 2017  IBM (NYSE: ... dairy research, today announced a new collaboration using next-generation ... chances that the global milk supply is impacted by ... Cornell University has become the newest academic institution to ... a food safety initiative that includes IBM Research, Mars, ...
(Date:5/6/2017)... SINGAPORE , May 5, 2017 ... has just announced a new breakthrough in biometric ... that exploits quantum mechanical properties to perform ... new smart semiconductor material created by Ram Group ... across finance, entertainment, transportation, supply chains and security. ...
(Date:4/13/2017)... , April 13, 2017 UBM,s Advanced Design ... will feature emerging and evolving technology through its ... Summits will run alongside the expo portion of the ... panels and demonstrations focused on trending topics within 3D ... design and manufacturing event will take place June 13-15, 2017 ...
Breaking Biology News(10 mins):
(Date:7/26/2017)... ... July 26, 2017 , ... NLP Logix ... years of diagnostic excellence by Mayo Clinic and the experience in developing and ... be distributed through the Microsoft Azure platform and will focus on assisting physicians ...
(Date:7/26/2017)... July 26, 2017  Nurse practitioners play a crucial role ... of a Merck Manuals survey released today. The ... revealed that most (88 percent) believe they spend at least ... prescriptions. ... Merck Manuals survey of 210 nurse practitioners finds ...
(Date:7/25/2017)... , ... July 25, 2017 , ... ... enhance the microbiome and improve efficiency of livestock farming while reducing the use ... has licensed additional intellectual property from Cornell University. , These new proprietary ...
(Date:7/24/2017)... ... July 24, 2017 , ... Each year, Inavero’s Best of ... their superior service quality as rated by hiring professionals and job candidates. In ... on service quality ratings from their placed talent. , Fewer than 2% of ...
Breaking Biology Technology: