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Letter to the Editor| Volume 22, ISSUE 10, P2220-2221, October 2021

Comment on “Factors Associated with Potentially Inappropriate Transfer to the Emergency Department Among Nursing Home Residents”

Published:August 17, 2021DOI:https://doi.org/10.1016/j.jamda.2021.07.033
Comment on “Factors Associated with Potentially Inappropriate Transfer to the Emergency Department Among Nursing Home Residents”
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      We read with great interest the article by Rolland et al regarding the factors associated with inappropriate transfer of nursing home residents to the emergency department.
      • Rolland Y.
      • Mathieu C.
      • Tavassoli N.
      • et al.
      Factors associated with potentially inappropriate transfer to the emergency department among nursing home residents.
      J Am Med Dir Assoc. 2021;
      The authors found that 21% of transfers were potentially inappropriate. In 2013, we conducted a multicenter study of the same design with a similar number of participants (1000) of comparable age (mean 87 years of age) in Burgundy (eastern France). Our results showed that 18.1% of admissions were inappropriate,
      • Manckoundia P.
      • Menu D.
      • Turcu A.
      • et al.
      Analysis of inappropriate admissions of residents of medicalized nursing homes to emergency departments: A prospective multicenter study in Burgundy.
      J Am Med Dir Assoc. 2016; 17: 671.e1-671.e7
      which is close to the rate reported by Rolland et al.
      • Rolland Y.
      • Mathieu C.
      • Tavassoli N.
      • et al.
      Factors associated with potentially inappropriate transfer to the emergency department among nursing home residents.
      J Am Med Dir Assoc. 2021;
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      References

        • Rolland Y.
        • Mathieu C.
        • Tavassoli N.
        • et al.
        Factors associated with potentially inappropriate transfer to the emergency department among nursing home residents.
        J Am Med Dir Assoc. 2021;
        View in Article
        • Manckoundia P.
        • Menu D.
        • Turcu A.
        • et al.
        Analysis of inappropriate admissions of residents of medicalized nursing homes to emergency departments: A prospective multicenter study in Burgundy.
        J Am Med Dir Assoc. 2016; 17: 671.e1-671.e7
        View in Article
        • Payne R.A.
        • Abel G.A.
        • Guthrie B.
        • Mercer S.W.
        The effect of physical multimorbidity, mental health conditions and socioeconomic deprivation on unplanned admissions to hospital: A retrospective cohort study.
        CMAJ. 2013; 185: E221-E228
        View in Article
        • Eagles D.
        • Khoujah D.
        Rapid fire: Acute brain failure in older emergency department patients.
        Emerg Med Clin North Am. 2021; 39: 287-305
        View in Article
        • Han D.
        • Kang B.
        • Kim J.
        • et al.
        Prolonged stay in the emergency department is an independent risk factor for hospital-acquired pressure ulcer.
        Int Wound J. 2020; 17: 259-267
        View in Article
        • Shiber J.R.
        • Mattu A.
        Serum phosphate abnormalities in the emergency department.
        J Emerg Med. 2002; 23: 395-400
        View in Article

      Article info

      Publication history

      Published online: August 17, 2021

      Footnotes

      The authors declare no conflicts of interest.

      Identification

      DOI: https://doi.org/10.1016/j.jamda.2021.07.033

      Copyright

      © 2021 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

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