Emergency Department and Inpatient Health Care Services Utilization by the Elderly Population: Hurricane Sandy in The State of New Jersey
| Autor: | Roger Miller, Samuel Mallette, Linda McQuade, Mark Lyford, Bella Nadler, Barry Merriman, Sangeeta Desai |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Insurance Claim Review 03 medical and health sciences Health services 0302 clinical medicine Elderly population Claims data Health care Humans Medicine 030212 general & internal medicine Natural disaster Aged Aged 80 and over New Jersey Cyclonic Storms business.industry Surge Capacity Public Health Environmental and Occupational Health 030208 emergency & critical care medicine Emergency department Patient Acceptance of Health Care medicine.disease Hospitals Medical services Female Medical emergency Emergency Service Hospital business Public health preparedness |
| Zdroj: | Disaster Medicine and Public Health Preparedness. 12:730-738 |
| ISSN: | 1938-744X 1935-7893 |
| DOI: | 10.1017/dmp.2018.1 |
| Popis: | ObjectiveIn this investigation, we reported the increase in emergency department and inpatient admission cases during the month of November 2012 post Hurricane Sandy as compared with baseline (November 2010, 2011, and 2013) for elderly patients aged 65 and up.MethodsMedical claims data for patients aged 65 and over treated at emergency department and inpatient health care facilities in New Jersey were analyzed to examine the surge in frequencies of diagnoses treated immediately following Hurricane Sandy. The differences were quantified using gap analysis for 2 years before and 1 year after the event.ResultsThere was an average increase of 1700 cases for the month of November 2012 relative to baseline for the top 15 most frequently diagnosed emergency department medical conditions. On a daily basis, a volume increase by an average 57 cases could be expected, including significant numbers of limb fractures and other trauma cases for these most frequently encountered medical conditions.ConclusionsUnderstanding the surge level in medical services needed in emergency departments and inpatient facilities during a natural disaster aftermath is critical for effective emergency preparation and response for the elderly population. (Disaster Med Public Health Preparedness. 2018;12:730-738) |
| Databáze: | OpenAIRE |
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