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dc.contributor.authorSchumacher, Connie
dc.contributor.authorJones, Aaron
dc.contributor.authorCosta, Andrew P.
dc.date.accessioned2020-09-04T14:42:51Z
dc.date.available2020-09-04T14:42:51Z
dc.date.issued2020
dc.identifier.citationCanadian journal of nursing research, 2020-08-20, p.84456212094942en_US
dc.identifier.issn0844-5621
dc.identifier.issn1705-7051
dc.identifier.urihttp://hdl.handle.net/10464/14900
dc.description.abstractBackground Home care patients are a growing group of community-dwelling older adults with complex care needs and high health service use. Adult home care patients are at high risk for emergency department (ED) visits, which is greater on the same day as a nursing visit. The purpose of this study was to examine whether common nursing indicators modified the association between nursing visits and same-day ED visits. Methods A case-crossover design within a retrospective cohort of adult home care patients in Ontario. Results A total of 11,840 home care nursing patients were analyzed. Home care patients who received a home nursing visit were more likely to go the ED after hours on the same day with a stronger association for visits not admitted to the hospital. Having a urinary catheter increased the risk of a same-day ED visit (OR: 1.78 (95% CI 1.15–1.60) vs. 1.21 (95% CI 1.15–1.28)). No other clinical indicator modified the association. The findings of this study can be used to inform care policies and practices for home care nurses in the management of indwelling urinary catheter complications. Further examination of system factors such as capacity and resources available to respond to catheter related complications in the community setting are recommended.en_US
dc.language.isoen_USen_US
dc.publisherSage Publicationsen_US
dc.subjectNursingen_US
dc.subjectCommunity careen_US
dc.subjectEmergency departmenten_US
dc.subjectUrinary catheteren_US
dc.titleHome Care Nursing Visits and Same-Day Emergency Department Use: Which Patients Are Most at Risk?en_US
dc.typeArticleen_US
dc.identifier.doi10.1177/0844562120949426
refterms.dateFOA2021-08-14T01:39:13Z


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