• Kelly Brotherhood, Ben Searle, Gemma Frances Spiers, Camila Caiado, and Barbara Hanratty.
• Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Biomedical Research Building (Second Floor), Newcastle upon Tyne NE1 7RU, UK.
• Br. Med. Bull. 2024 Mar 13; 149 (1): 324432-44.

BackgroundOlder adults' use of social care and their healthcare utilization are closely related. Residents of care homes access emergency care more often than the wider older population; however, less is known about emergency care use across other social care settings.Sources Of DataA systematic review was conducted, searching six electronic databases between January 2012 and February 2022.Areas Of AgreementOlder people access emergency care from a variety of community settings.Areas Of ControversyDifferences in study design contributed to high variation observed between studies.Growing PointsAlthough data were limited, findings suggest that emergency hospital attendance is lowest from nursing homes and highest from assisted living facilities, whilst emergency admissions varied little by social care setting.Areas Timely For Developing ResearchThere is a paucity of published research on emergency hospital use from social care settings, particularly home care and assisted living facilities. More attention is needed on this area, with standardized definitions to enable comparisons between studies.© The Author(s) 2023. Published by Oxford University Press.

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