Ann Acad Med Singap
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Ann Acad Med Singap · Mar 2022
Determinants of emergency department utilisation by older adults in Singapore: A systematic review.
Adults aged ≥60 years contribute to disproportionately higher visits to the emergency departments (ED). We performed a systematic review to examine the reasons why older persons visit the ED in Singapore. ⋯ The major determinants of ED utilisation by older adults in Singapore were largely individual factors. Evaluation of societal determinants of ED utilisation was lacking in the included studies. There is a need for a more holistic examination of determinants of ED utilisation locally based on conceptual models of health seeking behaviours.
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Ann Acad Med Singap · Mar 2022
Identifying high-risk hospitalised chronic kidney disease patient using electronic health records for serious illness conversation.
This study aimed to identify risk factors that are associated with increased mortality that could prompt a serious illness conversation (SIC) among patients with chronic kidney disease (CKD). ⋯ CCI, serum albumin and recent hospital readmission could identify CKD patients at higher risk of mortality who could benefit from a serious illness conversation.