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Predictive factors of hospitalization related to the caregiver burden in older adults presenting to the emergency department

Published online by Cambridge University Press:  23 March 2020

G. Mattei ,
I. Goldoni ,
F. Mariani ,
G. Casu ,
L. Boccaletti ,
S. Ferrari ,
L. Ligabue  and
A. Colantoni
G. Mattei
Affiliation:
ARPSY, Association for Research in Psychiatry, Castelnuovo Rangone, Italy University of Modena and Reggio Emilia, Department of Clinical, Diagnostic and Public Health Medicine, Modena, Italy
I. Goldoni
Affiliation:
Progetto Anziani, AOU Policlinico di Modena, Modena, Italy
F. Mariani
Affiliation:
Progetto Anziani, AOU Policlinico di Modena, Modena, Italy
G. Casu
Affiliation:
Anziani e Non solo, SocCoop, Carpi, Italy
L. Boccaletti
Affiliation:
Anziani e Non solo, SocCoop, Carpi, Italy
S. Ferrari
Affiliation:
University of Modena and Reggio Emilia, Department of Clinical, Diagnostic and Public Health Medicine, Modena, Italy
L. Ligabue
Affiliation:
Anziani e Non solo, SocCoop, Carpi, Italy
A. Colantoni
Affiliation:
ARPSY, Association for Research in Psychiatry, Castelnuovo Rangone, Italy Progetto Anziani, AOU Policlinico di Modena, Modena, Italy

Abstract

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Background

Long-term care for the elderly by their family members represents a serious burden in Italy. The physical and psychological health of informal caregivers is a growing public health issue. Old patients often seek urgent medical attention in the Emergency Department (ED) and hospitalisation is frequent event among the elderly.

Aim

Aim of the study was (1) to investigate the burden of care among the caregivers of old patients; (2) to examine the influence of the burden experienced by the caregivers on ED and hospital admissions of the elderly.

Methods

We conducted a descriptive study of patients aged 75 years or older and their caregiver admitted to the ED from 10/1/15 to 6/10/15 (77 patient-caregiver pairs). The caregivers were evaluated using the Caregiver Burden Inventory (CBI). A case manager collected the patient's data.

Results

CBI score is the highest among patients seeking ED evaluation due to caregiver's concern. The majority of the elderly admitted to the ED whose caregiver shows elevated emotional burden at the CBI do not present with serious or urgent medical condition and are not hospitalised. Emotional burden is the highest among the caregivers of demented subjects who share the same house.

Conclusion

Our findings indicate that the burden experienced by caregiving family members plays a role in elderly people avoidable ED visits.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster walk: Old-age psychiatry
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S174 - S175
Copyright
Copyright © European Psychiatric Association 2017
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