Home > The epidemiology of emergency in-patient hospitalisations among those with ‘no fixed abode’ (homeless) 2005-2014: What lessons can be learnt.

O'Farrell, A and Evans, DS and Allen, Mary (2016) The epidemiology of emergency in-patient hospitalisations among those with ‘no fixed abode’ (homeless) 2005-2014: What lessons can be learnt. Irish Medical Journal , 109 , (9) .

URL: http://imj.ie/the-epidemiology-of-emergency-in-pat...


Estimates show that homelessness is increasing in Ireland. This study analysed the epidemiology of emergency hospitalisations among those experiencing homelessness between 2005-2014. All in-patient admissions to acute hospitals classified with ‘no fixed abode’ were extracted from the Hospital In-patient Enquiry System. Data were analysed using JMP. There were 2,051 in-patient emergency admissions of people classified with ‘no fixed abode’ during the study period, an increase of 406% since 2005 (78 in 2005 vs. 395 in 2014). The mean age was 40.6 (S.D. 13.2). The majority of patients (1,176 /2,051; 57%) had a mental/ behavioural diagnosis. Over one in ten (280; 13.7%) were admitted for ambulatory care sensitive conditions (ACSCs) including convulsions/epilepsy (N=92/280; 32.9%), cellulitis (62/280; 22.1%) and COPD (29/280; 10.4%).  The health of homeless people is a fundamental issue that needs addressing. Access to, and use of, community and preventative services is needed to reduce utilisation of emergency hospital services.

Item Type:Article
Date:October 2016
Publisher:Irish Medical Organisation
Volume:109
Number:9
EndNote:View
Accession Number:HRB (Electronic Only)
Subjects:A Substance use, abuse, and dependence > Prevalence > Problem substance use
G Health and disease > State of health > Physical health
G Health and disease > State of health > Mental health
G Health and disease > Substance related disorder > Dual diagnosis (comorbidity)
J Health care, prevention and rehabilitation > Health care programme or facility > Hospital
MA-ML Social science, culture and community > Social condition > Homelessness
T Demographic characteristics > Homeless person
VA Geographic area > Europe > Ireland

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