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Effectiveness of a geriatrician in the emergency department in facilitating safe admission prevention of older patients.

Jones, Sally and Wallis, Peter (2013) Effectiveness of a geriatrician in the emergency department in facilitating safe admission prevention of older patients. Clinical medicine (London, England), 13 (6). pp. 561-4. ISSN 1470-2118.

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Official URL: http://www.clinmed.rcpjournal.org/content/13/6/561...

Abstract

The decision to admit a frail older patient is rarely made by a geriatrician and often falls to staff in the emergency department (ED), who may not have the training to balance the risks, benefits and alternatives. We based a consultant geriatrician in the ED with the primary aim of facilitating admission prevention for older patients and this was achieved for 64% (543/848) of patients. A secondary aim was to facilitate direct admission to elderly care wards when admission was necessary, and this was achieved for 57% of admitted patients (174/305). The geriatrician was able to facilitate discharge from the ED for over half of potential 30-day readmissions seen. The overall 7-day ED re-attendance rate was 10.1%, but only 3.4% of patients were admitted with the same problem, indicating true admission prevention rather than admission delay. In conclusion, the placement of a consultant geriatrician in the ED is effective in facilitating admission prevention for older patients.

Item Type: Article
Subjects: WA Patients. Primary care. Medical profession. Forensic medicine
WT Geriatrics. Elderly care
Divisions: Emergency Services > Elderly
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Depositing User: Mrs Suganthi Vijayaganesh
Date Deposited: 25 Nov 2014 15:31
Last Modified: 25 Nov 2014 15:31
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/664

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