A controlled evaluation of comprehensive geriatric assessment in the emergency department: the 'Emergency Frailty Unit'.pdf (260.57 kB)
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A controlled evaluation of comprehensive geriatric assessment in the emergency department: the 'Emergency Frailty Unit'.

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journal contribution
posted on 16.12.2016, 14:35 by Simon Paul Conroy, Kharwar Ansari, Mark Williams, Emily Laithwaite, Ben Teasdale, J. Dawson, S. Mason, Jay Banerjee
BACKGROUND: the ageing demographic means that increasing numbers of older people will be attending emergency departments (EDs). Little previous research has focused on the needs of older people in ED and there have been no evaluations of comprehensive geriatric assessment (CGA) embedded within the ED setting. METHODS: a pre-post cohort study of the impact of embedding CGA within a large ED in the East Midlands, UK. The primary outcome was admission avoidance from the ED, with readmissions, length of stay and bed-day use as secondary outcomes. RESULTS: attendances to ED increased in older people over the study period, whereas the ED conversion rate fell from 69.6 to 61.2% in people aged 85+, and readmission rates in this group fell from 26.0% at 90 days to 19.9%. In-patient bed-day use increased slightly, as did the mean length of stay. DISCUSSION: it is possible to embed CGA within EDs, which is associated with improvements in operational outcomes.

History

Citation

Age and Ageing, 2014, 43 (1), pp. 109-114

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Health Sciences

Version

VoR (Version of Record)

Published in

Age and Ageing

Publisher

Oxford University Press (OUP) for British Geriatrics Society

issn

0002-0729

eissn

1468-2834

Acceptance date

11/06/2013

Copyright date

2013

Available date

16/12/2016

Publisher version

http://ageing.oxfordjournals.org/content/43/1/109

Notes

Supplementary data mentioned in the text are available to subscribers in Age and Ageing online.

Language

en